Evidence map›Paper›PMID 41474013›Full record

ArticleJournal of cellular and molecular medicine2026

Leptin Regulates Intervertebral Disc Calcification and Ossification by Promoting Glycolysis Through OCN/HIF-1α Axis.

Haoxi Li, Chengqiang Yu, Zhuhai Li, Shuyu Yao, Kaiqi Mo, Guanlu Peng, Yufeng Huang, Jianxun Wei

Abstract read
In one paragraph

Article in Journal of cellular and molecular medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Haoxi LiDepartment of Spine Surgery, the People's Hospital of Guangxi Zhuang Autonomous Region, Guangxi Academy of Medical Sciences, Nanning, China.
Chengqiang YuDepartment of Spine Surgery, the People's Hospital of Guangxi Zhuang Autonomous Region, Guangxi Academy of Medical Sciences, Nanning, China.
Zhuhai LiDepartment of Spine Surgery, the People's Hospital of Guangxi Zhuang Autonomous Region, Guangxi Academy of Medical Sciences, Nanning, China.
Shuyu YaoDepartment of Spine Surgery, the People's Hospital of Guangxi Zhuang Autonomous Region, Guangxi Academy of Medical Sciences, Nanning, China.
Kaiqi MoDepartment of Spine Surgery, the People's Hospital of Guangxi Zhuang Autonomous Region, Guangxi Academy of Medical Sciences, Nanning, China.
Guanlu PengDepartment of Spine Surgery, the People's Hospital of Guangxi Zhuang Autonomous Region, Guangxi Academy of Medical Sciences, Nanning, China.
Yufeng HuangDepartment of Spine Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, China.
Jianxun WeiDepartment of Spine Surgery, the People's Hospital of Guangxi Zhuang Autonomous Region, Guangxi Academy of Medical Sciences, Nanning, China.ORCID 0000-0003-4117-4106

Funding

Guangxi Natural Science Foundation Project Fund project 2023GXNSFAA026285Guangxi Science and Technology Planning Project Guike AD21220134
6 · The paper itself

Abstract

During intervertebral disc degeneration (IDD), cartilage endplate (CEP) cells undergo calcification and ossification, relying primarily on glycolysis for energy metabolism. Leptin (LEP) initiates the IDD, while its underlying mechanism related to glycolysis remains elusive in CEP cells. To investigate the underlying mechanism of LEP on IDD, an IDD rat model was established and LEP-added CEP cells were adopted, with a glycolysis inhibitor (2-DG) and sh-HIF-1α. A rat IDD model was successfully established, with the model group exhibiting endplate calcification, ossification, and increased LEP levels. In vitro experiments confirmed that LEP dose-dependently promotes calcification and ossification in CEP cells. LEP also upregulated calcification-related indicators (BMP-2, Sox9) and osteogenesis-related genes (OCN, Runx2), inducing the formation of calcified nodules and increased ALP activity. Mechanistic studies revealed that glycolysis-related proteins and lactic acid content in both IDD rat and LEP-added CEP cells were elevated. This process could be reversed using the glycolysis inhibitor 2-DG. Further experiments demonstrated that LEP promoted glycolysis by upregulating the OCN/HIF-1α axis; knockdown of either OCN or HIF-1α blocked LEP-induced calcification and ossification. LEP is elevated in IDD, and LEP accelerates the calcification and ossification through stimulating glycolysis by the OCN/HIF-1α axis.

Indexed as

CalcinosisGlycolysisHypoxia-Inducible Factor 1, alpha SubunitIntervertebral DiscIntervertebral Disc DegenerationLeptinOsteogenesisAnimalsDisease Models, AnimalMaleRatsRats, Sprague-DawleySignal TransductionHif1a protein, ratHypoxia-Inducible Factor 1, alpha SubunitLeptincalcificationglycolysisintervertebral disc degenerationleptinossification

Identifiers

PMID41474013
PMCPMC12754691

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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.