Evidence map›Paper›PMID 41034870›Full record

ArticleLipids in health and disease2025

Excessive cholesterol accelerates intervertebral disc degeneration by promoting the polarization of M1 macrophages.

Sheng-Jie Chang, Hao-Wei Xu, Shu-Bao Zhang, Xiao-Wei Liu, Yu-Yang Yi, Shan-Jin Wang

Abstract read
In one paragraph

Article in Lipids in health and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sheng-Jie Chang *Department of Spinal Surgery, Shanghai East Hospital, School of Medicine, Tongji University, 150# Jimo RD, Pudong New Area, Shanghai, 200092, China.
Hao-Wei Xu *Department of Spinal Surgery, Shanghai East Hospital, School of Medicine, Tongji University, 150# Jimo RD, Pudong New Area, Shanghai, 200092, China.
Shu-Bao ZhangDepartment of Spinal Surgery, Shanghai East Hospital, School of Medicine, Tongji University, 150# Jimo RD, Pudong New Area, Shanghai, 200092, China.
Xiao-Wei LiuDepartment of Spinal Surgery, Shanghai East Hospital, School of Medicine, Tongji University, 150# Jimo RD, Pudong New Area, Shanghai, 200092, China.
Yu-Yang YiDepartment of Spinal Surgery, Shanghai East Hospital, School of Medicine, Tongji University, 150# Jimo RD, Pudong New Area, Shanghai, 200092, China.
Shan-Jin WangDepartment of Spinal Surgery, Shanghai East Hospital, School of Medicine, Tongji University, 150# Jimo RD, Pudong New Area, Shanghai, 200092, China. kingspine@163.com.

Funding

Joint research project of Health Science and Technology project of Shanghai Pudong New Area Health Commission PW2023D-12Training Program for Academic and Technical Leaders of Major Disciplines in Jiangxi Province-Leading Talents Project 20213BCJ22011Youth Scientific Research Cultivation Foundation of Shanghai East Hospital DFPY2024025
6 · The paper itself

Abstract

backgroundIntervertebral disc degeneration (IVDD) is the primary cause of low back pain (LBP). Dyslipidaemia can induce a chronic inflammatory state in the body, promote the polarization of macrophages, and may affect the homeostasis of the intervertebral disc (IVD). However, the relationship between dyslipidaemia and IVDD remains unclear.

methodsThis study encompassed human subjects and animal models. Techniques used: cell counting kit-8 (CCK8), western blotting, immunofluorescence staining, immunohistochemical staining, flow cytometry, enzyme-linked immunosorbent assay (ELISA), reverse transcription-quantitative polymerase chain reaction (RT-qPCR), and statistical analysis.

resultsThrough a retrospective analysis involving 196 patients, this study found that high TC, TG, and LDL-C levels were risk factors for IVDD. Subsequently, cell experiments and animal models verified that excessive cholesterol can directly induce the loss of phenotype in nucleus pulposus cells and promote the M1-type polarization of macrophages through the JAK1/STAT1 pathway, thereby accelerating IVDD.

conclusionsThese results reveal that excessive cholesterol is a risk factor for intervertebral disc degeneration, emphasizing its direct role in the degeneration process as well as its involvement in signal regulation during macrophage polarization. Therefore, cholesterol-lowering therapy may provide new opportunities for the treatment of IVDD.

Indexed as

CholesterolDyslipidemiasIntervertebral Disc DegenerationMacrophagesAdolescentAdultAgedAged, 80 and overAnimalsCell PolarityFemaleHumansJanus Kinase 1Low Back PainMaleMiceCholesterolJanus Kinase 1STAT1 Transcription FactorCholesterolInflammationIntervertebral disc degenerationMacrophage

Identifiers

PMID41034870
PMCPMC12490159

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.