Evidence map›Paper›PMID 40963597›Full record

ReviewFrontiers in immunology2025

Inflammation preservation strategy: reconciling pain control and disc resorption in lumbar disc herniation.

Guanyi Gong, Zheng Yan, Qilong Lai, Peijie You, Pengfei Yu, Xiaochun Li, Zhiqiang Wang, Shun Lin, Yuxiang Dai, Hong Jiang and 1 more

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Observational
  5. Review
  6. Article
  7. Article
  8. 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

11 authors.

Guanyi Gong *Suzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, China.
Zheng Yan *Suzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, China.
Qilong LaiSuzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, China.
Peijie YouSuzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, China.
Pengfei YuSuzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, China.
Xiaochun LiSuzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, China.
Zhiqiang WangSuzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, China.
Shun LinSuzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, China.
Yuxiang DaiSuzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, China.
Hong JiangSuzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, China.
Jintao LiuSuzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lumbar disc herniation (LDH) is a prevalent condition driven by inflammation, which mediates both radicular pain and spontaneous resorption of herniated material. Traditional anti-inflammatory therapies alleviate pain but may impede disc regression. We propose an Inflammation Preservation Strategy (IPS) to harness inflammation's reparative potential while managing symptoms. Molecular, clinical, and translational evidence reveals inflammation drives resorption in 60-90% of LDH cases. Key mechanisms include neovascularization, dynamic macrophage polarization (where M1 degrades matrix while M2 promotes repair), and apoptosis-autophagy synergy. Traditional anti-inflammatory therapies risk suppressing this reparative cascade, whereas IPS advocates precision modulation-avoiding pan-anti-inflammatory agents during acute phases and employing targeted interventions to balance analgesia with tissue healing. Clinical data support IPS in achieving near-complete resorption and sustained pain relief, suggesting a paradigm shift from symptomatic palliation to disease-modifying regeneration. Future directions include real-time inflammation phenotyping and smart biomaterials to advance precision IPS implementation.

Indexed as

Anti-Inflammatory AgentsInflammationIntervertebral Disc DegenerationIntervertebral Disc DisplacementLumbar VertebraePain ManagementAnimalsHumansMacrophagesAnti-Inflammatory Agentsdisc resorptioninflammation preservation strategyinflammatory microenvironment modulationlumbar disc extrusionlumbar disc herniationmacrophage polarizationprecision immunomodulationspontaneous resorption

Identifiers

PMID40963597
PMCPMC12436131

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.