Evidence map›Paper›PMID 42564703›Full record

ArticleJOR spine2026

Galectin-4: A Novel Mediator of Human Intervertebral Disc Degeneration.

Christine Strauss, Daniel Djojic, Johannes Stadlmann, Josef Georg Grohs, Jürgen Alphonsus, Sebastian Schmidt, Sabine André, Katharina Margareta Pichler, Sara Savic-Ivanovic, Melanie Cezanne and 3 more

Abstract read
In one paragraph

Article in JOR spine, 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
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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

13 authors.

Christine StraussKarl Chiari Lab for Orthopaedic Biology, Department of Orthopedics and Trauma Surgery Medical University of Vienna Vienna Austria.ORCID https://orcid.org/0000-0003-3390-835X
Daniel DjojicKarl Chiari Lab for Orthopaedic Biology, Department of Orthopedics and Trauma Surgery Medical University of Vienna Vienna Austria.ORCID https://orcid.org/0009-0003-0826-3710
Johannes StadlmannUniversity of Natural Resources and Life Sciences Vienna Austria.ORCID https://orcid.org/0000-0001-5693-6690
Josef Georg GrohsDivision of Orthopedics, Department of Orthopedics and Trauma Surgery Medical University of Vienna Vienna Austria.ORCID https://orcid.org/0000-0001-6109-8417
Jürgen AlphonsusKarl Chiari Lab for Orthopaedic Biology, Department of Orthopedics and Trauma Surgery Medical University of Vienna Vienna Austria.ORCID https://orcid.org/0000-0002-4444-0134
Sebastian SchmidtChair of Biochemistry and Chemistry, Faculty of Veterinary Medicine Ludwig-Maximilians-Universität München Munich Germany.ORCID https://orcid.org/0009-0006-6700-0437
Sabine AndréChair of Biochemistry and Chemistry, Faculty of Veterinary Medicine Ludwig-Maximilians-Universität München Munich Germany.ORCID https://orcid.org/0000-0003-0850-0432
Katharina Margareta PichlerKarl Chiari Lab for Orthopaedic Biology, Department of Orthopedics and Trauma Surgery Medical University of Vienna Vienna Austria.ORCID https://orcid.org/0000-0001-9944-9999
Sara Savic-IvanovicKarl Chiari Lab for Orthopaedic Biology, Department of Orthopedics and Trauma Surgery Medical University of Vienna Vienna Austria.ORCID https://orcid.org/0009-0008-5969-7830
Melanie CezanneKarl Chiari Lab for Orthopaedic Biology, Department of Orthopedics and Trauma Surgery Medical University of Vienna Vienna Austria.ORCID https://orcid.org/0009-0007-5542-2453
Mario RothbauerKarl Chiari Lab for Orthopaedic Biology, Department of Orthopedics and Trauma Surgery Medical University of Vienna Vienna Austria.ORCID https://orcid.org/0000-0002-9928-3631
Reinhard WindhagerDivision of Orthopedics, Department of Orthopedics and Trauma Surgery Medical University of Vienna Vienna Austria.ORCID https://orcid.org/0000-0002-6321-1804
Stefan ToegelKarl Chiari Lab for Orthopaedic Biology, Department of Orthopedics and Trauma Surgery Medical University of Vienna Vienna Austria.ORCID https://orcid.org/0000-0003-4317-1769

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Intervertebral disc (IVD) degeneration is associated with severe clinical symptoms including chronic back pain. Galectins are a family of carbohydrate-binding proteins, some of which can induce functional disease markers in IVD cells and other musculoskeletal tissues. Galectin-4 and -8 were shown to trigger disease-promoting activity in chondrocytes, but their effects on IVD cells have not been investigated yet. Methods: IVD specimens from 36 patients with spondylosis, spondylolisthesis, and scoliosis were assessed immunohistochemically for the presence of galectin-4 and -8. The degrees of radiological (Pfirrmann grade) and histopathological (Rutges score) degeneration of all specimens were correlated with histological galectin scores. To assess galectin functions, separate cell cultures of annulus fibrosus (AF) and nucleus pulposus (NP) ( Results: The immunohistochemical presence of galectin-4 in IVD specimens correlated with histopathological and clinical degeneration scores of patients, whereas galectin-8 did not show significant correlations. Both galectins were detected across IVD compartments except for the endplate. In vitro, both galectins activated the nuclear factor-kB pathway and induced functional disease markers (Interleukin-8 (CXCL8) and matrix metalloproteinase-3 (MMP3) mRNA). NP cells were more responsive to galectins and IL-1β than AF cells, indicating region-specific differences in galectin sensitivity. Conclusion: This study identifies galectin-4 as a novel molecular player in the pathogenesis of IVD degeneration.

Identifiers

PMID42564703
PMCPMC13444353

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