Evidence map›Paper›PMID 37385427›Full record

ArticleBone2023

Bone intrinsic material and compositional properties in postmenopausal women diagnosed with long-term Type-1 diabetes.

Wen Qian, Sonja Gamsjaeger, Eleftherios P Paschalis, Laura A Graeff-Armas, Sue P Bare, Joseph A Turner, Joan M Lappe, Robert R Recker, Mohammed P Akhter

Open access · greenAbstract read
In one paragraph

Article in Bone, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.9field-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

13 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Bone organic matrix quality indices associate with fragility fracture occurrence independently of bone mineral density values.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
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  8. Bone microstructure and TBS in diabetes: what have we learned? A narrative review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Review
  9. Long-duration type 1 diabetes is associated with deficient cortical bone mechanical behavior and altered matrix composition in human femoral bone.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2024
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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

9 authors at 4 institutions in 2 countries.

Wen QianUniversity of Nebraska, Lincoln, NE, USA.
Sonja GamsjaegerLudwig Boltzmann Institute of Osteology, Vienna, Austria.
Eleftherios P PaschalisLudwig Boltzmann Institute of Osteology, Vienna, Austria.
Laura A Graeff-ArmasUniversity of Nebraska Medical Center, Omaha, NE, USA.
Sue P BareOsteoporosis Research Center, Creighton University, Omaha, NE, USA.
Joseph A TurnerUniversity of Nebraska, Lincoln, NE, USA.
Joan M LappeOsteoporosis Research Center, Creighton University, Omaha, NE, USA.
Robert R ReckerOsteoporosis Research Center, Creighton University, Omaha, NE, USA.
Mohammed P AkhterOsteoporosis Research Center, Creighton University, Omaha, NE, USA. Electronic address: akhtermp@creighton.edu.
Creighton University · USLudwig Boltzmann Institute of Osteology · ATUniversity of Nebraska–Lincoln · USUniversity of Nebraska Medical Center · US

Funding

Skeletal Effects of Type 1 DiabetesR01DK122558 · NIDDK · CREIGHTON UNIVERSITY · PI AKHTER, MOHAMMED PERVEZ, ARMAS, LAURA ANNE GRAEFF · 2019 to 2024
$1.7M
NIDDK NIH HHS R01 DK122558
6 · The paper itself

Abstract

The incidence of diabetes mellitus and the associated complications are growing worldwide, affecting the patients' quality of life and exerting a considerable burden on health systems. Yet, the increase in fracture risk in type 1 diabetes (T1D) patients is not fully captured by bone mineral density (BMD), leading to the hypothesis that alterations in bone quality are responsible for the increased risk. Material/compositional properties are important aspects of bone quality, yet information on human bone material/compositional properties in T1D is rather sparse. The purpose of the present study is to measure both the intrinsic material behaviour by nanoindentation, and material compositional properties by Raman spectroscopy as a function of tissue age and microanatomical location (cement lines) in bone tissue from iliac crest biopsies from postmenopausal women diagnosed with long-term T1D (N = 8), and appropriate sex-, age-, BMD- and clinically-matched controls (postmenopausal women; N = 5). The results suggest elevation of advanced glycation endproducts (AGE) content in the T1D and show significant differences in mineral maturity / crystallinity (MMC) and glycosaminoglycan (GAG) content between the T1D and control groups. Furthermore, both hardness and modulus by nanoindentation are greater in T1D. These data suggest a significant deterioration of material strength properties (toughness) and compositional properties in T1D compared with controls.

Indexed as

Diabetes Mellitus, Type 1Bone DensityFemaleHumansIliumPostmenopauseQuality of LifeHardnessMineral propertiesmodulusPostmenopausal womenTransiliac bone biopsiesType-1 diabetes

Identifiers

PMID37385427
PMCPMC11302406
OpenAlexW4382279964

What OpenQuestion holds

Textmetadata
LicenceTDM
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.