Evidence map›Paper›PMID 38530358›Full record

ArticleThe Journal of clinical investigation2024

Gender-affirming hormone therapy preserves skeletal maturation in young mice via the gut microbiome.

Subhashis Pal, Xochitl Morgan, Hamid Y Dar, Camilo Anthony Gacasan, Sanchiti Patil, Andreea Stoica, Yi-Juan Hu, M Neale Weitzmann, Rheinallt M Jones, Roberto Pacifici

Open access · goldAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 7 citations in OpenAlex.

  1. A novel model to study the impact of gender-affirming therapy on bone in young male mice.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2026
    Article
  2. Links between bone fractures and the gut microbiota.Nature reviews. Endocrinology · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. The probioticGut microbes · 2025
    Article
  7. Article
  8. Article
  9. 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

10 authors at 3 institutions in 1 country.

Subhashis PalDivision of Endocrinology, Metabolism and Lipids, Department of Medicine and.
Xochitl MorganDepartment of Biostatistics, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA.
Hamid Y DarDivision of Endocrinology, Metabolism and Lipids, Department of Medicine and.
Camilo Anthony GacasanEmory Microbiome Research Center, Emory University, Atlanta, Georgia, USA.
Sanchiti PatilDivision of Endocrinology, Metabolism and Lipids, Department of Medicine and.
Andreea StoicaDivision of Endocrinology, Metabolism and Lipids, Department of Medicine and.
Yi-Juan HuDepartment of Biostatistics and Bioinformatics, Emory University, Atlanta, Georgia, USA.
M Neale WeitzmannDivision of Endocrinology, Metabolism and Lipids, Department of Medicine and.
Rheinallt M JonesEmory Microbiome Research Center, Emory University, Atlanta, Georgia, USA.
Roberto PacificiDivision of Endocrinology, Metabolism and Lipids, Department of Medicine and.
Emory Healthcare · USBoston University · USEmory University · US

Funding

Neuro HPA Project 1U54AG062334 · NIA · EMORY UNIVERSITY · PI Ighovwerha Ofotokun · 2018 to 2026
$12.2M
Accelerated Bone Loss in Aging HIV-infected IndividualsR01AR068157 · NIAMS · EMORY UNIVERSITY · PI OFOTOKUN, IGHOVWERHA, WEITZMANN, MERVYN NEALE · 2015 to 2019
$3.3M
Predictors of Antiretroviral Immunereconstitution Bone Loss - the Gut and the MicrobiomeR01AR079298 · NIAMS · EMORY UNIVERSITY · PI EZECHI, OLIVER CHUKWUJEKWU, MORAN, CAITLIN · 2021 to 2025
$3.3M
IL-4, a key regulator of bone turnover in HIV and ARTR01AR070091 · NIAMS · EMORY UNIVERSITY · PI OFOTOKUN, IGHOVWERHA, WEITZMANN, MERVYN NEALE · 2016 to 2020
$3.2M
Role of the gut microbiome in the bone loss induced by hyperparathyroidism in mice and humansR01DK124821 · NIDDK · EMORY UNIVERSITY · PI BILEZIKIAN, JOHN P, JONES, RHEINALLT MELFYN · 2021 to 2024
$2.4M
Role of Gut Microbiota in Bone Mass Heritability and Skeletal Response to PTHR01DK119229 · NIDDK · EMORY UNIVERSITY · PI JONES, RHEINALLT MELFYN, PACIFICI, ROBERTO · 2019 to 2022
$2.3M
Mechanisms of Bone Anabolic and Anticatabolic Activities of ProbioticsR01DK112946 · NIDDK · EMORY UNIVERSITY · PI JONES, RHEINALLT MELFYN, PACIFICI, ROBERTO · 2018 to 2021
$2.0M
The molecular mechanisms of intestinal homeostasis.R01DK098391 · NIDDK · EMORY UNIVERSITY · PI JONES, RHEINALLT MELFYN · 2014 to 2017
$1.4M
In Vivo MicroCT ScannerS10RR028009 · NCRR · EMORY UNIVERSITY · PI PACIFICI, ROBERTO · 2010 to 2010
$494k
Microbiome mediated effects of gender affirming hormone therapy in miceR01HD115881 · NICHD · EMORY UNIVERSITY · PI JONES, RHEINALLT MELFYN, PACIFICI, ROBERTO · 2024 to 2024
$378k
Immune Regulation of Bone HomeostasisI01BX000105 · VA · VETERANS HEALTH ADMINISTRATION · PI WEITZMANN, MERVYN NEALE · 2009 to 2022
–
BCCMA: Foundational Research to Act Upon and Resist Conditions Unfavorable to Bone (FRACTURE CURB): A stitch in time saves nine!I01BX005852 · VA · VETERANS HEALTH ADMINISTRATION · PI Mervyn Neale Weitzmann · 2023 to 2026
–
BLRD VA I01 BX000105BLRD VA I01 BX005852NCRR NIH HHS S10 RR028009NIAMS NIH HHS R01 AR068157NIAMS NIH HHS R01 AR070091NIAMS NIH HHS R01 AR079298NIA NIH HHS U54 AG062334NICHD NIH HHS R01 HD115881NIDDK NIH HHS R01 DK098391NIDDK NIH HHS R01 DK112946NIDDK NIH HHS R01 DK119229NIDDK NIH HHS R01 DK124821
6 · The paper itself

Abstract

Gender-affirming hormone therapy (GAHT) is often prescribed to transgender (TG) adolescents to alleviate gender dysphoria, but the effect of GAHT on the growing skeleton is unclear. We found GAHT to improve trabecular bone structure via increased bone formation in young male mice and not to affect trabecular structure in female mice. GAHT modified gut microbiome composition in both male and female mice. However, fecal microbiota transfers (FMTs) revealed that GAHT-shaped gut microbiome was a communicable regulator of bone structure and turnover in male, but not in female mice. Mediation analysis identified 2 species of Bacteroides as significant contributors to the skeletal effects of GAHT in male mice, with Bacteroides supplementation phenocopying the effects of GAHT on bone. Bacteroides have the capacity to expand Treg populations in the gut. Accordingly, GAHT expanded intestinal Tregs and stimulated their migration to the bone marrow (BM) in male but not in female mice. Attesting to the functional relevance of Tregs, pharmacological blockade of Treg expansion prevented GAHT-induced bone anabolism. In summary, in male mice GAHT stimulated bone formation and improved trabecular structure by promoting Treg expansion via a microbiome-mediated effect, while in female mice, GAHT neither improved nor impaired trabecular structure.

Indexed as

Gastrointestinal MicrobiomeT-Lymphocytes, RegulatoryAnimalsBacteroidesBone DevelopmentFecal Microbiota TransplantationFemaleHumansMaleMiceOsteogenesisBone biologyBone developmentImmunologySex hormonesT cells

Identifiers

PMID38530358
PMCPMC11093603
OpenAlexW4393201401

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.