Evidence map›Paper›PMID 29967185›Full record

ReviewEndocrine connections2018

Bone metabolism in Langerhans cell histiocytosis.

Athanasios D Anastasilakis, Marina Tsoli, Gregory Kaltsas, Polyzois Makras

Open access · goldAbstract readReview
In one paragraph

Review in Endocrine connections, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Adult Langerhans Cell Histiocytosis and the Skeleton.Journal of clinical medicine · 2022
    Review
  8. Article
  9. [Clinical characteristics of localized Langerhans cell histiocytosis in children].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2021
    Article
  10. Article
  11. Article
  12. [Langerhans cell histiocytosis involving the oral and maxillofacial region: an analysis of 12 cases].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2019
    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

4 authors at 3 institutions in 1 country.

Athanasios D AnastasilakisDepartment of Endocrinology424 General Military Hospital, Thessaloniki, Greece a.anastasilakis@gmail.com.
Marina Tsoli1st Propaedeutic Department of Internal MedicineNational and Kapodistrian University of Athens, Athens, Greece.
Gregory Kaltsas1st Propaedeutic Department of Internal MedicineNational and Kapodistrian University of Athens, Athens, Greece.
Polyzois MakrasDepartment of Endocrinology and Diabetes251 Hellenic Air Force & VA General Hospital, Athens, Greece.
National and Kapodistrian University of Athens · GR424 General Military Hospital · GRHellenic Air Force · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Langerhans cell histiocytosis (LCH) is a rare disease of not well-defined etiology that involves immune cell activation and frequently affects the skeleton. Bone involvement in LCH usually presents in the form of osteolytic lesions along with low bone mineral density. Various molecules involved in bone metabolism are implicated in the pathogenesis of LCH or may be affected during the course of the disease, including interleukins (ILs), tumor necrosis factor α, receptor activator of NF-κB (RANK) and its soluble ligand RANKL, osteoprotegerin (OPG), periostin and sclerostin. Among them IL-17A, periostin and RANKL have been proposed as potential serum biomarkers for LCH, particularly as the interaction between RANK, RANKL and OPG not only regulates bone homeostasis through its effects on the osteoclasts but also affects the activation and survival of immune cells. Significant changes in circulating and lesional RANKL levels have been observed in LCH patients irrespective of bone involvement. Standard LCH management includes local or systematic administration of corticosteroids and chemotherapy. Given the implication of RANK, RANKL and OPG in the pathogenesis of the disease and the osteolytic nature of bone lesions, agents aiming at inhibiting the RANKL pathway and/or osteoclastic activation, such as bisphosphonates and denosumab, may have a role in the therapeutic approach of LCH although further clinical investigation is warranted.

Indexed as

bisphosphonatesdenosumabLangerhans cell histiocytosis (LCH)osteoporosisreceptor activator of NF-κB ligand (RANKL)

Identifiers

PMID29967185
PMCPMC6063875
OpenAlexW2810064136

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.