Evidence map›Paper›PMID 33982033›Full record

ArticleExtracellular vesicles and circulating nucleic acids2021

RANKL and RANK in extracellular vesicles: surprising new players in bone remodeling.

L Shannon Holliday, Shivani S Patel, Wellington J Rody

Open access · bronzeAbstract read
In one paragraph

Article in Extracellular vesicles and circulating nucleic acids, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

31 citing papers in PubMed, 38 citations in OpenAlex.

  1. Review
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  7. Review
  8. Article
  9. mSphere · 2025
    Article
  10. Article
  11. Frontiers in nutrition · 2025
    Article
  12. Gas-powered extracellular vesicles promote bone regeneration.Extracellular vesicles and circulating nucleic acids · 2025
    Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Extracellular vesicles: From bone development to regenerative orthopedics.Molecular therapy : the journal of the American Society of Gene Therapy · 2023
    Review
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

3 authors at 1 institution in 1 country.

L Shannon HollidayDepartment of Orthodontics, University of Florida College of Dentistry, Gainesville, FL 32610, USA.
Shivani S PatelDepartment of Orthodontics, University of Florida College of Dentistry, Gainesville, FL 32610, USA.
Wellington J RodyDepartment of Orthodontics and Pediatric Dentistry, Stony Brook School of Dental Medicine, Stony Brook, NY 11794, USA.
University of Florida · US

Funding

Dental applications for a novel osteoclast inhibitorR21DE019862 · NIDCR · UNIVERSITY OF FLORIDA · PI HOLLIDAY, LEXIE SHANNON · 2010 to 2011
$401k
Development of an exosome-based diagnostic platform for periodontal disease and root resorptionR03DE027504 · NIDCR · STATE UNIVERSITY NEW YORK STONY BROOK · PI RODY, WELLINGTON J · 2018 to 2019
$319k
NIDCR NIH HHS R03 DE027504NIDCR NIH HHS R21 DE019862
6 · The paper itself

Abstract

Receptor activator of nuclear factor kappa B-ligand (RANKL), its receptor RANK, and osteoprotegerin which binds RANKL and acts as a soluble decoy receptor, are essential controllers of bone remodeling. They also play important roles in establishing immune tolerance and in the development of the lymphatic system and mammary glands. In bone, RANKL stimulates osteoclast formation by binding RANK on osteoclast precursors and osteoclasts. This is required for bone resorption. Recently, RANKL and RANK have been shown to be functional components of extracellular vesicles (EVs). Data linking RANKL and RANK in EVs to biological regulatory roles are reviewed, and crucial unanswered questions are examined. RANKL and RANK are transmembrane proteins and their presence in EVs allows them to act at a distance from their cell of origin. Because RANKL-bearing osteocytes and osteoblasts are often spatially distant from RANK-containing osteoclasts in vivo, this may be crucial for the stimulation of osteoclast formation and bone resorption. RANK in EVs from osteoclasts has the capacity to stimulate a RANKL reverse signaling pathway in osteoblasts that promotes bone formation. This serves to couple bone resorption with bone formation and has inspired novel bifunctional therapeutic agents. RANKL- and RANK- containing EVs in serum may serve as biomarkers for bone and immune pathologies. In summary, EVs containing RANKL and RANK have been identified as intercellular regulators in bone biology. They add complexity to the central signaling network responsible for maintaining bone. RANKL- and RANK-containing EVs are attractive as drug targets and as biomarkers.

Indexed as

apoptotic vesicleCell signalingcoupling factorexosomemicrovesicleosteoblastosteoclastosteocyte

Identifiers

PMID33982033
PMCPMC8112638
OpenAlexW3146426211

What OpenQuestion holds

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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.