Evidence map›Paper›PMID 21660558›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2012

Long-term treatment with raloxifene, but not bisphosphonates, reduces circulating sclerostin levels in postmenopausal women.

Y E Chung, S H Lee, S-Y Lee, S-Y Kim, H-H Kim, F S Mirza, S-K Lee, J A Lorenzo, G S Kim, J-M Koh

Abstract read
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Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

29 citing papers in PubMed, 65 citations in OpenAlex.

  1. Gender-Affirming Hormone Treatment Decreases Bone Turnover in Transwomen and Older Transmen.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2019
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  6. Article
  7. Skeletal Effects of Inducible ERα Deletion in Osteocytes in Adult Mice.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2022
    Article
  8. Article
  9. The Role of Sclerostin in Bone Diseases.Journal of clinical medicine · 2022
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. The Regulation of Bone Metabolism and Disorders by Wnt Signaling.International journal of molecular sciences · 2019
    Review
  15. Article
  16. Observational
  17. Article
  18. Regulation of Bone Metabolism by Sex Steroids.Cold Spring Harbor perspectives in medicine · 2018
    Review
  19. Article
  20. 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

10 authors at 6 institutions in 2 countries.

Y E ChungDepartment of Internal Medicine, Seoul Veterans Hospital, Seoul, South Korea.
S H Lee
S-Y Lee
S-Y Kim
H-H Kim
F S Mirza
S-K Lee
J A Lorenzo
G S Kim
J-M Koh
Ulsan College · KRAsan Medical Center · KRUConn Health · USKyungpook National University · KRSeoul National University · KRSeoul Veterans Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledWe determined whether suppression of sclerostin levels by estrogen treatment was mediated by anti-resorptive effect. Raloxifene, but not bisphosphonates, suppressed circulating sclerostin concentration, suggesting that sclerostin may mediate the action of estrogen on bone metabolism, independently of their anti-resorptive effects.

introductionCirculating sclerostin concentrations are higher in postmenopausal than in premenopausal women, and estrogen treatment suppresses sclerostin levels in both men and women. We determined whether anti-resorptives may suppress the circulating sclerostin levels.

methodsWe conducted a retrospective observational study. Eighty postmenopausal women were treated with raloxifene for 19.4 ± 7.7 months (n = 16), bisphosphonates for 19.2 ± 6.7 months (n = 32), or were untreated (n = 32) for 17.1 ± 4.6 months. Plasma sclerostin concentrations were measured before and after treatment.

resultsPlasma sclerostin levels after treatment were significantly lower in the raloxifene than in the control group (55.8 ± 23.4 pmol/l vs. 92.1 ± 50.4 pmol/l, p = 0.046), but were similar between the bisphosphonate and control groups. Relative to baseline, raloxifene treatment markedly reduced plasma sclerostin concentration (-40.7 ± 22.8%, p < 0.001), with respect to both control (-7.5 ± 29.1%) and bisphosphonate (-3.1 ± 35.2%) groups. Changes in bone-specific alkaline phosphatase and osteocalcin levels showed reverse associations with sclerostin concentration changes in the raloxifene (γ = -0.505, p = 0.017) and control (γ = -0.410, p = 0.020) groups.

conclusionsRaloxifene, but not bisphosphonates, significantly suppressed circulating sclerostin concentration, suggesting that sclerostin may mediate the action of estrogen on bone metabolism, independently of their anti-resorptive effects.

Indexed as

Adaptor Proteins, Signal TransducingAgedAlkaline PhosphataseBiomarkersBone DensityBone Density Conservation AgentsBone Morphogenetic ProteinsDiphosphonatesDrug Administration ScheduleFemaleGenetic MarkersHumansMiddle AgedOsteocalcinOsteoporosis, PostmenopausalRaloxifene HydrochlorideAdaptor Proteins, Signal TransducingAlkaline PhosphataseBiomarkersBone Density Conservation AgentsBone Morphogenetic ProteinsDiphosphonatesGenetic MarkersOsteocalcinRaloxifene HydrochlorideSelective Estrogen Receptor ModulatorsSOST protein, human

Identifiers

PMID21660558
OpenAlexW2044212277

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.