Evidence map›Paper›PMID 24509412›Full record

ArticleBone2014

The loss of activating transcription factor 4 (ATF4) reduces bone toughness and fracture toughness.

Alexander J Makowski, Sasidhar Uppuganti, Sandra A Wadeer, Jack M Whitehead, Barbara J Rowland, Mathilde Granke, Anita Mahadevan-Jansen, Xiangli Yang, Jeffry S Nyman

Abstract read
In one paragraph

Article in Bone, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.4field-weighted citation impact, top 9% 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

26 citing papers in PubMed, 55 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Obese-diabetic femaleJBMR plus · 2025
    Article
  6. The Critical Role of The Piezo1/β-catenin/ATF4 Axis on The Stemness of Gli1Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2023
    Article
  7. Article
  8. Poor bone matrix quality: What can be done about it?Current osteoporosis reports · 2021
    Review
  9. Regulation and Role of Transcription Factors in Osteogenesis.International journal of molecular sciences · 2021
    Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Vibrational spectroscopic techniques to assess bone quality.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017
    Review
  19. Article
  20. 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

9 authors at 3 institutions in 1 country.

Alexander J MakowskiDepartment of Veterans Affairs, Tennessee Valley Healthcare System, Nashville, TN 27212, USA; Department of Biomedical Engineering, Vanderbilt University, Nashville, TN 37232, USA.
Sasidhar UppugantiDepartment of Orthopaedic Surgery & Rehabilitation, Vanderbilt University Medical Center, Nashville, TN 37232, USA; Department of Pharmacology, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Sandra A WadeerDepartment of Veterans Affairs, Tennessee Valley Healthcare System, Nashville, TN 27212, USA.
Jack M WhiteheadDepartment of Orthopaedic Surgery & Rehabilitation, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Barbara J RowlandDepartment of Veterans Affairs, Tennessee Valley Healthcare System, Nashville, TN 27212, USA; Center for Bone Biology, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Mathilde GrankeDepartment of Orthopaedic Surgery & Rehabilitation, Vanderbilt University Medical Center, Nashville, TN 37232, USA; Center for Bone Biology, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Anita Mahadevan-JansenDepartment of Biomedical Engineering, Vanderbilt University, Nashville, TN 37232, USA.
Xiangli YangCenter for Bone Biology, Vanderbilt University Medical Center, Nashville, TN 37232, USA; Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232, USA; Department of Pharmacology, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Jeffry S NymanDepartment of Veterans Affairs, Tennessee Valley Healthcare System, Nashville, TN 27212, USA; Department of Biomedical Engineering, Vanderbilt University, Nashville, TN 37232, USA; Department of Orthopaedic Surgery & Rehabilitation, Vanderbilt University Medical Center, Nashville, TN 37232, USA; Center for Bone Biology, Vanderbilt University Medical Center, Nashville, TN 37232, USA. Electronic address: jeffry.s.nyman@vanderbilt.edu.
Vanderbilt University Medical Center · USVanderbilt University · USVA Tennessee Valley Healthcare System · US

Funding

The Roles of Collagen and Water in the Fracture Resistance of BoneR01AR063157 · NIAMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI NYMAN, JEFFRY STEPHEN · 2012 to 2025
$3.9M
ATF4 in Chondrocytes Regulates Cartilage to Bone TransitionR01AR067303 · NIAMS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI YANG, XIANGLI · 2015 to 2020
$1.7M
Novel ultrahigh resolution microCT imaging systemS10RR027631 · NCRR · VANDERBILT UNIVERSITY · PI PERRIEN, DANIEL S · 2010 to 2010
$460k
ATF4 is Downstream Effector of Bone Anabolic Growth FactorsR03DE017111 · NIDCR · VANDERBILT UNIVERSITY · PI YANG, XIANGLI · 2006 to 2007
$147k
NCRR NIH HHS S10 RR027631NIAMS NIH HHS R01 AR063157NIDCR NIH HHS R03 DE017111
6 · The paper itself

Abstract

Even though age-related changes to bone tissue affecting fracture risk are well characterized, only a few matrix-related factors have been identified as important to maintaining fracture resistance. As a gene critical to osteoblast differentiation, activating transcription factor 4 (ATF4) is possibly one of these important factors. To test the hypothesis that the loss of ATF4 affects the fracture resistance of bone beyond bone mass and structure, we harvested bones from Atf4+/+ and Atf4-/- littermates at 8 and 20 weeks of age (n≥9 per group) for bone assessment across several length scales. From whole bone mechanical tests in bending, femurs from Atf4-/- mice were found to be brittle with reduced toughness and fracture toughness compared to femurs from Atf4+/+ mice. However, there were no differences in material strength and in tissue hardness, as determined by nanoindentation, between the genotypes, irrespective of age. Tissue mineral density of the cortex at the point of loading as determined by micro-computed tomography was also not significantly different. However, by analyzing local composition by Raman Spectroscopy (RS), bone tissue of Atf4-/- mice was found to have higher mineral to collagen ratio compared to wild-type tissue, primarily at 20 weeks of age. From RS analysis of intact femurs at 2 orthogonal orientations relative to the polarization axis of the laser, we also found that the organizational-sensitive peak ratio, ν1Phosphate per Amide I, changed to a greater extent upon bone rotation for Atf4-deficient tissue, implying bone matrix organization may contribute to the brittleness phenotype. Target genes of ATF4 activity are not only important to osteoblast differentiation but also in maintaining bone toughness and fracture toughness.

Indexed as

Activating Transcription Factor 4AnimalsBone and BonesBone MatrixCalcification, PhysiologicCompressive StrengthFemurFractures, BoneGene DeletionLinear ModelsLumbar VertebraeMiceOrgan SpecificityTime FactorsX-Ray MicrotomographyActivating Transcription Factor 4Bone qualityCollagenFracture toughnessMicro-computed tomographyRaman

Identifiers

PMID24509412
PMCPMC3992706
OpenAlexW2027619630

What OpenQuestion holds

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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.