Evidence map›Paper›PMID 28153008›Full record

ArticleBMC musculoskeletal disorders2017

Correlation of blood bone turnover biomarkers and Wnt signaling antagonists with AS, DISH, OPLL, and OYL.

Chi-Chien Niu, Song-Shu Lin, Li-Jen Yuan, Lih-Huei Chen, Chuen-Yung Yang, An-Ni Chung, Meng-Ling Lu, Tsung-Ting Tsai, Po-Liang Lai, Wen-Jer Chen

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
2.5field-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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. SATB2 promotes osteogenic differentiation of OPLL-derived posterior longitudinal ligament cells via Wnt/β-catenin signaling in association with RUNX2.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
    Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Levels of osteocalcin andReumatologia · 2025
    Article
  8. Review
  9. Identification of Risk Factors for Primary Osteoporosis: The Role of Cervical Ligament Ossification.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Observational
  16. Bone Involvement in Patients with Spondyloarthropathies.Calcified tissue international · 2022
    Review
  17. Article
  18. Article
  19. Review
  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

10 authors at 2 institutions in 1 country.

Chi-Chien NiuDepartment of Orthopaedic, Chang Gung Memorial Hospital, Linkou, Taiwan. niuchien@adm.cgmh.org.tw.
Song-Shu LinDepartment of Orthopaedic, Chang Gung Memorial Hospital, Linkou, Taiwan.
Li-Jen YuanDepartment of Orthopaedic, Chang Gung Memorial Hospital, Linkou, Taiwan.
Lih-Huei ChenDepartment of Orthopaedic, Chang Gung Memorial Hospital, Linkou, Taiwan.
Chuen-Yung YangDepartment of Orthopaedic, Chang Gung Memorial Hospital, Linkou, Taiwan.
An-Ni ChungDepartment of Orthopaedic, Chang Gung Memorial Hospital, Linkou, Taiwan.
Meng-Ling LuDepartment of Orthopaedic, Chang Gung Memorial Hospital, Linkou, Taiwan.
Tsung-Ting TsaiDepartment of Orthopaedic, Chang Gung Memorial Hospital, Linkou, Taiwan.
Po-Liang LaiDepartment of Orthopaedic, Chang Gung Memorial Hospital, Linkou, Taiwan.
Wen-Jer ChenDepartment of Orthopaedic, Chang Gung Memorial Hospital, Linkou, Taiwan.
Chang Gung University · TWChang Gung Memorial Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWnt signaling plays an important role in development and maintenance of many organs and tissues. The most-studied secreted Wnt inhibitors are sclerostin (SOST), Dickkopf-related protein 1 (DKK-1), and secreted frizzled related protein 1 (SFRP-1) which play important roles in bone turnover. The present study investigated the relationship between serum Wnt inhibitors and diseases with excessive ossification structures, such as ossification of posterior longitudinal ligament (OPLL), ankylosing spondylitis (AS), diffuse idiopathic skeletal hyperostosis (DISH), and ossification of yellow ligament (OYL).

methodsTwenty-five patients with AS, DISH, OPLL, or OYL were recruited in this study. Fasting peripheral blood samples were collected from all patients and nine controls. Various biomarkers of bone turnover including osteocalcin (OSC), osteoprotegerin (OPG), SFRP-1, DKK-1, and SOST were investigated.

resultsOur data showed that serum levels of OSC were higher, but Dkk-1 levels were lower in AS, DISH, OPLL, and OYL patients than those in the controls. Serum levels of SFRP-1 were significantly higher in DISH patients than those in the controls. Serum levels of SOST were significantly higher in DISH and OPLL patients than both levels in the controls. Serum levels of OPG were lower in AS patients than those in the controls. Serum levels of OSC were higher in the OPLL patients than those in the AS patients. Serum levels of DKK-1, SFRP-1, SOST, and OPG were not significantly different between the different disease groups.

conclusionsIn this exploratory study, both OSC and DKK-1 levels are correlated with the clinical conditions associated with excessive ossification, indicating that blood OSC and DKK-1 levels may serve as diagnostic biomarkers for AS, DISH, OPLL, and OYL. These findings may also help discover potential drug therapies for management of these diseases in the future.

Indexed as

Bone RemodelingAdaptor Proteins, Signal TransducingAdultAgedAged, 80 and overBiomarkersBone DensityBone Morphogenetic ProteinsFemaleFrizzled-Related ProteinsGenetic MarkersHumansHyperostosis, Diffuse Idiopathic SkeletalIntercellular Signaling Peptides and ProteinsIntracellular Signaling Peptides and ProteinsMaleAdaptor Proteins, Signal TransducingBiomarkersBone Morphogenetic ProteinsDKK1 protein, humanFrizzled-Related ProteinsGenetic MarkersIntercellular Signaling Peptides and ProteinsIntracellular Signaling Peptides and ProteinsMembrane ProteinsOsteocalcinOsteoprotegerinProteinsSecreted Frizzled-Related ProteinsSFRP1 protein, humanSOST protein, humanTNFRSF11B protein, humanWnt ProteinsASDISHOPLLOYLWnt inhibitor

Identifiers

PMID28153008
PMCPMC5290649
OpenAlexW2585641806

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.