Evidence map›Paper›PMID 20169035›Full record

ArticleTherapeutics and clinical risk management2010

Tenofovir-associated bone density loss.

Iwen F Grigsby, Lan Pham, Louis M Mansky, Raj Gopalakrishnan, Kim C Mansky

Open access · goldAbstract read
In one paragraph

Article in Therapeutics and clinical risk management, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
2.1field-weighted citation impact, top 14% of its field
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

47 citing papers in PubMed, 90 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Less Bone Loss With Maraviroc- Versus Tenofovir-Containing Antiretroviral Therapy in the AIDS Clinical Trials Group A5303 Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2015
    Trial
  6. Vitamin D3 decreases parathyroid hormone in HIV-infected youth being treated with tenofovir: a randomized, placebo-controlled trial.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2012
    Trial
  7. Trial
  8. Review
  9. Clinical insights into the association between chronic liver disease and osteoporosis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Review
  10. Observational
  11. Article
  12. Article
  13. Comparison of bone mineral density changes between denosumab and bisphosphonates in tenofovir-exposed chronic hepatitis B patients with osteoporosis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
  14. Article
  15. Biochemical Markers of Calcium and Bone Metabolism during and after Lactation in Ugandan Women with HIV on Universal Maternal Antiretroviral Therapy.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2023
    Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. The Potential ofNutrients · 2022
    Review
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

5 authors at 1 institution in 1 country.

Iwen F GrigsbyDivision of Orthodontics.
Lan Pham
Louis M Mansky
Raj Gopalakrishnan
Kim C Mansky
University of Minnesota · US

Funding

MINNESOTA PAIN RESEARCH TRAINING PROGRAMT32DE007288 · NIDCR · UNIVERSITY OF MINNESOTA TWIN CITIES · PI HERZBERG, MARK C · 1996 to 2011
$8.8M
Mechanisms of HIV-1 VariationR01GM056615 · NIGMS · UNIVERSITY OF MINNESOTA TWIN CITIES · PI MANSKY, LOUIS M. · 2003 to 2011
$2.6M
REGULATING MITF'S ACTIVATION OF OSTEOCLAST TARGET GENESR21AR053946 · NIAMS · UNIVERSITY OF MINNESOTA · PI MANSKY, KIM CARPENTER · 2006 to 2007
$289k
MECHANISMS OF HIV1 VARIATIONR29GM056615 · NIGMS · OHIO STATE UNIVERSITY · PI MANSKY, LOUIS M · 1997 to 2001
$215k
PTH and Mineralization: Role of Matrix Gla ProteinR03DE016093 · NIDCR · UNIVERSITY OF MINNESOTA TWIN CITIES · PI GOPALAKRISHNAN, RAJARAM · 2004 to 2005
$144k
NIAMS NIH HHS R21 AR053946NIDCR NIH HHS R03 DE016093NIDCR NIH HHS T32 DE007288NIGMS NIH HHS R01 GM056615NIGMS NIH HHS R29 GM056615
6 · The paper itself

Abstract

Clinical observations have revealed a strong correlation between loss of bone density in HIV-infected individuals, particularly in conjunction with the antiretroviral drug tenofovir, a nucleotide analog that inhibits HIV reverse transcriptase. The most compelling correlations have been observed in clinical studies involving young children and adolescents. These observations strongly suggest that bone density is being affected during active bone growth and development, implicating a role for tenofovir in bone loss. Here we discuss the literature and potential mechanisms for how tenofovir-associated bone loss may arise, which likely involves perturbation of cellular DNA synthesis and gene expression. Elucidation of the mechanism(s) involved in tenofovir-mediated bone loss will help in developing adjuvant therapies to reduce tenofovir-associated bone density loss.

Indexed as

dysfunctionosteoblastosteoclastPMPArenaltenofovir

Identifiers

PMID20169035
PMCPMC2817787
OpenAlexW2168499362

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.