Evidence map›Paper›PMID 36202795›Full record

ArticleNature communications2022

Vitamin C epigenetically controls osteogenesis and bone mineralization.

Roman Thaler, Farzaneh Khani, Ines Sturmlechner, Sharareh S Dehghani, Janet M Denbeigh, Xianhu Zhou, Oksana Pichurin, Amel Dudakovic, Sofia S Jerez, Jian Zhong and 9 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 1 pooled it
11.5field-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

59 citing papers in PubMed, 1 synthesis or guideline pooled it, 99 citations in OpenAlex.

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  17. Loss of vitamin C biosynthesis protects from the pathology of a parasitic infection.Proceedings of the National Academy of Sciences of the United States of America · 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

19 authors at 7 institutions in 2 countries.

Roman ThalerDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA. Thaler.Roman@mayo.edu.ORCID 0000-0001-5515-8719
Farzaneh KhaniDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
Ines SturmlechnerDepartments of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0003-1272-5618
Sharareh S DehghaniDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
Janet M DenbeighDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
Xianhu ZhouDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
Oksana PichurinDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
Amel DudakovicDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
Sofia S JerezDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
Jian ZhongEpigenomics Program, Center for Individualized Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0001-7157-603X
Jeong-Heon LeeDepartment of Biochemistry & Molecular Biology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0003-4007-9166
Ramesh NatarajanDepartment of Internal Medicine, Virginia Commonwealth University, Richmond, VA, USA.
Ivo KalajzicDepartment of Reconstructive Sciences, UConn Health, Farmington, CT, USA.
Yong-Hui JiangDepartment of Genetics, Neuroscience, and Pediatrics, Yale University School of Medicine, New Haven, CT, USA.ORCID 0000-0001-6188-8806
David R DeyleDepartment of Clinical Genomics, Mayo Clinic, Rochester, MN, USA.
Eleftherios P PaschalisLudwig Boltzmann Institute of Osteology at Hanusch Hospital of OEGK and AUVA Trauma Centre Meidling, 1st Med. Dept. Hanusch Hospital, Vienna, Austria.
Barbara M MisofLudwig Boltzmann Institute of Osteology at Hanusch Hospital of OEGK and AUVA Trauma Centre Meidling, 1st Med. Dept. Hanusch Hospital, Vienna, Austria.ORCID 0000-0001-9923-4920
Tamas OrdogEpigenomics Program, Center for Individualized Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-3940-7284
Andre J van WijnenDepartment of Biochemistry, University of Vermont, Burlington, VT, USA. andre.vanwijnen@uvm.edu.
Mayo Clinic · USHanusch Hospital · ATMayo Clinic in Florida · USUConn Health · USUniversity of Vermont · USVirginia Commonwealth University · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Molecular Control of Bone FormationR01AR049069 · NIAMS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI WESTENDORF, JENNIFER J · 2003 to 2021
$5.8M
Interstitial Cells of Cajal in Diabetic GastropathyR01DK058185 · NIDDK · UNIVERSITY OF NEVADA RENO · PI ORDOG, TAMAS · 2002 to 2020
$5.2M
Epigenetic dysregulation in diabetic enteric neuropathyR01DK126827 · NIDDK · MAYO CLINIC ROCHESTER · PI ORDOG, TAMAS · 2021 to 2024
$2.1M
Single-cell epigenomics and transcriptomics of diabetic gastroparesis in humansR01DK131455 · NIDDK · MAYO CLINIC ROCHESTER · PI BHARUCHA, ADIL E., ORDOG, TAMAS · 2021 to 2025
$2.0M
NCATS NIH HHS UL1 TR001863NIAMS NIH HHS R01 AR049069NIDDK NIH HHS R01 DK058185NIDDK NIH HHS R01 DK126827NIDDK NIH HHS R01 DK131455
6 · The paper itself

Abstract

Vitamin C deficiency disrupts the integrity of connective tissues including bone. For decades this function has been primarily attributed to Vitamin C as a cofactor for collagen maturation. Here, we demonstrate that Vitamin C epigenetically orchestrates osteogenic differentiation and function by modulating chromatin accessibility and priming transcriptional activity. Vitamin C regulates histone demethylation (H3K9me3 and H3K27me3) and promotes TET-mediated 5hmC DNA hydroxymethylation at promoters, enhancers and super-enhancers near bone-specific genes. This epigenetic circuit licenses osteoblastogenesis by permitting the expression of all major pro-osteogenic genes. Osteogenic cell differentiation is strictly and continuously dependent on Vitamin C, whereas Vitamin C is dispensable for adipogenesis. Importantly, deletion of 5hmC-writers, Tet1 and Tet2, in Vitamin C-sufficient murine bone causes severe skeletal defects which mimic bone phenotypes of Vitamin C-insufficient Gulo knockout mice, a model of Vitamin C deficiency and scurvy. Thus, Vitamin C's epigenetic functions are central to osteoblastogenesis and bone formation and may be leveraged to prevent common bone-degenerating conditions.

Indexed as

Ascorbic Acid DeficiencyOsteogenesisAnimalsAscorbic AcidCalcification, PhysiologicCell DifferentiationChromatinDNADNA MethylationHistonesMiceAscorbic AcidChromatinDNAHistones

Identifiers

PMID36202795
PMCPMC9537512
OpenAlexW4302293789

What OpenQuestion holds

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Registered trials

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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.