Evidence map›Paper›PMID 28515094›Full record

ArticleBlood2017

Inhibiting the osteocyte-specific protein sclerostin increases bone mass and fracture resistance in multiple myeloma.

Michelle M McDonald, Michaela R Reagan, Scott E Youlten, Sindhu T Mohanty, Anja Seckinger, Rachael L Terry, Jessica A Pettitt, Marija K Simic, Tegan L Cheng, Alyson Morse and 16 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 109 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
109citing papers in PubMed, 1 pooled it
14.5field-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.

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

109 citing papers in PubMed, 1 synthesis or guideline pooled it, 182 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Anabolics in Cancer Patients: To Use or Not to Use?Endocrinology and metabolism (Seoul, Korea) · 2026
    Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Early and multiple doses of zoledronate mitigates rebound bone loss following withdrawal of receptor activator of nuclear factor kappa-B ligand inhibition.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
    Article
  9. Review
  10. Review
  11. Bone health in cancer: perspective on the use of osteoanabolic agents.Therapeutic advances in endocrinology and metabolism · 2025
    Review
  12. Article
  13. Article
  14. Affinity targeting of therapeutic proteins to the bone surface-local delivery of sclerostin-neutralizing antibody enhances efficacy.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review

49 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

26 authors at 8 institutions in 5 countries.

Michelle M McDonaldThe Garvan Institute of Medical Research, Sydney, NSW, Australia.ORCID 0000-0002-3928-2506
Michaela R ReaganDana-Farber Cancer Institute, Boston, MA.ORCID 0000-0003-2884-6481
Scott E YoultenThe Garvan Institute of Medical Research, Sydney, NSW, Australia.ORCID 0000-0001-9314-2945
Sindhu T MohantyThe Garvan Institute of Medical Research, Sydney, NSW, Australia.
Anja SeckingerUniversitätsKlinikum Heidelberg, Medizinische Klinik V, Labors für Myelomforschung, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany.
Rachael L TerryThe Garvan Institute of Medical Research, Sydney, NSW, Australia.
Jessica A PettittThe Garvan Institute of Medical Research, Sydney, NSW, Australia.
Marija K SimicThe Garvan Institute of Medical Research, Sydney, NSW, Australia.
Tegan L ChengCentre for Children's Bone and Musculoskeletal Health, The Children's Hospital at Westmead, Sydney, NSW, Australia.ORCID 0000-0002-4208-7242
Alyson MorseCentre for Children's Bone and Musculoskeletal Health, The Children's Hospital at Westmead, Sydney, NSW, Australia.ORCID 0000-0001-7075-7699
Lawrence M T LeThe Garvan Institute of Medical Research, Sydney, NSW, Australia.
David Abi-HannaThe Garvan Institute of Medical Research, Sydney, NSW, Australia.ORCID 0000-0002-1354-8820
Ina KramerNovartis Institutes for Biomedical Research, Basel, Switzerland.
Carolyne FalankMaine Medical Center Research Institute, Scarborough, ME.
Heather FairfieldMaine Medical Center Research Institute, Scarborough, ME.
Irene M GhobrialDana-Farber Cancer Institute, Boston, MA.
Paul A BaldockThe Garvan Institute of Medical Research, Sydney, NSW, Australia.
David G LittleCentre for Children's Bone and Musculoskeletal Health, The Children's Hospital at Westmead, Sydney, NSW, Australia.
Michaela KneisselNovartis Institutes for Biomedical Research, Basel, Switzerland.
Karin VanderkerkenFaculty of Medicine, Department of Hematology and Immunology, Frei University, Brussels, Belgium.
J H Duncan BassettDepartment of Medicine, Molecular Endocrinology Laboratory, Imperial College, London, United Kingdom; and.
Graham R WilliamsDepartment of Medicine, Molecular Endocrinology Laboratory, Imperial College, London, United Kingdom; and.
Babatunde O OyajobiUniversity of Texas Health Science Center, San Antonio, TX.
Dirk HoseUniversitätsKlinikum Heidelberg, Medizinische Klinik V, Labors für Myelomforschung, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany.
Tri G PhanThe Garvan Institute of Medical Research, Sydney, NSW, Australia.ORCID 0000-0002-4909-2984
Peter I CroucherThe Garvan Institute of Medical Research, Sydney, NSW, Australia.
Garvan Institute of Medical Research · AUChildren's Hospital at Westmead · AUMaine Medical Center · USHeidelberg University · DEImperial College London · GBNovartis (Switzerland) · CHDana-Farber Cancer Institute · USThe University of Texas Health Science Center at San Antonio · US

Funding

Interdisciplinary Study of Marrow Adiposity, Mineral Metabolism & Energy BalanceR24DK092759 · NIDDK · MAINEHEALTH · PI HOROWITZ, MARK C, MACDOUGALD, ORMOND A · 2011 to 2019
$13.0M
Progenitor Cell Analysis CoreP30GM106391 · NIGMS · MAINEHEALTH · PI WOJCHOWSKI, DON MICHAEL · 2013 to 2017
$5.7M
NIDDK NIH HHS R24 DK092759NIGMS NIH HHS P30 GM106391
6 · The paper itself

Abstract

Multiple myeloma (MM) is a plasma cell cancer that develops in the skeleton causing profound bone destruction and fractures. The bone disease is mediated by increased osteoclastic bone resorption and suppressed bone formation. Bisphosphonates used for treatment inhibit bone resorption and prevent bone loss but fail to influence bone formation and do not replace lost bone, so patients continue to fracture. Stimulating bone formation to increase bone mass and fracture resistance is a priority; however, targeting tumor-derived modulators of bone formation has had limited success. Sclerostin is an osteocyte-specific Wnt antagonist that inhibits bone formation. We hypothesized that inhibiting sclerostin would prevent development of bone disease and increase resistance to fracture in MM. Sclerostin was expressed in osteocytes from bones from naive and myeloma-bearing mice. In contrast, sclerostin was not expressed by plasma cells from 630 patients with myeloma or 54 myeloma cell lines. Mice injected with 5TGM1-eGFP, 5T2MM, or MM1.S myeloma cells demonstrated significant bone loss, which was associated with a decrease in fracture resistance in the vertebrae. Treatment with anti-sclerostin antibody increased osteoblast numbers and bone formation rate but did not inhibit bone resorption or reduce tumor burden. Treatment with anti-sclerostin antibody prevented myeloma-induced bone loss, reduced osteolytic bone lesions, and increased fracture resistance. Treatment with anti-sclerostin antibody and zoledronic acid combined increased bone mass and fracture resistance when compared with treatment with zoledronic acid alone. This study defines a therapeutic strategy superior to the current standard of care that will reduce fractures for patients with MM.

Indexed as

Adaptor Proteins, Signal TransducingAnimalsAntibodiesBone DensityBone Morphogenetic ProteinsCell Line, TumorDiphosphonatesFractures, BoneGenetic MarkersHumansImidazolesMiceMultiple MyelomaOsteocytesOsteogenesisTumor Cells, CulturedAdaptor Proteins, Signal TransducingAntibodiesBone Morphogenetic ProteinsDiphosphonatesGenetic MarkersImidazolesSOST protein, humanZoledronic Acid

Identifiers

PMID28515094
PMCPMC5492093
OpenAlexW2616421543

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.