Evidence map›Paper›PMID 29089584›Full record

ArticleScientific reports2017

ACVR2B/Fc counteracts chemotherapy-induced loss of muscle and bone mass.

Rafael Barreto, Yukiko Kitase, Tsutomu Matsumoto, Fabrizio Pin, Kyra C Colston, Katherine E Couch, Thomas M O'Connell, Marion E Couch, Lynda F Bonewald, Andrea Bonetto

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
4.2field-weighted citation impact, top 5% 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

50 citing papers in PubMed, 67 citations in OpenAlex.

  1. Article
  2. Chemotherapy induces tissue NADbioRxiv : the preprint server for biology · 2026
    Article
  3. Anabolic medications for rehabilitation after hip fracture in older people.The Cochrane database of systematic reviews · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Comparative analysis of osteoporotic versus pathologic fracture in metastatic colorectal cancer patients.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
  8. Review
  9. Article
  10. Diversity in chemotherapy-induced cachexia.American journal of physiology. Cell physiology · 2025
    Review
  11. Review
  12. Review
  13. Involvement of the gut microbiota in cancer cachexia.American journal of physiology. Cell physiology · 2024
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  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 4 institutions in 1 country.

Rafael BarretoDepartment of Surgery, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.
Yukiko KitaseDepartment of Anatomy and Cell Biology, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.
Tsutomu MatsumotoDepartment of Anatomy and Cell Biology, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.
Fabrizio PinDepartment of Anatomy and Cell Biology, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.
Kyra C ColstonIndianapolis Project STEM, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.
Katherine E CouchIndianapolis Project STEM, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.
Thomas M O'ConnellIndiana Center for Musculoskeletal Health, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.
Marion E CouchIndiana Center for Musculoskeletal Health, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.
Lynda F BonewaldDepartment of Anatomy and Cell Biology, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.
Andrea BonettoDepartment of Surgery, Indiana University School of Medicine, Indianapolis, IN, 46202, USA. abonetto@iu.edu.
Indiana University School of MedicineIndiana Cancer Consortium · USIndiana University Health · USIndiana University – Purdue University Indianapolis · US

Funding

(PQB-3) Roles of skeletal muscle mass in chemotherapy-associated cachexiaR21CA190028 · NCI · INDIANA UNIVERSITY INDIANAPOLIS · PI BONETTO, ANDREA · 2014 to 2015
$373k
NCI NIH HHS R21 CA190028
6 · The paper itself

Abstract

Chemotherapy promotes the development of cachexia, a debilitating condition characterized by muscle and fat loss. ACVR2B/Fc, an inhibitor of the Activin Receptor 2B signaling, has been shown to preserve muscle mass and prolong survival in tumor hosts, and to increase bone mass in models of osteogenesis imperfecta and muscular dystrophy. We compared the effects of ACVR2B/Fc on muscle and bone mass in mice exposed to Folfiri. In addition to impairing muscle mass and function, Folfiri had severe negative effects on bone, as shown by reduced trabecular bone volume fraction (BV/TV), thickness (Tb.Th), number (Tb.N), connectivity density (Conn.Dn), and by increased separation (Tb.Sp) in trabecular bone of the femur and vertebra. ACVR2B/Fc prevented the loss of muscle mass and strength, and the loss of trabecular bone in femurs and vertebrae following Folfiri administration. Neither Folfiri nor ACVR2B/Fc had effects on femoral cortical bone, as shown by unchanged cortical bone volume fraction (Ct.BV/TV), thickness (Ct.Th) and porosity. Our results suggest that Folfiri is responsible for concomitant muscle and bone degeneration, and that ACVR2B/Fc prevents these derangements. Future studies are required to determine if the same protective effects are observed in combination with other anticancer regimens or in the presence of cancer.

Indexed as

Activin Receptors, Type IIAnimalsAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsBone and BonesBone DensityCachexiaCamptothecinDrug-Related Side Effects and Adverse ReactionsDrug TherapyFemaleFemurFluorouracilInduction ChemotherapyLeucovorinMaleActivin Receptors, Type IIACVR2B protein, humanAntineoplastic AgentsCamptothecinFluorouracilLeucovorin

Identifiers

PMID29089584
PMCPMC5665981
OpenAlexW2765858004

What OpenQuestion holds

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LicenceCC BY
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.