Evidence map›Paper›PMID 25952969›Full record

ArticleBone2016

Sclerostin antibody treatment improves fracture outcomes in a Type I diabetic mouse model.

Cristal S Yee, LiQin Xie, Sarah Hatsell, Nicholas Hum, Deepa Murugesh, Aris N Economides, Gabriela G Loots, Nicole M Collette

Open access · hybridAbstract read
In one paragraph

Article in Bone, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
8.1field-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

49 citing papers in PubMed, 76 citations in OpenAlex.

  1. Article
  2. Prognostic value of serum estradiol and sclerostin for predicting fracture healing in postmenopausal women with osteoporotic vertebral compression fractures.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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  10. Impact of osteoporosis and osteoporosis medications on fracture healing: a narrative review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Review
  11. Article
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  15. Article
  16. Article
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  18. Article
  19. Drug discovery of sclerostin inhibitors.Acta pharmaceutica Sinica. B · 2022
    Review
  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

8 authors at 3 institutions in 1 country.

Cristal S YeeBiology and Biotechnology Division, Lawrence Livermore National Laboratory, 7000 East Avenue, L-452, Livermore, CA 94550, USA; School of Natural Sciences, University of California, Merced, Merced, CA, USA.
LiQin XieRegeneron Pharmaceuticals, Tarrytown, NY, USA.
Sarah HatsellRegeneron Pharmaceuticals, Tarrytown, NY, USA.
Nicholas HumBiology and Biotechnology Division, Lawrence Livermore National Laboratory, 7000 East Avenue, L-452, Livermore, CA 94550, USA.
Deepa MurugeshSchool of Natural Sciences, University of California, Merced, Merced, CA, USA.
Aris N EconomidesRegeneron Pharmaceuticals, Tarrytown, NY, USA.
Gabriela G LootsBiology and Biotechnology Division, Lawrence Livermore National Laboratory, 7000 East Avenue, L-452, Livermore, CA 94550, USA; School of Natural Sciences, University of California, Merced, Merced, CA, USA.
Nicole M ColletteSchool of Natural Sciences, University of California, Merced, Merced, CA, USA. Electronic address: collette2@llnl.gov.
Regeneron (United States) · USUniversity of California, Merced · USLawrence Livermore National Laboratory · US

Funding

MECHANISMS OF INHIBITING BONE FORMATION THROUGH ANTAGONISMR01DK075730 · NIDDK · UNIVERSITY OF CALIF-LAWRNC LVRMR NAT LAB · PI LOOTS, GABRIELA G · 2009 to 2013
$1.8M
NIDDK NIH HHS DK075730NIDDK NIH HHS R01 DK075730
6 · The paper itself

Abstract

Type 1 diabetes mellitus (T1DM) patients have osteopenia and impaired fracture healing due to decreased osteoblast activity. Further, no adequate treatments are currently available that can restore impaired healing in T1DM; hence a significant need exists to investigate new therapeutics for treatment of orthopedic complications. Sclerostin (SOST), a WNT antagonist, negatively regulates bone formation, and SostAb is a potent bone anabolic agent. To determine whether SOST antibody (SostAb) treatment improves fracture healing in streptozotocin (STZ) induced T1DM mice, we administered SostAb twice weekly for up to 21days post-fracture, and examined bone quality and callus outcomes at 21days and 42days post-fracture (11 and 14weeks of age, respectively). Here we show that SostAb treatment improves bone parameters; these improvements persist after cessation of antibody treatment. Markers of osteoblast differentiation such as Runx2, collagen I, osteocalcin, and DMP1 were reduced, while an abundant number of SP7/osterix-positive early osteoblasts were observed on the bone surface of STZ calluses. These results suggest that STZ calluses have poor osteogenesis resulting from failure of osteoblasts to fully differentiate and produce mineralized matrix, which produces a less mineralized callus. SostAb treatment enhanced fracture healing in both normal and STZ groups, and in STZ+SostAb mice, also reversed the lower mineralization seen in STZ calluses. Micro-CT analysis of calluses revealed improved bone parameters with SostAb treatment, and the mineralized bone was comparable to Controls. Additionally, we found sclerostin levels to be elevated in STZ mice and β-catenin activity to be reduced. Consistent with its function as a WNT antagonist, SostAb treatment enhanced β-catenin activity, but also increased the levels of SOST in the callus and in circulation. Our results indicate that SostAb treatment rescues the impaired osteogenesis seen in the STZ induced T1DM fracture model by facilitating osteoblast differentiation and mineralization of bone.

Indexed as

Adaptor Proteins, Signal TransducingAnimalsAntibodiesDiabetes Mellitus, Type 1Fracture HealingFractures, BoneGlycoproteinsIntercellular Signaling Peptides and ProteinsMaleMiceMice, Inbred C57BLTreatment OutcomeAdaptor Proteins, Signal TransducingAntibodiesGlycoproteinsIntercellular Signaling Peptides and ProteinsSost protein, mouseFracture repairOsteoblast differentiationSclerostinSclerostin antibodyStreptozotocinSTZType I diabetes

Identifiers

PMID25952969
PMCPMC4635060
OpenAlexW253421137

What OpenQuestion holds

Textmetadata
LicenceTDM
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.