Evidence map›Paper›PMID 29431735›Full record

ArticleThe Journal of clinical investigation2018

Vhl deletion in osteoblasts boosts cellular glycolysis and improves global glucose metabolism.

Naomi Dirckx, Robert J Tower, Evi M Mercken, Roman Vangoitsenhoven, Caroline Moreau-Triby, Tom Breugelmans, Elena Nefyodova, Ruben Cardoen, Chantal Mathieu, Bart Van der Schueren and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

67 citing papers in PubMed, 1 synthesis or guideline pooled it, 97 citations in OpenAlex.

  1. Can Hypoxic Conditioning Improve Bone Metabolism? A Systematic Review.International journal of environmental research and public health · 2019
    Pooled it
  2. Trial
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  6. Regional and Sexual Dimorphism in Murine Skeletal Responses to Osteocytic HIF Pathway Modulation.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026
    Article
  7. Maternal group BAnnals of medicine · 2025
    Article
  8. The role of bone in whole-body energy metabolism.Nature reviews. Endocrinology · 2025
    Review
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7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 3 countries.

Naomi DirckxLaboratory of Skeletal Cell Biology and Physiology (SCEBP), Skeletal Biology and Engineering Research Center (SBE), KU Leuven, Leuven, Belgium.
Robert J TowerLaboratory of Skeletal Cell Biology and Physiology (SCEBP), Skeletal Biology and Engineering Research Center (SBE), KU Leuven, Leuven, Belgium.
Evi M MerckenLaboratory of Skeletal Cell Biology and Physiology (SCEBP), Skeletal Biology and Engineering Research Center (SBE), KU Leuven, Leuven, Belgium.
Roman VangoitsenhovenClinical and Experimental Endocrinology, KU Leuven, Leuven, Belgium.
Caroline Moreau-TribyDepartment of Nuclear Medicine, Hospices Civils de Lyon, Lyon, France.
Tom BreugelmansLaboratory of Skeletal Cell Biology and Physiology (SCEBP), Skeletal Biology and Engineering Research Center (SBE), KU Leuven, Leuven, Belgium.
Elena NefyodovaLaboratory of Skeletal Cell Biology and Physiology (SCEBP), Skeletal Biology and Engineering Research Center (SBE), KU Leuven, Leuven, Belgium.
Ruben CardoenLaboratory of Skeletal Cell Biology and Physiology (SCEBP), Skeletal Biology and Engineering Research Center (SBE), KU Leuven, Leuven, Belgium.
Chantal MathieuClinical and Experimental Endocrinology, KU Leuven, Leuven, Belgium.
Bart Van der SchuerenClinical and Experimental Endocrinology, KU Leuven, Leuven, Belgium.
Cyrille B ConfavreuxINSERM UMR1033 - LYOS, Université de Lyon, Lyon, France.
Thomas L ClemensDepartment of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Christa MaesLaboratory of Skeletal Cell Biology and Physiology (SCEBP), Skeletal Biology and Engineering Research Center (SBE), KU Leuven, Leuven, Belgium.
KU Leuven · BEHospices Civils de Lyon · FRUnited States Department of Veterans Affairs · USUniversité Claude Bernard Lyon 1 · FR

Funding

OXYGEN SENSING AND OSTEOGENESISR01AR049410 · NIAMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CLEMENS, THOMAS L · 2004 to 2013
$3.2M
NIAMS NIH HHS R01 AR049410
6 · The paper itself

Abstract

The skeleton has emerged as an important regulator of systemic glucose homeostasis, with osteocalcin and insulin representing prime mediators of the interplay between bone and energy metabolism. However, genetic evidence indicates that osteoblasts can influence global energy metabolism through additional, as yet unknown, mechanisms. Here, we report that constitutive or postnatally induced deletion of the hypoxia signaling pathway component von Hippel-Lindau (VHL) in skeletal osteolineage cells of mice led to high bone mass as well as hypoglycemia and increased glucose tolerance, not accounted for by osteocalcin or insulin. In vitro and in vivo data indicated that Vhl-deficient osteoblasts displayed massively increased glucose uptake and glycolysis associated with upregulated HIF-target gene expression, resembling the Warburg effect that typifies cancer cells. Overall, the glucose consumption by the skeleton was increased in the mutant mice, as revealed by 18F-FDG radioactive tracer experiments. Moreover, the glycemia levels correlated inversely with the level of skeletal glucose uptake, and pharmacological treatment with the glycolysis inhibitor dichloroacetate (DCA), which restored glucose metabolism in Vhl-deficient osteogenic cells in vitro, prevented the development of the systemic metabolic phenotype in the mutant mice. Altogether, these findings reveal a novel link between cellular glucose metabolism in osteoblasts and whole-body glucose homeostasis, controlled by local hypoxia signaling in the skeleton.

Indexed as

AdenocarcinomaAnimalsBone MarrowBone NeoplasmsCell LineageFemaleGlucoseGlycolysisHumansHypoxiaLung NeoplasmsMaleMiceMice, KnockoutMutationNeoplasm MetastasisGlucoseOsteocalcinVHL protein, humanVHL protein, mouseVon Hippel-Lindau Tumor Suppressor ProteinBone BiologyGlucose metabolismhypoxiaOsteoclast/osteoblast biology

Identifiers

PMID29431735
PMCPMC5824856
OpenAlexW2786617041

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.