Evidence map›Paper›PMID 39296716›Full record

ArticleFrontiers in endocrinology2024

Effects of FGF21 overexpression in osteoporosis and bone mineral density: a two-sample, mediating Mendelian analysis.

Jingjing Liu, Jun Jiang, Yunjia Li, Qiaojun Chen, Ting Yang, Yanfa Lei, Zewei He, Xiaowei Wang, Qiang Na, Changtao Lao and 3 more

Abstract read
In one paragraph

Article in Frontiers in endocrinology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. [A Study on the Relationship Between Cyclic Inflammatory Protein Fibroblast Growth Factor 21, Osteoporosis, and Fractures].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
    Article
  2. Article
  3. Regulatable In Vivo Gene Expression via Adaptamers.bioRxiv : the preprint server for biology · 2025
    Article
  4. Review
  5. Article
  6. Article
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

13 authors.

Jingjing LiuDepartment of Spinal Surgery, Southern Central Hospital of Yunnan Province, Honghe, China.
Jun JiangDepartment of Spinal Surgery, Southern Central Hospital of Yunnan Province, Honghe, China.
Yunjia LiDepartment of Spinal Surgery, Southern Central Hospital of Yunnan Province, Honghe, China.
Qiaojun ChenDepartment of Spinal Surgery, Southern Central Hospital of Yunnan Province, Honghe, China.
Ting YangDepartment of Spinal Surgery, Southern Central Hospital of Yunnan Province, Honghe, China.
Yanfa LeiDepartment of Spinal Surgery, Southern Central Hospital of Yunnan Province, Honghe, China.
Zewei HeDepartment of Spinal Surgery, Southern Central Hospital of Yunnan Province, Honghe, China.
Xiaowei WangDepartment of Spinal Surgery, Southern Central Hospital of Yunnan Province, Honghe, China.
Qiang NaDepartment of Spinal Surgery, The Sixth Affiliated Hospital of Kunming Medical University, Yuxi, China.
Changtao LaoDepartment of Spinal Surgery, The Sixth Affiliated Hospital of Kunming Medical University, Yuxi, China.
Xinlei LuoDepartment of Spinal Surgery, Southern Central Hospital of Yunnan Province, Honghe, China.
Lirong YangDepartment of Oncology, Southern Central Hospital of Yunnan Province, Honghe, China.
Zhengchang YangDepartment of Spinal Surgery, Southern Central Hospital of Yunnan Province, Honghe, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Fibroblast growth factor 21 (FGF21) is a secreted protein that regulates body metabolism. In recent years, many observational studies have found that FGF21 is closely related to bone mineral density and osteoporosis, but the causal relationship between them is still unclear. Therefore, this study used two-sample, mediated Mendelian randomization (MR) analysis to explore the causal relationship between FGF21 and osteoporosis and bone mineral density. Methods: We conducted a two-sample, mediator MR Analysis using genetic data from publicly available genome-wide association studies (GWAS) that included genetic variants in the inflammatory cytokine FGF21, and Total body bone mineral density, Heel bone mineral density, Forearm bone mineral density, Femoral neck bone mineral density, osteoporosis. The main analysis method used was inverse variance weighting (IVW) to investigate the causal relationship between exposure and outcome. In addition, weighted median, simple median method, weighted median method and MR-Egger regression were used to supplement the explanation, and sensitivity analysis was performed to evaluate the reliability of the results. Results: MR Results showed that FGF21 overexpression reduced bone mineral density: Total body bone mineral density (OR=0.920, 95%CI: 0.876-0.966), P=0.001), Heel bone mineral density (OR=0.971, 95%CI (0.949-0.993); P=0.01), Forearm bone mineral density (OR=0.882, 95%CI(0.799-0.973); P=0.012), Femoral neck bone mineral density (OR=0.952, 95%CI(0.908-0.998), P=0.039); In addition, it also increased the risk of osteoporosis (OR=1.003, 95%CI (1.001-1.005), P=0.004). Sensitivity analysis supported the reliability of these results. The effect of FGF21 overexpression on osteoporosis may be mediated by type 2 diabetes mellitus and basal metabolic rate, with mediating effects of 14.96% and 12.21%, respectively. Conclusions: Our study suggests that the overexpression of FGF21 may lead to a decrease in bone mineral density and increase the risk of osteoporosis, and the effect of FGF21 on osteoporosis may be mediated through type 2 diabetes and basal metabolic rate. This study can provide a reference for analyzing the potential mechanism of osteoporosis and is of great significance for the prevention and treatment of osteoporosis.

Indexed as

Bone DensityFibroblast Growth FactorsGenome-Wide Association StudyMendelian Randomization AnalysisOsteoporosisFemaleHumansMalePolymorphism, Single NucleotideFGF21 protein, humanfibroblast growth factor 21Fibroblast Growth Factorsbone mineral densityfibroblast growth factor 21GWASMendelian randomizationosteoporosis

Identifiers

PMID39296716
PMCPMC11409249

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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.