Evidence map›Paper›PMID 21047946›Full record

ArticleEndocrinology2010

Increased PTHrP and decreased estrogens alter bone turnover but do not reproduce the full effects of lactation on the skeleton.

Laleh Ardeshirpour, Susan Brian, Pamela Dann, Joshua VanHouten, John Wysolmerski

Open access · bronzeAbstract read
In one paragraph

Article in Endocrinology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

34 citing papers in PubMed, 59 citations in OpenAlex.

  1. Increased Bone Resorption during Lactation in Pycnodysostosis.International journal of molecular sciences · 2021
    Trial
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Pamidronate Administration During Pregnancy and Lactation Induces Temporal Preservation of Maternal Bone Mass in a Mouse Model of Osteogenesis Imperfecta.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2019
    Article
  12. Review
  13. Article
  14. Physiological and pathological osteocytic osteolysis.Journal of musculoskeletal & neuronal interactions · 2018
    Review
  15. Article
  16. Review
  17. Alterations to maternal cortical and trabecular bone in multiparous middle-aged mice.Journal of musculoskeletal & neuronal interactions · 2017
    Article
  18. Article
  19. Article
  20. Osteocytes Acidify Their Microenvironment in Response to PTHrP In Vitro and in Lactating Mice In Vivo.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2017
    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

5 authors at 1 institution in 1 country.

Laleh ArdeshirpourSection of Endocrinology and Metabolism, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut 06520-8020, USA.
Susan Brian
Pamela Dann
Joshua VanHouten
John Wysolmerski
Yale University · US

Funding

YALE CORE CENTER FOR MUSCULOSKELETAL DISORDERSP30AR046032 · NIAMS · YALE UNIVERSITY · PI CARPENTER, THOMAS O · 1999 to 2013
$9.0M
Function of the Calcium Sensing Receptor in the BreastR01CA153702 · NCI · YALE UNIVERSITY · PI WYSOLMERSKI, JOHN J · 2010 to 2014
$1.9M
THE EFFECT OF PTHrP DURING LACTATIONR01DK077565 · NIDDK · YALE UNIVERSITY · PI WYSOLMERSKI, JOHN J · 2007 to 2010
$1.3M
Anabolic Response of Skeleton after LactationK08DK081731 · NIDDK · YALE UNIVERSITY · PI ARDESHIRPOUR, LALEH · 2008 to 2011
$624k
NCI NIH HHS R01 CA153702NIAMS NIH HHS AR46032NIAMS NIH HHS P30 AR046032NIDDK NIH HHS DK077565NIDDK NIH HHS DK081731NIDDK NIH HHS K08 DK081731NIDDK NIH HHS R01 DK077565
6 · The paper itself

Abstract

During lactation, calcium is mobilized from the maternal skeleton to supply the breast for milk production. This results in rapid but fully reversible bone loss. Prior studies have suggested that PTHrP, secreted from the breast, and estrogen deficiency, due to suckling-induced central hypogonadism, combine to trigger bone resorption. To determine whether this combination was sufficient to explain bone loss during lactation, we raised PTHrP levels and decreased levels of estrogens in nulliparous mice. PTHrP was infused via osmotic minipumps and estrogens were decreased either by using leuprolide, a long-acting GnRH agonist, or by surgical ovariectomy (OVX). Bone mineral density declined by 23.2 ± 1.3% in the spine and 16.8 ± 1.9% in the femur over 10 d of lactation. This was accompanied by changes in trabecular architecture and an increase in both osteoblast and osteoclast numbers. OVX and PTHrP infusion both induced a modest decline in bone mineral density over 10 d, but leuprolide treatment did not. The combination of OVX and PTHrP was more effective than either treatment alone, but there was no interaction between PTHrP and leuprolide. None of the treatments reproduced the same degree of bone loss caused by lactation. However, both forms of estrogen deficiency led to an increase in osteoclasts, whereas infusion of PTHrP increased both osteoblasts and osteoclasts. Therefore, although the combination of PTHrP and estrogen deficiency contributes to bone loss, it is insufficient to reproduce the full response of the skeleton to lactation, suggesting that other factors also regulate bone metabolism during this period.

Indexed as

AnimalsBone and BonesBone DensityEstrogensFemaleFertility Agents, FemaleLactationLeuprolideMiceOvariectomyParathyroid Hormone-Related ProteinEstrogensFertility Agents, FemaleLeuprolideParathyroid Hormone-Related Protein

Identifiers

PMID21047946
PMCPMC2999486
OpenAlexW2112901782

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.