Evidence map›Paper›PMID 40068762›Full record

ArticleJournal of advanced research2026

BMP9 alleviates iron accumulation-induced osteoporosis via the USP10/FOXO1/GPX4 axis.

Yanran Huang, Jun Zhang, Yafei Zhu, Runhan Zhao, Zhou Xie, Xiao Qu, Yingtao Duan, Ningdao Li, Dagang Tang, Xiaoji Luo

Abstract read
In one paragraph

Article in Journal of advanced research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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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

10 authors.

Yanran HuangDepartment of Orthopaedic Surgery, Chongqing Municipal Health Commission Key Laboratory of Musculoskeletal Regeneration and Translational Medicine/Orthopaedic Research Laboratory, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Jun ZhangDepartment of Orthopaedic Surgery, Chongqing Municipal Health Commission Key Laboratory of Musculoskeletal Regeneration and Translational Medicine/Orthopaedic Research Laboratory, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Yafei ZhuDepartment of Orthopaedic Surgery, Chongqing Municipal Health Commission Key Laboratory of Musculoskeletal Regeneration and Translational Medicine/Orthopaedic Research Laboratory, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Runhan ZhaoDepartment of Orthopaedic Surgery, Chongqing Municipal Health Commission Key Laboratory of Musculoskeletal Regeneration and Translational Medicine/Orthopaedic Research Laboratory, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Zhou XieDepartment of Orthopaedic Surgery, Chongqing Municipal Health Commission Key Laboratory of Musculoskeletal Regeneration and Translational Medicine/Orthopaedic Research Laboratory, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Xiao QuDepartment of Orthopaedic Surgery, Chongqing Municipal Health Commission Key Laboratory of Musculoskeletal Regeneration and Translational Medicine/Orthopaedic Research Laboratory, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Yingtao DuanDepartment of Orthopaedic Surgery, Chongqing Municipal Health Commission Key Laboratory of Musculoskeletal Regeneration and Translational Medicine/Orthopaedic Research Laboratory, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Ningdao LiDepartment of Orthopaedic Surgery, Chongqing Municipal Health Commission Key Laboratory of Musculoskeletal Regeneration and Translational Medicine/Orthopaedic Research Laboratory, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China. Electronic address: liningdao301@163.com.
Dagang TangDepartment of Orthopaedic Surgery, Chongqing Municipal Health Commission Key Laboratory of Musculoskeletal Regeneration and Translational Medicine/Orthopaedic Research Laboratory, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China. Electronic address: tdg518718@163.com.
Xiaoji LuoDepartment of Orthopaedic Surgery, Chongqing Municipal Health Commission Key Laboratory of Musculoskeletal Regeneration and Translational Medicine/Orthopaedic Research Laboratory, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China; The First Affiliated Hospital of Chongqing Medical and Pharmaceutical College, Chongqing 400060, China; Chongqing Medical and Pharmaceutical College, Chongqing 401331, China. Electronic address: 202982@hospital.cqmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFerroptosis induced by iron accumulation can disrupt the physiological functions of bone marrow mesenchymal stem cells (BMSCs). BMP9 is an effective osteogenic factor. However, the role of BMP9 and its molecular mechanisms in osteoporosis induced by iron accumulation remain unclear.

objectivesThis study aims to explore the role and mechanism of BMP9 in alleviating iron accumulation induced osteoporosis.

methodsClinical samples were collected to analyze the relationship between iron accumulation and osteoporosis. The effect of BMP9 on lipid peroxidation levels in BMSCs under iron accumulation conditions was assessed using C11-BODIPY staining, MitoSOX staining, MDA and SOD activity measurement. The osteogenic capacity of BMP9 in BMSCs under iron accumulation conditions was evaluated by measuring ALP activity and calcium nodule formation. The mechanisms of BMP9 in regulating BMSCs under iron accumulation conditions were explored through experiments including cycloheximide treatment, RT-PCR, Western blot, GST pull-down, ChIP, and CO-IP.

resultsIt was observed in human samples that serum ferritin levels were negatively correlated with the bone mineral density of the lumbar spine and femoral neck. Meanwhile, ferroptosis is considered a key factor affecting bone health. Further research indicated that BMP9 could inhibit ferroptosis in cells and animal models with iron accumulation, while also improving oxidative stress and osteogenic capacity. In-depth investigation of its mechanism reveals that BMP9 promotes the expression of USP10, which removes the K48-linked ubiquitin chains on FOXO1, inhibiting its excessive ubiquitination in the cytoplasm. This stabilization allows FOXO1 to accumulate in the cytoplasm and eventually re-enter the nucleus. This process activated the expression of the key inhibitor of cell death, GPX4, enhancing the cell's antioxidant response, reducing ferroptosis-induced damage to BMSCs, and promoting their osteogenic differentiation.

conclusionThis study reveals that BMP9 inhibits ferroptosis through the USP10/FOXO1/GPX4 axis, providing a new therapeutic strategy for osteoporosis caused by iron accumulation.

Indexed as

Forkhead Box Protein O1Growth Differentiation Factor 2IronOsteoporosisAnimalsCells, CulturedFemaleFerroptosisHumansMaleMesenchymal Stem CellsMiceOsteogenesisOxidative StressSignal TransductionForkhead Box Protein O1FOXO1 protein, humanGDF2 protein, humanGrowth Differentiation Factor 2IronBMP9FerroptosisIron accumulationOsteoporosisUSP10

Identifiers

PMID40068762
PMCPMC12766217

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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.