Evidence map›Paper›PMID 41558602›Full record

ReviewJournal of advanced research2026

Decoding intervertebral disc degeneration pathomechanics: from mechanisms to therapeutic horizons.

HanLin Qiao, TongLei Chen, Jing Yu, Chen Li, Chang Gao, YanJun Yang, YiCai Zhang, HuiLin Yang, ZhanJun Yan, ChangDong Lin

Abstract readReview
In one paragraph

Review in Journal of advanced research, 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. Review
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.

HanLin QiaoFundamental Research Center, Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Life Sciences and Technology, Tongji University, Shanghai 200092, China; Frontier Science Center for Stem Cell Research, Tongji University, Shanghai 200092, China.
TongLei ChenDepartment of Orthopedics, Suzhou Ninth Hospital Affiliated to Soochow University, Suzhou 215200, China.
Jing YuFundamental Research Center, Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Life Sciences and Technology, Tongji University, Shanghai 200092, China; Frontier Science Center for Stem Cell Research, Tongji University, Shanghai 200092, China.
Chen LiFundamental Research Center, Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Life Sciences and Technology, Tongji University, Shanghai 200092, China; Frontier Science Center for Stem Cell Research, Tongji University, Shanghai 200092, China.
Chang GaoFundamental Research Center, Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Life Sciences and Technology, Tongji University, Shanghai 200092, China; Frontier Science Center for Stem Cell Research, Tongji University, Shanghai 200092, China.
YanJun YangDepartment of Orthopedics, Suzhou Ninth Hospital Affiliated to Soochow University, Suzhou 215200, China.
YiCai ZhangDepartment of Orthopedics, Suzhou Ninth Hospital Affiliated to Soochow University, Suzhou 215200, China.
HuiLin YangDepartment of Orthopedic Surgery, First Affiliated Hospital of Soochow University, Suzhou 215006, China; Orthopedic Institute, Suzhou Medical College, Soochow University, Suzhou 215007, China. Electronic address: suzhouspine@163.com.
ZhanJun YanDepartment of Orthopedics, Suzhou Ninth Hospital Affiliated to Soochow University, Suzhou 215200, China. Electronic address: yanzhanjun2010@163.com.
ChangDong LinFundamental Research Center, Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Life Sciences and Technology, Tongji University, Shanghai 200092, China; Frontier Science Center for Stem Cell Research, Tongji University, Shanghai 200092, China. Electronic address: linchangdong@tongji.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntervertebral disc degeneration (IVDD) is widely recognized as a key factor in various lumbar spine disorders. Biomechanical factors play a crucial role in maintaining homeostasis and influencing the degeneration process of the intervertebral disc (IVD). The nucleus pulposus (NP), located at the core of the disc, is responsible for distributing mechanical stresses from spinal movements, making it a primary site for degeneration. AIM OF REVIEW: This review designs to elucidate the key mechanisms of pathological mechanics in the nucleus pulposus and provide insights for biomechanically targeted therapies for disc disorders. KEY SCIENTIFIC CONCEPTS OF REVIEW: This comprehensive review provides insights into physiopathology of IVD and summarizes the biomechanical models developed over the past two decades. It specializes the mechanisms of signal transduction mediated by pathomechanics in regulating nucleus pulposus cell (NPC) homeostasis, senescence, autophagy, death, and extracellular matrix remodeling. Potential therapeutic strategies grounded in biomechanics are proposed, such as the implementation of mechanical rhythms, development of pharmacological agents targeting mechanotransduction, and hydrogel encapsulation of NPCs with adjustable mechanical properties.

Indexed as

Intervertebral Disc DegenerationNucleus PulposusAnimalsAutophagyBiomechanical PhenomenaExtracellular MatrixHumansIntervertebral DiscMechanotransduction, CellularSignal TransductionIntervertebral disc degenerationNucleus pulposusPathomechanicsSignal transduction

Identifiers

PMID41558602
PMCPMC13669611

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.