Evidence map›Paper›PMID 26562265›Full record

ArticleEndocrinology2016

Binding Selectivity of Abaloparatide for PTH-Type-1-Receptor Conformations and Effects on Downstream Signaling.

Gary Hattersley, Thomas Dean, Braden A Corbin, Hila Bahar, Thomas J Gardella

Registry-linked trialOpen access · bronzeAbstract readComparative Study
In one paragraph

Article in Endocrinology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03710889 (An Open-Label, Single-Arm, Multicenter Study to Evaluate the Early Effects of Abaloparatide on Tissue-Based Indices of Bone Formation and Resorption), which is not on this map. Cited by 152 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
152citing papers in PubMed, 3 pooled it
10.2field-weighted citation impact, top 1% 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.

NCT03710889 phase3completednot on this mapstarted 2018, after this paper: background citation

An Open-Label, Single-Arm, Multicenter Study to Evaluate the Early Effects of Abaloparatide on Tissue-Based Indices of Bone Formation and Resorption

TypeinterventionalSponsorRadius Health, Inc.Ran2018 to 2020Enrolled23ConditionsOsteoporosis, Postmenopausal, Osteoporosis, Osteoporosis Vertebral, Osteoporosis RiskArmsAbaloparatide
3 · Its place in the literature

Who cites it

152 citing papers in PubMed, 3 syntheses or guidelines pooled it, 294 citations in OpenAlex.

  1. PTH1 receptor agonists for fracture risk: a systematic review and network meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Pooled it
  2. Pooled it
  3. Osteoporosis in Patients with Chronic Kidney Diseases: A Systemic Review.International journal of molecular sciences · 2020
    Pooled it
  4. Probability of achieving bone mineral density treatment targets with abaloparatide and teriparatide.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
    Trial
  5. Trial
  6. Trial
  7. Trial
  8. Forearm bone mineral density and fracture incidence in postmenopausal women with osteoporosis: results from the ACTIVExtend phase 3 trial.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
    Trial
  9. Trial
  10. Abaloparatide effect on forearm bone mineral density and wrist fracture risk in postmenopausal women with osteoporosis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019
    Trial
  11. Bone turnover markers to explain changes in lumbar spine BMD with abaloparatide and teriparatide: results from ACTIVE.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019
    Trial
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Abaloparatide-SC improves trabecular microarchitecture as assessed by trabecular bone score (TBS): a 24-week randomized clinical trial.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2018
    Trial
  17. The Effect of Abaloparatide-SC on Fracture Risk Is Independent of Baseline FRAX Fracture Probability: A Post Hoc Analysis of the ACTIVE Study.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2017
    Trial
  18. Real-world comparison of abaloparatide and romosozumab: effects on bone mineral density and three-dimensional hip structure.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
  19. Review
  20. Article

92 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

5 authors at 3 institutions in 1 country.

Gary HattersleyRadius Health Inc (G.H., H.B.), Waltham, Massachusetts 02451; and Endocrine Unit (T.D., B.A.C., T.J.G.), Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114.
Thomas DeanRadius Health Inc (G.H., H.B.), Waltham, Massachusetts 02451; and Endocrine Unit (T.D., B.A.C., T.J.G.), Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114.
Braden A CorbinRadius Health Inc (G.H., H.B.), Waltham, Massachusetts 02451; and Endocrine Unit (T.D., B.A.C., T.J.G.), Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114.
Hila BaharRadius Health Inc (G.H., H.B.), Waltham, Massachusetts 02451; and Endocrine Unit (T.D., B.A.C., T.J.G.), Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114.
Thomas J GardellaRadius Health Inc (G.H., H.B.), Waltham, Massachusetts 02451; and Endocrine Unit (T.D., B.A.C., T.J.G.), Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114.
Harvard University · USRadius Health (United States) · USMassachusetts General Hospital · US

Funding

Tissue Phenotyping CoreP01DK011794 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI MANNSTADT, MICHAEL · 1986 to 2023
$44.4M
Skeletal Phenotyping CoreP30AR066261 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI KRONENBERG, HENRY M. · 2014 to 2018
$3.5M
NIAMS NIH HHS P30 AR066261NIDDK NIH HHS P01 DK011794NIDDK NIH HHS P01 DK-11794
6 · The paper itself

Abstract

The PTH receptor type 1 (PTHR1) mediates the actions of two endogenous polypeptide ligands, PTH and PTHrP, and thereby plays key roles in bone biology. Based on its capacity to stimulate bone formation, the peptide fragment PTH (1-34) is currently in use as therapy for osteoporosis. Abaloparatide (ABL) is a novel synthetic analog of human PTHrP (1-34) that holds promise as a new osteoporosis therapy, as studies in animals suggest that it can stimulate bone formation with less of the accompanying bone resorption and hypercalcemic effects that can occur with PTH (1-34). Recent studies in vitro suggest that certain PTH or PTHrP ligand analogs can distinguish between two high-affinity PTHR1 conformations, R(0) and RG, and that efficient binding to R(0) results in prolonged signaling responses in cells and prolonged calcemic responses in animals, whereas selective binding to RG results in more transient responses. As intermittent PTH ligand action is known to favor the bone-formation response, whereas continuous ligand action favors the net bone-resorption/calcemic response, we hypothesized that ABL binds more selectively to the RG vs the R(0) PTHR1 conformation than does PTH (1-34), and thus induces more transient signaling responses in cells. We show that ABL indeed binds with greater selectivity to the RG conformation than does PTH (1-34), and as a result of this RG bias, ABL mediates more transient cAMP responses in PTHR1-expressing cells. The findings provide a plausible mechanism (ie, transient signaling via RG-selective binding) that can help account for the favorable anabolic effects that ABL has on bone.

Indexed as

Models, MolecularBinding SitesBone Density Conservation AgentsCell MembraneCyclic AMPGenes, ReporterGTP-Binding ProteinsGuanosine 5'-O-(3-Thiotriphosphate)HEK293 CellsHumansKineticsLigandsMAP Kinase Signaling SystemParathyroid Hormone-Related ProteinPeptide FragmentsProtein ConformationabaloparatideBone Density Conservation AgentsCyclic AMPGTP-Binding ProteinsGuanosine 5'-O-(3-Thiotriphosphate)LigandsParathyroid Hormone-Related ProteinPeptide FragmentsPTH1R protein, humanReceptor, Parathyroid Hormone, Type 1Recombinant Proteins

Identifiers

PMID26562265
PMCPMC4701881
OpenAlexW2176994106

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.