Evidence map›Paper›PMID 42225937›Full record

ArticleCommunications medicine2026

Neural Excitation-Inhibition Imbalance in Cervical Spondylotic Myelopathy.

Hongqing Wu, Kun Zhu, Haoxiang Wang, Qiu Guo, Zhichao Luo, Sichen Bian, Bingyong Xie, Haoyu Ni, Yuanyuan Wu, Yongqiang Yu and 1 more

Abstract read
In one paragraph

Article in Communications medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Hongqing Wu *Department of Orthopedics, The First Affiliated Hospital of Anhui Medical University, Hefei, PR China.
Kun Zhu *Department of Orthopedics, The First Affiliated Hospital of Anhui Medical University, Hefei, PR China.
Haoxiang WangDepartment of Orthopedics, The First Affiliated Hospital of Anhui Medical University, Hefei, PR China.
Qiu GuoDepartment of Orthopedics, The First Affiliated Hospital of Anhui Medical University, Hefei, PR China.
Zhichao LuoDepartment of Orthopedics, The First Affiliated Hospital of Anhui Medical University, Hefei, PR China.
Sichen BianDepartment of Orthopedics, The First Affiliated Hospital of Anhui Medical University, Hefei, PR China.
Bingyong XieDepartment of Orthopedics, The First Affiliated Hospital of Anhui Medical University, Hefei, PR China.
Haoyu NiDepartment of Orthopedics, The First Affiliated Hospital of Anhui Medical University, Hefei, PR China.
Yuanyuan WuDepartment of Medical Imaging, The First Affiliated Hospital of Anhui Medical University, Hefei, PR China.
Yongqiang YuDepartment of Radiology, The First Affiliated Hospital of Anhui Medical University, Hefei, PR China. Cjr.yuyongqiang@vip.163.com.ORCID http://orcid.org/0000-0001-8977-2215
Fulong DongDepartment of Orthopedics, The First Affiliated Hospital of Anhui Medical University, Hefei, PR China. dongfulongtg@sina.com.ORCID http://orcid.org/0000-0003-4652-1293

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCervical spondylotic myelopathy (CSM) is a chronic spinal cord compression disorder associated with degenerative changes in the cervical spine. Although morphological alterations in brain regions associated with CSM have been reported, the underlying molecular regulatory mechanisms remain incompletely understood. This study aims to reveal the structural changes among different brain regions in CSM and their complex associations with specific transcriptional expression patterns.

methodsThe study includes 170 CSM patients and 79 healthy controls(age range: 40-65 years). MRI is used to acquire cortical data for each participant, and the morphometric similarity network is then constructed for each individual. A general linear model is applied to analyze cortical structural differences between patients and healthy controls. Subsequently, partial least squares regression is used to link these cortical structural differences with gene expression profiles from the AHBA, in order to identify associated genes for enrichment analysis.

resultsWe find that, compared with healthy controls, CSM patients show generally increased MSN strength in the cerebral cortex. Additionally,the differentially expressed genes are specifically enriched in both excitatory and inhibitory neurons.

conclusionsOur study reveals that structural network hubs are more susceptible to damage under chronic spinal cord compression, and that disruption of the dynamic balance between excitatory and inhibitory neurons may serve as a candidate mechanism driving secondary cortical remodeling.

Identifiers

PMID42225937
PMCPMC13526813

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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.