Evidence map›Paper›PMID 37612291›Full record

ArticleBone research2023

Inhibiting WNT secretion reduces high bone mass caused by Sost loss-of-function or gain-of-function mutations in Lrp5.

Cassandra R Diegel, Ina Kramer, Charles Moes, Gabrielle E Foxa, Mitchell J McDonald, Zachary B Madaj, Sabine Guth, Jun Liu, Jennifer L Harris, Michaela Kneissel and 1 more

Open access · goldAbstract read
In one paragraph

Article in Bone research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 13 citations in OpenAlex.

  1. Different Lrp5-HBM mutations induce magnitude- and surface-selective effects that are not explained by receptor trafficking.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2026
    Article
  2. Review
  3. Article
  4. Beyond the target: implications of Wnt pathway inhibitors on bone health.Journal of molecular medicine (Berlin, Germany) · 2026
    Review
  5. Review
  6. Article
  7. Case Report: Expanding theFrontiers in pediatrics · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Bone and muscle crosstalk in ageing and disease.Nature reviews. Endocrinology · 2025
    Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. 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

11 authors at 3 institutions in 2 countries.

Cassandra R DiegelDepartment of Cell Biology, Van Andel Institute, 333 Bostwick Ave., NE, Grand Rapids, MI, 49503, USA.
Ina KramerDiseases of Aging and Regenerative Medicine, Novartis Institutes for Biomedical Research, CH-4002, Basel, Switzerland.
Charles MoesDiseases of Aging and Regenerative Medicine, Novartis Institutes for Biomedical Research, CH-4002, Basel, Switzerland.
Gabrielle E FoxaDepartment of Cell Biology, Van Andel Institute, 333 Bostwick Ave., NE, Grand Rapids, MI, 49503, USA.
Mitchell J McDonaldDepartment of Cell Biology, Van Andel Institute, 333 Bostwick Ave., NE, Grand Rapids, MI, 49503, USA.
Zachary B MadajBioinformatics and Biostatistics Core, Van Andel Institute, 333 Bostwick Ave., NE, Grand Rapids, MI, 49503, USA.
Sabine GuthDiseases of Aging and Regenerative Medicine, Novartis Institutes for Biomedical Research, CH-4002, Basel, Switzerland.ORCID http://orcid.org/0000-0001-9115-1397
Jun LiuOncology, Novartis Institutes for Biomedical Research, San Diego, CA, 92121, USA.
Jennifer L HarrisOncology, Novartis Institutes for Biomedical Research, San Diego, CA, 92121, USA.
Michaela KneisselDiseases of Aging and Regenerative Medicine, Novartis Institutes for Biomedical Research, CH-4002, Basel, Switzerland.
Bart O WilliamsDepartment of Cell Biology, Van Andel Institute, 333 Bostwick Ave., NE, Grand Rapids, MI, 49503, USA. bart.williams@vai.org.ORCID http://orcid.org/0000-0002-5261-5301
Van Andel Institute · USNovartis (Switzerland) · CHGenomics Institute of the Novartis Research Foundation · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Proper regulation of Wnt signaling is critical for normal bone development and homeostasis. Mutations in several Wnt signaling components, which increase the activity of the pathway in the skeleton, cause high bone mass in human subjects and mouse models. Increased bone mass is often accompanied by severe headaches from increased intracranial pressure, which can lead to fatality and loss of vision or hearing due to the entrapment of cranial nerves. In addition, progressive forehead bossing and mandibular overgrowth occur in almost all subjects. Treatments that would provide symptomatic relief in these subjects are limited. Porcupine-mediated palmitoylation is necessary for Wnt secretion and binding to the frizzled receptor. Chemical inhibition of porcupine is a highly selective method of Wnt signaling inhibition. We treated three different mouse models of high bone mass caused by aberrant Wnt signaling, including homozygosity for loss-of-function in Sost, which models sclerosteosis, and two strains of mice carrying different point mutations in Lrp5 (equivalent to human G171V and A214V), at 3 months of age with porcupine inhibitors for 5-6 weeks. Treatment significantly reduced both trabecular and cortical bone mass in all three models. This demonstrates that porcupine inhibition is potentially therapeutic for symptomatic relief in subjects who suffer from these disorders and further establishes that the continued production of Wnts is necessary for sustaining high bone mass in these models.

Indexed as

Gain of Function MutationHyperostosisAdaptor Proteins, Signal TransducingAnimalsBodily SecretionsDisease Models, AnimalHumansLow Density Lipoprotein Receptor-Related Protein-5MiceMutationSyndactylyAdaptor Proteins, Signal TransducingLow Density Lipoprotein Receptor-Related Protein-5Lrp5 protein, mouseSost protein, mouse

Identifiers

PMID37612291
PMCPMC10447437
OpenAlexW4386116085

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.