Evidence map›Paper›PMID 34502371›Full record

ReviewInternational journal of molecular sciences2021

The Human Gut Microbiota: A Key Mediator of Osteoporosis and Osteogenesis.

Kevin D Seely, Cody A Kotelko, Hannah Douglas, Brandon Bealer, Amanda E Brooks

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 122 papers.

0numbers the graph read from it
0cells of the map it votes in
122citing papers in PubMed
9.5field-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

122 citing papers in PubMed, 174 citations in OpenAlex.

  1. Trial
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  5. How gut microbiome and blood metabolites drive ossification of the posterior longitudinal ligament of the spine: a genome-wide association study based on the East Asian population.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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  8. Intestinal-Bone Axis Mediated byMicroorganisms · 2026
    Review
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62 more citing papers are in PubMed but not listed here.

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

5 authors at 1 institution in 1 country.

Kevin D SeelyCollege of Osteopathic Medicine, Rocky Vista University, Ivins, UT 84738, USA.ORCID 0000-0003-0390-813X
Cody A KotelkoCollege of Osteopathic Medicine, Rocky Vista University, Ivins, UT 84738, USA.
Hannah DouglasCollege of Osteopathic Medicine, Rocky Vista University, Ivins, UT 84738, USA.
Brandon BealerCollege of Osteopathic Medicine, Rocky Vista University, Ivins, UT 84738, USA.
Amanda E BrooksCollege of Osteopathic Medicine, Rocky Vista University, Ivins, UT 84738, USA.ORCID 0000-0001-9785-5969
Rocky Vista University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An expanding body of research asserts that the gut microbiota has a role in bone metabolism and the pathogenesis of osteoporosis. This review considers the human gut microbiota composition and its role in osteoclastogenesis and the bone healing process, specifically in the case of osteoporosis. Although the natural physiologic processes of bone healing and the pathogenesis of osteoporosis and bone disease are now relatively well known, recent literature suggests that a healthy microbiome is tied to bone homeostasis. Nevertheless, the mechanism underlying this connection is still somewhat enigmatic. Based on the literature, a relationship between the microbiome, osteoblasts, osteoclasts, and receptor activator of nuclear factor-kappa-Β ligand (RANKL) is contemplated and explored in this review. Studies have proposed various mechanisms of gut microbiome interaction with osteoclastogenesis and bone health, including micro-RNA, insulin-like growth factor 1, and immune system mediation. However, alterations to the gut microbiome secondary to pharmaceutical and surgical interventions cannot be discounted and are discussed in the context of clinical therapeutic consideration. The literature on probiotics and their mechanisms of action is examined in the context of bone healing. The known and hypothesized interactions of common osteoporosis drugs and the human gut microbiome are examined. Since dysbiosis in the gut microbiota can function as a biomarker of bone metabolic activity, it may also be a pharmacological and nutraceutical (i.e., pre- and probiotics) therapeutic target to promote bone homeostasis.

Indexed as

Bone and BonesBone Density Conservation AgentsDysbiosisGastrointestinal MicrobiomeHomeostasisHumansMicrobiotaMicroRNAsOsteoblastsOsteoclastsOsteogenesisOsteoporosisProbioticsBone Density Conservation AgentsMicroRNAsbone healthhuman gut microbiotamicrobiomeosteogenesisosteoporosisprobiotics

Identifiers

PMID34502371
PMCPMC8431678
OpenAlexW3197413881

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.