Evidence map›Paper›PMID 41056015›Full record

ReviewInternational journal of surgery (London, England)2026

Natural products targeting programmed cell death: a novel therapeutic strategy for intervertebral disc degeneration.

Shudong Li, Tao Yang, Rongchen Lu, Shang Chen, Shu Jia, Lu Zhang, Xu Gao, Sheng Gao, Zikun Wang, Chunyang Meng

Abstract readReview
In one paragraph

Review in International journal of surgery (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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

10 authors.

Shudong LiThe First Clinical Medical School, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.ORCID 0009-0006-4921-1169
Tao YangDepartment of Spine Surgery, Affiliated Hospital of Jining Medical University, Jining, Shandong, China.
Rongchen LuThe First Clinical Medical School, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Shang ChenDepartment of Spine Surgery, Affiliated Hospital of Jining Medical University, Jining, Shandong, China.
Shu JiaDepartment of Spine Surgery, Affiliated Hospital of Jining Medical University, Jining, Shandong, China.
Lu ZhangDepartment of Spine Surgery, Affiliated Hospital of Jining Medical University, Jining, Shandong, China.
Xu GaoDepartment of Spine Surgery, Affiliated Hospital of Jining Medical University, Jining, Shandong, China.
Sheng GaoDepartment of Spine Surgery, Affiliated Hospital of Jining Medical University, Jining, Shandong, China.
Zikun WangDepartment of Spine Surgery, Affiliated Hospital of Jining Medical University, Jining, Shandong, China.
Chunyang MengDepartment of Spine Surgery, Affiliated Hospital of Jining Medical University, Jining, Shandong, China.ORCID 0000-0002-3334-9503

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intervertebral disc degeneration (IVDD) serves as a central pathological mechanism in the development of spinal degenerative disorders. Its progression is closely associated with the dysregulated activation of various programmed cell death (PCD) pathways, including apoptosis, pyroptosis, necroptosis, ferroptosis, and autophagy. Recent investigations have highlighted the potential of natural products to modulate these cell death processes through multitarget mechanisms, making them promising candidates for IVDD intervention. In this study, a comprehensive literature search was conducted using the PubMed database (up to 2025), applying a dual search strategy to systematically identify relevant publications. Following the screening of titles and abstracts and the removal of nonoriginal publications, a total of 194 eligible studies were retained, covering 134 distinct natural products. The analysis revealed that these products are capable of targeting multiple PCD pathways in intervertebral disc cells and exhibit considerable therapeutic potential. These findings offer a theoretical framework and methodological reference for the development of novel treatments for IVDD. Nevertheless, limitations remain regarding natural products, particularly in terms of bioavailability and safety. Future efforts should focus on optimizing screening platforms and drug delivery strategies to enhance therapeutic efficacy while minimizing potential toxicity.

Indexed as

ApoptosisBiological ProductsIntervertebral Disc DegenerationAnimalsAutophagyHumansNecroptosisPyroptosisBiological Productsapoptosisintervertebral disc degenerationnatural productsprogrammed cell deathpyroptosis

Identifiers

PMID41056015
PMCPMC12825861

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Registered trials

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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.