Evidence map›Paper›PMID 31534056›Full record

ArticleJCI insight2019

Lowering circulating apolipoprotein E levels improves aged bone fracture healing.

Rong Huang, Xiaohua Zong, Puviindran Nadesan, Janet L Huebner, Virginia B Kraus, James P White, Phillip J White, Gurpreet S Baht

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

16 citing papers in PubMed, 31 citations in OpenAlex.

  1. Alzheimer's Disease Risk Factor APOE4 Exerts Dimorphic Effects on Female Bone.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
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  3. Review
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  8. The role of Meteorin-like in skeletal development and bone fracture healing.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2022
    Article
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  14. Maresin 1 resolves aged-associated macrophage inflammation to improve bone regeneration.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2020
    Article
  15. Article
  16. Gukang Capsule Promotes Fracture Healing by Activating BMP/SMAD and Wnt/Evidence-based complementary and alternative medicine : eCAM · 2020
    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

8 authors at 1 institution in 1 country.

Rong HuangDuke Molecular Physiology Institute.
Xiaohua ZongDuke Molecular Physiology Institute.
Puviindran NadesanDepartment of Orthopaedic Surgery.
Janet L HuebnerDuke Molecular Physiology Institute.
Virginia B KrausDuke Molecular Physiology Institute.
James P WhiteDuke Molecular Physiology Institute.
Phillip J WhiteDuke Molecular Physiology Institute.
Gurpreet S BahtDuke Molecular Physiology Institute.
Duke University · US

Funding

Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Sarah B. Peskoe · 2006 to 2026
$24.6M
The AMPK/ULK1/p27Kip1 axis regulates autophagy and cell survival in aged satellite cellsK01AG056664 · NIA · DUKE UNIVERSITY · PI WHITE, JAMES P. · 2017 to 2022
$913k
NIA NIH HHS K01 AG056664NIA NIH HHS P30 AG028716
6 · The paper itself

Abstract

Age is a well-established risk factor for impaired bone fracture healing. Here, we identify a role for apolipoprotein E (ApoE) in age-associated impairment of bone fracture healing and osteoblast differentiation, and we investigate the mechanism by which ApoE alters these processes. We identified that, in both humans and mice, circulating ApoE levels increase with age. We assessed bone healing in WT and ApoE-/- mice after performing tibial fracture surgery: bone deposition was higher within fracture calluses from ApoE-/- mice. In vitro recombinant ApoE (rApoE) treatment of differentiating osteoblasts decreased cellular differentiation and matrix mineralization. Moreover, this rApoE treatment decreased osteoblast glycolytic activity while increasing lipid uptake and fatty acid oxidation. Using parabiosis models, we determined that circulating ApoE plays a strong inhibitory role in bone repair. Using an adeno-associated virus-based siRNA system, we decreased circulating ApoE levels in 24-month-old mice and demonstrated that, as a result, fracture calluses from these aged mice displayed enhanced bone deposition and mechanical strength. Our results demonstrate that circulating ApoE as an aging factor inhibits bone fracture healing by altering osteoblast metabolism, thereby identifying ApoE as a new therapeutic target for improving bone repair in the elderly.

Indexed as

AdultAgedAged, 80 and overAge FactorsAgingAnimalsApolipoproteins EBony CallusCalcification, PhysiologicCell DifferentiationCells, CulturedCohort StudiesDependovirusDisease Models, AnimalFemaleFracture HealingApoE protein, humanApoe protein, mouseApolipoproteins ERecombinant ProteinsRNA, Small InterferingBone BiologyBone diseaseOsteoclast/osteoblast biology

Identifiers

PMID31534056
PMCPMC6795296
OpenAlexW2973806719

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.