Evidence map›Paper›PMID 33784004›Full record

ArticleClinical and translational medicine2021

A novel modified RANKL variant can prevent osteoporosis by acting as a vaccine and an inhibitor.

Young Jong Ko, Hong Moon Sohn, Yuria Jang, Mineon Park, Bora Kim, Beomchang Kim, Jae-Il Park, Hoon Hyun, Byeongseok Jeong, Chansik Hong and 1 more

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

20 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
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  4. Role of endosomal RANKL-LGR4 signaling during osteoclast differentiation.Journal of molecular medicine (Berlin, Germany) · 2025
    Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Metabolic bone disorders and the promise of marine osteoactive compounds.Cellular and molecular life sciences : CMLS · 2023
    Review
  10. Molecular and Cellular Mechanisms of Osteoporosis.International journal of molecular sciences · 2023
    Review
  11. Review
  12. Review
  13. Review
  14. Article
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  17. Review
  18. Osteoporosis therapies and their mechanisms of action (Review).Experimental and therapeutic medicine · 2021
    Review
  19. Article
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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

11 authors at 3 institutions in 1 country.

Young Jong KoLaboratory of Orthopaedic Research, Chosun University Hospital, Dong-Gu, Gwangju, Republic of Korea.
Hong Moon SohnLaboratory of Orthopaedic Research, Chosun University Hospital, Dong-Gu, Gwangju, Republic of Korea.
Yuria JangLaboratory of Orthopaedic Research, Chosun University Hospital, Dong-Gu, Gwangju, Republic of Korea.
Mineon ParkLaboratory of Orthopaedic Research, Chosun University Hospital, Dong-Gu, Gwangju, Republic of Korea.
Bora KimLaboratory of Orthopaedic Research, Chosun University Hospital, Dong-Gu, Gwangju, Republic of Korea.
Beomchang KimLaboratory of Orthopaedic Research, Chosun University Hospital, Dong-Gu, Gwangju, Republic of Korea.
Jae-Il ParkKorea Basic Science Institute, Gwangju Center at Chonnam National University, Gwangju, Republic of Korea.
Hoon HyunDepartment of Biomedical Sciences Chonnam National University Medical School, Gwangju, Republic of Korea.
Byeongseok JeongDepartment of Physiology, School of Medicine, Chosun University, Gwangju, Republic of Korea.
Chansik HongDepartment of Physiology, School of Medicine, Chosun University, Gwangju, Republic of Korea.
Wonbong LimLaboratory of Orthopaedic Research, Chosun University Hospital, Dong-Gu, Gwangju, Republic of Korea.ORCID 0000-0001-6337-6599
Chosun University Hospital · KRChosun University · KRChonnam National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe discovery of receptor activator of nuclear factor-ĸB ligand (RANKL) as the final effector in the pathogenesis of osteoporosis has led to a better understanding of bone remodeling. When RANKL binds to its receptor (RANK), osteoclastic differentiation and activation are initiated. Herein, we propose a strategy using a novel RANKL variant as a competitive inhibitor for RANKL. The RANKL variant activates LGR4 signaling, which competitively regulates RANK and acts as an immunogen that induces anti-RANKL antibody production.

methodsWe modified the RANK-binding site on RANKL using minimal amino acid changes in the RANKL complex and its counterpart receptor RANK and tried to evaluate the inhibitory effects on osteoclastogenesis.

resultsThe novel RANKL variant did not bind RANK in osteoclast progenitor cells, but activated LGR4 through the GSK3-β signaling pathway, thereby suppressing activated T cell cytoplasmic nuclear factor calcineurin-dependent 1 (NFATc1) expression and activity during osteoclastogenesis. Our RANKL variant generated high levels of RANKL-specific antibodies, blocked osteoclastogenesis, and inhibited osteoporosis in ovariectomized mouse models. Generated anti-RANKL antibodies showed a high inhibitory effect on osteoclastogenesis in vivo and in vitro.

conclusionsWe observed that the novel RANKL indeed blocks RANKL via LGR4 signaling and generates anti-RANKL antibodies, demonstrating an innovative strategy in the development of general immunotherapy.

Indexed as

AnimalsBone ResorptionCell DifferentiationMiceOsteoclastsOsteogenesisOsteoporosisRANK LigandVaccinesRANK LigandVaccinesimmunotherapyLGR4osteoclastogenesisRANK

Identifiers

PMID33784004
PMCPMC7967917
OpenAlexW3139176863

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.