Evidence map›Paper›PMID 31233931›Full record

ArticleBone2019

Zoledronate and Raloxifene combination therapy enhances material and mechanical properties of diseased mouse bone.

Katherine M Powell, Cayla Skaggs, Alexis Pulliam, Alycia Berman, Matthew R Allen, Joseph M Wallace

Abstract read
In one paragraph

Article in Bone, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
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  9. Poor bone matrix quality: What can be done about it?Current osteoporosis reports · 2021
    Review
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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

6 authors at 3 institutions in 1 country.

Katherine M PowellDepartment of Biomedical Engineering, Indiana University-Purdue University at Indianapolis, Indianapolis, IN, USA.
Cayla SkaggsDepartment of Biomedical Engineering, Indiana University-Purdue University at Indianapolis, Indianapolis, IN, USA.
Alexis PulliamDepartment of Biomedical Engineering, Indiana University-Purdue University at Indianapolis, Indianapolis, IN, USA.
Alycia BermanWeldon School of Biomedical Engineering, Purdue University, West Lafayette, IN, USA.
Matthew R AllenDepartment of Anatomy and Cell Biology, Indiana University School of Medicine, Indianapolis, IN, USA.
Joseph M WallaceDepartment of Biomedical Engineering, Indiana University-Purdue University at Indianapolis, Indianapolis, IN, USA. Electronic address: jmwalla@iupui.edu.
University of Indianapolis · USIndiana University School of MedicinePurdue University West Lafayette · US

Funding

IPREP Supplemental: Physical Activity, Mental Health, and ResiliencyR25GM109432 · NIGMS · INDIANA UNIVERSITY INDIANAPOLIS · PI BAHAMONDE, RAFAEL, ROPER, RANDALL J · 2014 to 2024
$4.1M
Targeting collagen as an interventional approach to improve bone material propertiesR01AR072609 · NIAMS · INDIANA UNIVERSITY INDIANAPOLIS · PI WALLACE, JOSEPH MICHAEL · 2018 to 2022
$1.7M
Mechanical Protection of Pathological Collagen SynthesisK25AR067221 · NIAMS · INDIANA UNIVERSITY INDIANAPOLIS · PI WALLACE, JOSEPH MICHAEL · 2015 to 2017
$419k
NIAMS NIH HHS K25 AR067221NIAMS NIH HHS R01 AR072609NIGMS NIH HHS R25 GM109432
6 · The paper itself

Abstract

Current interventions to reduce skeletal fragility are insufficient at enhancing both the quantity and quality of bone when attempting to improve overall mechanical integrity. Bisphosphonates, such as Zoledronate (ZOL), are used to treat a variety of bone disorders by increasing bone mass to decrease fracture risk, but long-term use has been shown in some settings to compromise bone quality. Alternatively, Raloxifene (RAL) has recently been demonstrated to improve tissue quality and overall mechanical properties in a cell-independent manner by binding to collagen and increasing tissue hydration. We hypothesized that a combination of RAL and ZOL would improve mechanical and material properties of bone more than either monotherapy alone by enhancing both quantity and quality. In this study, wildtype (WT) and heterozygous (OIM+/-) male mice from the Osteogenesis Imperfecta (OI) murine model were treated with either RAL, ZOL, or both from 8 weeks to 16 weeks of age. Using the OIM model allows for investigation of therapeutic effects on a quality-based bone disease. Combination treatment resulted in higher trabecular architecture, cortical mechanical properties, and cortical fracture toughness in diseased mouse bone. Two fracture toughness properties, which are direct measures of the tissue's ability to resist the initiation and propagation of a crack, were significantly improved with combination treatment in OIM+/- compared to control. There was no significant effect on fracture toughness with either monotherapy alone in either genotype. Following the mass-based effects of ZOL, trabecular bone volume fraction was significantly higher with combination treatment in both genotypes. Combination treatment resulted in higher ultimate stress in both genotypes. RAL and combination treatment in OIM+/- also increased resilience compared to the control. In conclusion, this study demonstrates the beneficial effects of using combination drug treatments to increase bone mass while simultaneously improving tissue quality, especially to enhance the mechanical integrity of diseased bone. Combination therapies could be a potential method to improve bone health and combat skeletal fragility on both the microscopic and macroscopic levels.

Indexed as

AnimalsBiomechanical PhenomenaBone DiseasesCalcification, PhysiologicCancellous BoneDiaphysesDrug Therapy, CombinationFemurFractures, BoneMaleMice, Inbred C57BLRaloxifene HydrochlorideZoledronic AcidRaloxifene HydrochlorideZoledronic AcidBisphosphonateBone qualityFracture toughnessOsteogenesis ImperfectaSERM

Identifiers

PMID31233931
PMCPMC7036744
OpenAlexW2952081998

What OpenQuestion holds

Textmetadata
LicenceTDM
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.