Evidence map›Paper›PMID 41748750›Full record

ArticleScientific reports2026

Integrative analysis of single-cell RNA sequencing, bulk RNA sequencing, and proteomic data identified NOTCH3 as a hub gene contributing to human intervertebral disc fibrosis.

Qi Ding, Xi Chen, Quan Zheng, Qiangbing Dou, Chuanhong Zuo, Qiwei Wang, Cailiang Shen

Abstract read
In one paragraph

Article in Scientific reports, 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

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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

7 authors.

Qi DingDepartment of Orthopedics and Spine Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, Anhui, China.
Xi ChenDepartment of Orthopedics, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of China, Hefei, 230001, China.
Quan ZhengDepartment of Orthopedics, Lu'an Affiliated Hospital of Anhui Medical University, Lu'an, 237005, Anhui, China.
Qiangbing DouDepartment of Orthopedics, Lu'an Affiliated Hospital of Anhui Medical University, Lu'an, 237005, Anhui, China.
Chuanhong ZuoDepartment of Orthopedics, Lu'an Affiliated Hospital of Anhui Medical University, Lu'an, 237005, Anhui, China.
Qiwei WangDepartment of Orthopedics, Lu'an Affiliated Hospital of Anhui Medical University, Lu'an, 237005, Anhui, China.
Cailiang ShenDepartment of Orthopedics and Spine Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, Anhui, China. shencailiang1616@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intervertebral disc degeneration (IDD) is marked by nucleus pulposus (NP) fibrosis, but its molecular drivers remain unclear. This study investigated NP cellular heterogeneity and key regulators using integrative multi-omics. NP specimens from IDD patients and controls were analyzed by scRNA-seq, bulk RNA-seq, proteomics, and fibrosis histological staining. Bioinformatics identified NP subtypes, pseudotime trajectories, and intercellular communication. Validation included immunostaining, qRT-PCR, Western blotting, and functional assays following NOTCH3 knockdown or over-expression. Fibrosis staining confirmed increased collagen deposition in degenerated NP tissues. scRNA-seq revealed eight NP subpopulations, with fibroblast-like NP cells enriched in degeneration. Degenerated samples showed enhanced NOTCH, IGF, and TGF-β signaling. Multi-omics consistently identified NOTCH3 as a hub gene. Functional experiments showed NOTCH3 promoted apoptosis, senescence, fibroblast differentiation, and ER stress–associated fibrosis, while silencing reversed these effects. Immunohistochemistry confirmed elevated NOTCH3 in degenerated tissues. NOTCH3 is a central regulator of NP fibrosis and degeneration, acting via ER stress and fibrotic pathways. Targeting NOTCH3 may represent a novel therapeutic strategy for restoring disc homeostasis in IDD.

Indexed as

Intervertebral Disc DegenerationReceptor, Notch3AdultFemaleFibrosisHumansMaleMiddle AgedNucleus PulposusProteomicsSequence Analysis, RNASignal TransductionSingle-Cell AnalysisSingle-Cell Gene Expression AnalysisNOTCH3 protein, humanReceptor, Notch3Intervertebral disc degenerationNOTCH3 signalingNucleus pulposus fibrosisSingle-cell RNA sequencing

Identifiers

PMID41748750
PMCPMC13046761

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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.