Evidence map›Paper›PMID 40089548›Full record

ArticleScientific reports2025

Activation of PI3K-AKT pathway prevents steroid-induced osteonecrosis of the femoral head via inhibiting Cuproptosis.

Shihua Gao, Haoran Zhu, Hongxing Chen, Hongduo Lu, Moshan Wen, Yinuo Fan, Deqiang Yang, Hu Li

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  8. Review
  9. Musculoskeletal disorders: does cuproptosis hold the key?Frontiers in cell and developmental biology · 2026
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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

8 authors.

Shihua Gao *Department of Orthopaedics, Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine, Zhongshan, 528400, Guangdong, China.
Haoran Zhu *Guangzhou University of Chinese Medicine, 12 Jichang Road, Baiyun District, Guangzhou, 510405, Guangdong, China.
Hongxing ChenJinan Fifth People's Hospital, No. 24297, Jingshi Road, Huaiyin District, Jinan, 250022, Shandong, China.
Hongduo LuGuangzhou University of Chinese Medicine, 12 Jichang Road, Baiyun District, Guangzhou, 510405, Guangdong, China.
Moshan WenGuangzhou University of Chinese Medicine, 12 Jichang Road, Baiyun District, Guangzhou, 510405, Guangdong, China.
Yinuo FanGuangzhou University of Chinese Medicine, 12 Jichang Road, Baiyun District, Guangzhou, 510405, Guangdong, China.
Deqiang Yang *Jinan Fifth People's Hospital, No. 24297, Jingshi Road, Huaiyin District, Jinan, 250022, Shandong, China. wutai.deqiang@163.com.
Hu Li *Jinan Fifth People's Hospital, No. 24297, Jingshi Road, Huaiyin District, Jinan, 250022, Shandong, China. 1083121926@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study delved into the role of the PI3K/AKT signaling pathway and cuproptosis in steroid-induced osteonecrosis of the femoral head (SIONFH), assessing the therapeutic potential of the PI3K agonist 740Y-P. We analyzed femoral head specimens from SIONFH patients using DIA proteomics, identifying differentially expressed proteins linked to cuproptosis. In vitro, MC3T3-E1 cells treated with dexamethasone (DEX) exhibited hallmarks of cuproptosis, including downregulation of DLAT, PDHB, SLC25A3, and FDX1, increased copper ions, and reduced osteogenic potential, as shown by decreased ALP activity and RUNX2/BMP2 expression. The PI3K/AKT pathway's modulation of FDX1 was key to cuproptosis regulation; activating it with 740Y-P restored FDX1 levels and partially recovered osteogenic capacity. An in vivo rat model of SIONFH treated with 740Y-P demonstrated improved bone parameters, reversed osteogenic suppression, and upregulated PI3K/AKT/FDX1 expression, validating the pathway's role in cuproptosis and the agonist's therapeutic potential for treating SIONFH and glucocorticoid-associated bone disorders.

Indexed as

Femur Head NecrosisPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktSignal TransductionAnimalsCell LineCopperDexamethasoneDisease Models, AnimalFemaleFemur HeadGlucocorticoidsHumansMaleMiceOsteogenesisCopperDexamethasoneGlucocorticoidsPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktSteroids740Y-PCuproptosisDexamethasonePI3K/AKT signaling pathwaySteroid-induced osteonecrosis of the femoral head

Identifiers

PMID40089548
PMCPMC11910512

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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.