Evidence map›Paper›PMID 41115147›Full record

ArticleClinical and translational medicine2025

Loss of Brd4 alleviates pathological bone loss via Slc9b2 suppression in osteoclastogenesis.

Xiaohe Wang, Fangji Luo, Guiqiang Miao, Boyuan Zheng, Chenhao Xu, Vincent Kam Wai Wong, Yuanshu Peng, Rong Zeng, Jinzhu Pang, Xuguang Zhang and 5 more

Abstract read
In one paragraph

Article in Clinical and translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

15 authors.

Xiaohe WangDepartment of Bone and Joint Surgery, The First Affiliated Hospital of Jinan University & Key Laboratory of Regenerative Medicine of Ministry of Education, Jinan University, Guangzhou, Guangdong, China.ORCID 0000-0001-8582-441X
Fangji LuoDepartment of Bone and Joint Surgery, The First Affiliated Hospital of Jinan University & Key Laboratory of Regenerative Medicine of Ministry of Education, Jinan University, Guangzhou, Guangdong, China.
Guiqiang MiaoDepartment of Orthopedics, Foshan Fosun Chancheng Hospital, Foshan Clinical Medical School of Guangzhou University of Chinese Medicine, Foshan, Guangdong, China.
Boyuan ZhengDepartment of Bone and Joint Surgery, The First Affiliated Hospital of Jinan University & Key Laboratory of Regenerative Medicine of Ministry of Education, Jinan University, Guangzhou, Guangdong, China.
Chenhao XuDepartment of Bone and Joint Surgery, The First Affiliated Hospital of Jinan University & Key Laboratory of Regenerative Medicine of Ministry of Education, Jinan University, Guangzhou, Guangdong, China.
Vincent Kam Wai WongDr. Neher's Biophysics Laboratory for Innovative Drug Discovery, State Key Laboratory of Mechanism and Quality of Chinese Medicine, Macau University of Science and Technology, Macao, SAR, China.
Yuanshu PengDepartment of Materials Science and Engineering, College of Chemistry and Materials, Jinan University, Guangzhou, Guangdong, China.
Rong ZengDepartment of Materials Science and Engineering, College of Chemistry and Materials, Jinan University, Guangzhou, Guangdong, China.
Jinzhu PangMengniu Institute of Nutrition Science, Global R&D Innovation Center, Inner Mongolia Mengniu Dairy (Group), Shanghai Institute of Nutrition and Health, the Chinese Academy of Sciences, Shanghai, China.
Xuguang ZhangMengniu Institute of Nutrition Science, Global R&D Innovation Center, Inner Mongolia Mengniu Dairy (Group), Shanghai Institute of Nutrition and Health, the Chinese Academy of Sciences, Shanghai, China.
Zhenyu JuDepartment of Bone and Joint Surgery, The First Affiliated Hospital of Jinan University & Key Laboratory of Regenerative Medicine of Ministry of Education, Jinan University, Guangzhou, Guangdong, China.
Zhengang ZhaDepartment of Bone and Joint Surgery, The First Affiliated Hospital of Jinan University & Key Laboratory of Regenerative Medicine of Ministry of Education, Jinan University, Guangzhou, Guangdong, China.
Xiaogang WangDepartment of Orthopedics, Guangdong Provincial Key Laboratory of Bone and Joint Degenerative Diseases, the Third Affiliated Hospital of Southern Medical University, Guangzhou, Guangdong, China.
Xiaofei ZhengDepartment of Bone and Joint Surgery, The First Affiliated Hospital of Jinan University & Key Laboratory of Regenerative Medicine of Ministry of Education, Jinan University, Guangzhou, Guangdong, China.
Huan-Tian ZhangDepartment of Bone and Joint Surgery, The First Affiliated Hospital of Jinan University & Key Laboratory of Regenerative Medicine of Ministry of Education, Jinan University, Guangzhou, Guangdong, China.

Funding

Guangdong Basic and Applied Basic Research Foundation 2019A1515011082Guangdong Basic and Applied Basic Research Foundation 2021A1515010654Guangdong Basic and Applied Basic Research Foundation 2023A1515220037Guangdong Basic and Applied Basic Research Foundation 2023B1515020007Macau Foundation for Development of Science and Technology 0008/2024/RIA1National Natural Science Foundation of China 32271376National Natural Science Foundation of China 82072470Science and Technology Projects in Guangzhou 2023A03J1014Science and Technology Projects in Guangzhou 2024A04J6408Science and Technology Projects in Guangzhou 2025A03J4325
6 · The paper itself

Abstract

backgroundEpigenetic regulation plays a crucial role in skeletal degenerative diseases, including osteoporosis. As an epigenetic reader, bromodomain protein 4 (Brd4) is known as a key driver of gene activation; however, its role in maintaining skeletal homeostasis remains largely unknown.

methodsWe examined Brd4 expression in bone specimens from osteoporotic patients and mouse models, and generated two types of Brd4 conditional knockout mice using Lyz2-Cre and Ctsk-Cre systems. Bone mass, osteoclast differentiation, and metabolic activity were assessed under physiological and pathological conditions, including ovariectomy and lipopolysaccharide (LPS) challenge. Mechanistic analyses were performed using transcriptomic screening, gene overexpression, and pharmacological interventions.

resultsBrd4 expression was markedly elevated in bones from osteoporotic patients and mice compared with normal controls. Deletion of Brd4 increased basal bone mass and prevented bone loss induced by ovariectomy or LPS, primarily by suppressing osteoclastogenesis through inhibition of glycolysis. Unbiased screening identified solute carrier family 9 member B2 (Slc9b2) as a downstream effector of Brd4. Overexpression of Slc9b2 partially rescued the impaired osteoclastogenesis caused by Brd4 depletion. Moreover, phosphatidylserine-containing nanoliposomes loaded with Brd4-targeting PROTACs (e.g., dBET6) effectively suppressed osteoclastogenesis and alleviated pathological bone loss.

conclusionsBrd4 serves as a crucial regulator of osteoclast metabolism and differentiation. Targeting Brd4 represents a promising therapeutic strategy for the prevention and treatment of osteoporosis and pathological bone loss. KEY POINTS: Brd4 is highly expressed in osteoporotic patients and animals. Brd4 is crucial for glycolysis-mediated OC differentiation. The loss of Brd4 in bone marrow monocytes or osteoclasts increases basal bone mass and prevents pathological bone loss. Slc9b2 is a novel target of Brd4 in mediating osteoclastogenesis. Targeting Brd4 by dBET6@PSLs could alleviate osteoporosis progression.

Indexed as

Bone ResorptionCell Cycle ProteinsOsteogenesisOsteoporosisTranscription FactorsAnimalsBromodomain Containing ProteinsDisease Models, AnimalFemaleHumansMiceMice, KnockoutNuclear ProteinsOsteoclastsBRD4 protein, humanBrd4 protein, mouseBromodomain Containing ProteinsCell Cycle ProteinsNuclear ProteinsTranscription FactorsBrd4osteoclastogenesisosteoporosisSlc9b2

Identifiers

PMID41115147
PMCPMC12536888

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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.