Evidence map›Paper›PMID 42396591›Full record

ArticleFrontiers in surgery2026

Identification of genes associated with cervical intervertebral disc degeneration and immune cell infiltration.

Dikai Bei, Kaifeng Gan, Binhui Chen, Jie Li

Abstract read
In one paragraph

Article in Frontiers in surgery, 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. External validation of a nomogram for de novo bone metastasis in breast cancer: a single-center Mexican cohort.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    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

4 authors.

Dikai BeiOrthopaedic Surgery, Ningbo Medical Center Lihuili Hospital Affiliated to Ningbo University, Ningbo, Zhejiang, China.
Kaifeng GanOrthopaedic Surgery, Ningbo Medical Center Lihuili Hospital Affiliated to Ningbo University, Ningbo, Zhejiang, China.
Binhui ChenOrthopaedic Surgery, Ningbo Medical Center Lihuili Hospital Affiliated to Ningbo University, Ningbo, Zhejiang, China.
Jie LiOrthopaedic Surgery, Ningbo Medical Center Lihuili Hospital Affiliated to Ningbo University, Ningbo, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to identify novel diagnostic genetic biomarkers for early-stage cervical intervertebral disc degeneration (IDD) and to investigate the potential relationship between key genes and immune cell infiltration in IDD. Methods: mRNA expression profiles were obtained from the Gene Expression Omnibus (GEO) database. Differentially expressed genes (DEGs) between cervical IDD and control samples were identified using the linear model (limma R package). Functional annotation and pathway enrichment analyses were performed with Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG). A Least Absolute Shrinkage and Selection Operator (LASSO) regression model and Support Vector Machine-Recursive Feature Elimination (SVM-RFE) were applied to screen potential biomarkers. Immune cell composition in IDD samples was estimated using the CIBERSORT method. Cervical disc specimens were collected from patients undergoing anterior cervical discectomy and fusion (ACDF) and classified into IDD and control groups based on MRI Pfirrmann grading. Quantitative PCR (qPCR) was performed to validate biomarker expression in these specimens. Results: A total of 71 DEGs were identified, including 50 upregulated and 21 downregulated genes in IDD samples. KEGG pathway analysis revealed significant enrichment in inflammation-related pathways. Through machine learning screening and experimental validation, we identified CDKN3, SLC22A4, and SYDE1 as key diagnostic biomarkers for IDD. Immune infiltration analysis suggested that these genes may contribute to IDD pathogenesis by modulating specific immune cell populations. qPCR results confirmed that CDKN3 expression was significantly downregulated in cervical IDD specimens ( Conclusion: CDKN3, SLC22A4, and SYDE1 are associated with the pathogenesis and progression of cervical IDD, potentially through their regulatory effects on immune cell activity. These genes may serve as promising diagnostic biomarkers for cervical IDD and could aid in monitoring disease progression. Further studies are warranted to validate their clinical utility and elucidate the underlying mechanisms.

Indexed as

bioinformatics analysiscervical intervertebral disc degenerationdiagnostic biomarkersimmune cell infiltrationmachine learning

Identifiers

PMID42396591
PMCPMC13327654

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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.