Evidence map›Paper›PMID 31917685›Full record

ArticleThe Journal of clinical investigation2020

Parathyroid hormone-dependent bone formation requires butyrate production by intestinal microbiota.

Jau-Yi Li, Mingcan Yu, Subhashis Pal, Abdul Malik Tyagi, Hamid Dar, Jonathan Adams, M Neale Weitzmann, Rheinallt M Jones, Roberto Pacifici

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 132 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
132citing papers in PubMed, 3 pooled it
8.4field-weighted citation impact, top 1% 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

132 citing papers in PubMed, 3 syntheses or guidelines pooled it, 161 citations in OpenAlex.

  1. The role of CD8Frontiers in immunology · 2026
    Pooled it
  2. Gut microbiome and bone health: update on mechanisms, clinical correlations, and possible treatment strategies.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Pooled it
  3. Pooled it
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72 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Jau-Yi LiDivision of Endocrinology, Metabolism and Lipids, Department of Medicine, and.
Mingcan YuDivision of Endocrinology, Metabolism and Lipids, Department of Medicine, and.
Subhashis PalDivision of Endocrinology, Metabolism and Lipids, Department of Medicine, and.
Abdul Malik TyagiDivision of Endocrinology, Metabolism and Lipids, Department of Medicine, and.
Hamid DarDivision of Endocrinology, Metabolism and Lipids, Department of Medicine, and.
Jonathan AdamsDivision of Endocrinology, Metabolism and Lipids, Department of Medicine, and.
M Neale WeitzmannDivision of Endocrinology, Metabolism and Lipids, Department of Medicine, and.
Rheinallt M JonesEmory Microbiome Center, Emory University, Atlanta, Georgia, USA.
Roberto PacificiDivision of Endocrinology, Metabolism and Lipids, Department of Medicine, and.
Emory Healthcare · US

Funding

Role of the gut microbiome in the bone loss induced by hyperparathyroidism in mice and humansR01DK124821 · NIDDK · EMORY UNIVERSITY · PI BILEZIKIAN, JOHN P, JONES, RHEINALLT MELFYN · 2021 to 2024
$2.4M
Role of Gut Microbiota in Bone Mass Heritability and Skeletal Response to PTHR01DK119229 · NIDDK · EMORY UNIVERSITY · PI JONES, RHEINALLT MELFYN, PACIFICI, ROBERTO · 2019 to 2022
$2.3M
Mechanisms of Bone Anabolic and Anticatabolic Activities of ProbioticsR01DK112946 · NIDDK · EMORY UNIVERSITY · PI JONES, RHEINALLT MELFYN, PACIFICI, ROBERTO · 2018 to 2021
$2.0M
Th17 cells and Tregs determine the catabolic and anabolic effects of PTH in boneR01DK108842 · NIDDK · EMORY UNIVERSITY · PI PACIFICI, ROBERTO · 2016 to 2018
$1.2M
In Vivo MicroCT ScannerS10RR028009 · NCRR · EMORY UNIVERSITY · PI PACIFICI, ROBERTO · 2010 to 2010
$494k
Immune Regulation of Bone HomeostasisI01BX000105 · VA · VETERANS HEALTH ADMINISTRATION · PI WEITZMANN, MERVYN NEALE · 2009 to 2022
–
BLRD VA I01 BX000105NCRR NIH HHS S10 RR028009NIDDK NIH HHS R01 DK108842NIDDK NIH HHS R01 DK112946NIDDK NIH HHS R01 DK119229NIDDK NIH HHS R01 DK124821
6 · The paper itself

Abstract

Parathyroid hormone (PTH) is a critical regulator of skeletal development that promotes both bone formation and bone resorption. Using microbiota depletion by wide-spectrum antibiotics and germ-free (GF) female mice, we showed that the microbiota was required for PTH to stimulate bone formation and increase bone mass. Microbiota depletion lowered butyrate levels, a metabolite responsible for gut-bone communication, while reestablishment of physiologic levels of butyrate restored PTH-induced anabolism. The permissive activity of butyrate was mediated by GPR43 signaling in dendritic cells and by GPR43-independent signaling in T cells. Butyrate was required for PTH to increase the number of bone marrow (BM) regulatory T cells (Tregs). Tregs stimulated production of the osteogenic Wnt ligand Wnt10b by BM CD8+ T cells, which activated Wnt-dependent bone formation. Together, these data highlight the role that butyrate produced by gut luminal microbiota plays in triggering regulatory pathways, which are critical for the anabolic action of PTH in bone.

Indexed as

Gastrointestinal MicrobiomeOsteogenesisAnimalsButyratesCD8-Positive T-LymphocytesMiceMice, KnockoutParathyroid HormoneReceptors, G-Protein-CoupledT-Lymphocytes, RegulatoryWnt ProteinsButyratesFfar2 protein, mouseParathyroid HormoneReceptors, G-Protein-CoupledWnt10b protein, mouseWnt ProteinsBone BiologyBone diseaseDendritic cellsT cells

Identifiers

PMID31917685
PMCPMC7108906
OpenAlexW2999491357

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.