Evidence map›Paper›PMID 32311037›Full record

ArticleThe Journal of clinical endocrinology and metabolism2020

Human Bone Marrow Adipose Tissue is a Metabolically Active and Insulin-Sensitive Distinct Fat Depot.

Tam T Pham, Kaisa K Ivaska, Jarna C Hannukainen, Kirsi A Virtanen, Martin E Lidell, Sven Enerbäck, Keijo Mäkelä, Riitta Parkkola, Sauli Piirola, Vesa Oikonen and 2 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 6% 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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Trial
  5. Bone health in diabetes mellitus.Reviews in endocrine & metabolic disorders · 2026
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  12. Variable surface antigen expression, virulence, and persistent infection byMicrobiology and molecular biology reviews : MMBR · 2025
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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

12 authors at 3 institutions in 2 countries.

Tam T PhamTurku PET Centre, University of Turku, Turku, Finland.
Kaisa K IvaskaInstitute of Biomedicine, University of Turku, Turku, Finland.
Jarna C HannukainenTurku PET Centre, University of Turku, Turku, Finland.
Kirsi A VirtanenTurku PET Centre, University of Turku, Turku, Finland.
Martin E LidellDepartment of Medical Biochemistry and Cell Biology, Institute of Biomedicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Sven EnerbäckDepartment of Medical Biochemistry and Cell Biology, Institute of Biomedicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Keijo MäkeläDepartment of Orthopaedics and Traumatology, Turku University Hospital, Turku, Finland.
Riitta ParkkolaDepartment of Radiology, Turku University Hospital, Turku, Finland.
Sauli PiirolaTurku PET Centre, University of Turku, Turku, Finland.
Vesa OikonenTurku PET Centre, University of Turku, Turku, Finland.
Pirjo NuutilaTurku PET Centre, University of Turku, Turku, Finland.
Riku KivirantaInstitute of Biomedicine, University of Turku, Turku, Finland.
University of Turku · FITurku University Hospital · FIUniversity of Gothenburg · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextBone marrow (BM) in adult long bones is rich in adipose tissue, but the functions of BM adipocytes are largely unknown. We set out to elucidate the metabolic and molecular characteristics of BM adipose tissue (BMAT) in humans.

objectiveOur aim was to determine if BMAT is an insulin-sensitive tissue, and whether the insulin sensitivity is altered in obesity or type 2 diabetes (T2DM).

designThis was a cross-sectional and longitudinal study.

settingThe study was conducted in a clinical research center. PATIENTS OR OTHER

participantsBone marrow adipose tissue glucose uptake (GU) was assessed in 23 morbidly obese subjects (9 with T2DM) and 9 healthy controls with normal body weight. In addition, GU was assessed in another 11 controls during cold exposure. Bone marrow adipose tissue samples for molecular analyses were collected from non-DM patients undergoing knee arthroplasty. INTERVENTION(S): Obese subjects were assessed before and 6 months after bariatric surgery and controls at 1 time point.

main outcome measureWe used positron emission tomography imaging with 2-[18F]fluoro-2-deoxy-D-glucose tracer to characterize GU in femoral and vertebral BMAT. Bone marrow adipose tissue molecular profile was assessed using quantitative RT-PCR.

resultsInsulin enhances GU in human BMAT. Femoral BMAT insulin sensitivity was impaired in obese patients with T2DM compared to controls, but it improved after bariatric surgery. Furthermore, gene expression analysis revealed that BMAT was distinct from brown and white adipose tissue.

conclusionsBone marrow adipose tissue is a metabolically active, insulin-sensitive and molecularly distinct fat depot that may play a role in whole body energy metabolism.

Indexed as

Insulin ResistanceAdipocytesAdipose TissueAdultBone MarrowCross-Sectional StudiesDiabetes Mellitus, Type 2FemaleGlucoseHumansInsulinLongitudinal StudiesMagnetic Resonance ImagingMaleMiddle AgedObesityGlucoseInsulinadipose tissuebone marrowPET/CT

Identifiers

PMID32311037
PMCPMC7247553
OpenAlexW3017221430

What OpenQuestion holds

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LicenceCC BY
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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.