Evidence map›Paper›PMID 30756140›Full record

ReviewCalcified tissue international2019

Rare Inherited forms of Paget's Disease and Related Syndromes.

Stuart H Ralston, J Paul Taylor

Erratum issuedOpen access · greenAbstract readReview
In one paragraph

Review in Calcified tissue international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.6field-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

18 citing papers in PubMed, 37 citations in OpenAlex.

  1. Review
  2. Latest developments in Paget's disease of bone.European journal of endocrinology · 2025
    Review
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Update on the pathogenesis and genetics of Paget's disease of bone.Frontiers in cell and developmental biology · 2022
    Review
  9. Review
  10. Article
  11. Genetic Determinants of Paget's Disease of Bone.Current osteoporosis reports · 2021
    Review
  12. Article
  13. Review
  14. Review
  15. Genetic Mutations inFrontiers in medicine · 2021
    Article
  16. The Genetic Architecture of High Bone Mass.Frontiers in endocrinology · 2020
    Review
  17. Article
  18. Focal and Osteosclerotic Bone Diseases.Calcified tissue international · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 2 countries.

Stuart H RalstonCentre for Genomic and Experimental Medicine, MRC Institute of Genetics and Molecular Medicine, University of Edinburgh, Western General Hospital, Edinburgh, EH4 2XU, UK. stuart.ralston@ed.ac.uk.ORCID http://orcid.org/0000-0002-2804-7586
J Paul TaylorHoward Hughes Medical Institute and Department of Cell and Molecular Biology, St Jude's Children's Research Hospital, Memphis, TN, USA.
St. Jude Children's Research Hospital · USWestern General Hospital · GB

Funding

Dynamic RNA-protein assemblies and neurological diseaseR35NS097974 · NINDS · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI TAYLOR, JOSEPH PAUL · 2017 to 2024
$7.2M
Howard Hughes Medical InstituteNINDS NIH HHS R35 NS097974
6 · The paper itself

Abstract

Several rare inherited disorders have been described that show phenotypic overlap with Paget's disease of bone (PDB) and in which PDB is a component of a multisystem disorder affecting muscle and the central nervous system. These conditions are the subject of this review article. Insertion mutations within exon 1 of the TNFRSF11A gene, encoding the receptor activator of nuclear factor kappa B (RANK), cause severe PDB-like disorders including familial expansile osteolysis, early-onset familial PDB and expansile skeletal hyperphosphatasia. The mutations interfere with normal processing of RANK and cause osteoclast activation through activation of nuclear factor kappa B (NFκB) independent of RANK ligand stimulation. Recessive, loss-of-function mutations in the TNFRSF11B gene, which encodes osteoprotegerin, cause juvenile PDB and here the bone disease is due to unopposed activation of RANK by RANKL. Multisystem proteinopathy is a disorder characterised by myopathy and neurodegeneration in which PDB is often an integral component. It may be caused by mutations in several genes including VCP, HNRNPA1, HNRNPA2B1, SQSTM1, MATR3, and TIA1, some of which are involved in classical PDB. The mechanisms of osteoclast activation in these conditions are less clear but may involve NFκB activation through sequestration of IκB. The evidence base for management of these disorders is somewhat limited due to the fact they are extremely rare. Bisphosphonates have been successfully used to gain control of elevated bone remodelling but as yet, no effective treatment exists for the treatment of the muscle and neurological manifestations of MSP syndromes.

Indexed as

Genetic Predisposition to DiseaseAdaptor Proteins, Signal TransducingBone and BonesFamily HealthHumansLigandsMutationOsteitis DeformansOsteoclastsPhenotypeRANK LigandReceptor Activator of Nuclear Factor-kappa BRNA, MessengerSignal TransductionAdaptor Proteins, Signal TransducingLigandsRANK LigandReceptor Activator of Nuclear Factor-kappa BRNA, MessengerTNFRSF11A protein, humanTNFSF11 protein, humanExpansile skeletal hyperphosphatasiaFamilial expansile osteolysisJuvenile Paget’s diseaseMultisystem proteinopathy

Identifiers

PMID30756140
PMCPMC6779132
OpenAlexW2914739139

What OpenQuestion holds

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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.