Evidence map›Paper›PMID 25404300›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2014

Disruption of Lrp4 function by genetic deletion or pharmacological blockade increases bone mass and serum sclerostin levels.

Ming-Kang Chang, Ina Kramer, Thomas Huber, Bernd Kinzel, Sabine Guth-Gundel, Olivier Leupin, Michaela Kneissel

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed
8.3field-weighted citation impact, top 2% 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

67 citing papers in PubMed, 121 citations in OpenAlex.

  1. Article
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  4. Bone and muscle crosstalk in ageing and disease.Nature reviews. Endocrinology · 2025
    Review
  5. Article
  6. Review
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  9. Review
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  11. Severe Osteoporosis With PathogenicJCEM case reports · 2024
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Endocrine Functions of Sclerostin.Current opinion in endocrine and metabolic research · 2023
    Article
  19. Article
  20. Article

7 more citing papers are in PubMed but not listed here.

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

7 authors at 2 institutions in 2 countries.

Ming-Kang ChangMusculoskeletal Disease Area.
Ina KramerMusculoskeletal Disease Area.
Thomas HuberBiologics, and.
Bernd KinzelDevelopmental and Molecular Pathways, Novartis Institutes for BioMedical Research, CH-4002 Basel, Switzerland.
Sabine Guth-GundelMusculoskeletal Disease Area.
Olivier LeupinMusculoskeletal Disease Area.
Michaela KneisselMusculoskeletal Disease Area, michaela.kneissel@novartis.com.
Institute for Musculoskeletal Health · AUNovartis Institutes for BioMedical Research

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We identified previously in vitro LRP4 (low-density lipoprotein receptor-related protein 4) as a facilitator of the WNT (Wingless-type) antagonist sclerostin and found mutations disrupting this function to be associated with high bone mass in humans similar to patients lacking sclerostin. To further delineate the role of LRP4 in bone in vivo, we generated mice lacking Lrp4 in osteoblasts/osteocytes or osteocytes only. Lrp4 deficiency promoted progressive cancellous and cortical bone gain in both mutants, although more pronouncedly in mice deficient in osteoblast/osteocyte Lrp4, consistent with our observation in human bone that LRP4 is most strongly expressed by osteoblasts and early osteocytes. Bone gain was related primarily to increased bone formation. Interestingly, Lrp4 deficiency in bone dramatically elevated serum sclerostin levels whereas bone expression of Sost encoding for sclerostin was unaltered, indicating that osteoblastic Lrp4 retains sclerostin within bone. Moreover, we generated anti-LRP4 antibodies selectively blocking sclerostin facilitator function while leaving unperturbed LRP4-agrin interaction, which is essential for neuromuscular junction function. These antibodies increased bone formation and thus cancellous and cortical bone mass in skeletally mature rodents. Together, we demonstrate a pivotal role of LRP4 in bone homeostasis by retaining and facilitating sclerostin action locally and provide a novel avenue to bone anabolic therapy by antagonizing LRP4 sclerostin facilitator function.

Indexed as

Bone DensityAdaptor Proteins, Signal TransducingAgedAgrinAnimalsAntibodies, BlockingBone and BonesCell LineFemaleFemur NeckGene ExpressionGlycoproteinsHumansIntercellular Signaling Peptides and ProteinsLDL-Receptor Related ProteinsMaleAdaptor Proteins, Signal TransducingAgrinAntibodies, BlockingGlycoproteinsIntercellular Signaling Peptides and ProteinsLDL-Receptor Related ProteinsLrp4 protein, mouseReceptors, LDLSost protein, mousebone anabolismLRP4sclerostinSOSTWNT

Identifiers

PMID25404300
PMCPMC4260537
OpenAlexW2017965242

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.