Evidence map›Paper›PMID 41294017›Full record

ArticleJournal of cellular and molecular medicine2025

Statins Regulate Stem Cell Growth Factor-β to Balance Osteogenesis and Adipogenesis in Mesenchymal Stem Cells, Endowing Anti-Osteonecrosis Effects.

Fangzhou Fan, Yu Chen, Weiyan Peng, Wenlong Yan, Hao Tan, Chengxuan Zhang, Siyu Tan, Qian Xiao, Yuan Gao, Jian Zhang and 2 more

Abstract read
In one paragraph

Article in Journal of cellular and molecular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Fangzhou FanDepartment of Orthopedics, Chongqing Municipal Health Commission Key Laboratory of Musculoskeletal Regeneration and Translational Medicine, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Yu ChenDepartment of Orthopedics, Chongqing Municipal Health Commission Key Laboratory of Musculoskeletal Regeneration and Translational Medicine, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Weiyan PengChongqing Key Laboratory of Molecular Oncology and Epigenetics, Department of Breast and Thyroid Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Wenlong YanDepartment of Orthopedics, Chongqing Municipal Health Commission Key Laboratory of Musculoskeletal Regeneration and Translational Medicine, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Hao TanDepartment of Orthopedics, Chongqing Municipal Health Commission Key Laboratory of Musculoskeletal Regeneration and Translational Medicine, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Chengxuan ZhangDepartment of Orthopedics, Chongqing Municipal Health Commission Key Laboratory of Musculoskeletal Regeneration and Translational Medicine, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Siyu TanDepartment of Orthopedics, Chongqing Municipal Health Commission Key Laboratory of Musculoskeletal Regeneration and Translational Medicine, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Qian XiaoDepartment of Geriatrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.ORCID 0000-0001-8855-6561
Yuan GaoDepartment of Geriatrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Jian ZhangDepartment of Orthopedics, Chongqing Municipal Health Commission Key Laboratory of Musculoskeletal Regeneration and Translational Medicine, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Lei LiuChongqing Key Laboratory of Molecular Oncology and Epigenetics, Department of Breast and Thyroid Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Chengjie LianDepartment of Orthopaedics, Sports Injury Division, Fujian Medical University Union Hospital, Fuzhou, China.ORCID 0000-0001-6600-4141

Funding

Chongqing medical scientific research project-Joint project of Chongqing Health Commission and Science and Technology Bureau 2024GDRC006Chongqing Natural Science Foundation CSTB2022NSCQ-MSX0929Chongqing Natural Science Foundation CSTB2023NSCQ-LZX0018Chongqing Natural Science Foundation CSTB2024NSCQ-MSX0952Chongqing Youth Talent Support Program CQYC2020057957Doctoral Research Innovation Project of the First Affiliated Hospital of Chongqing Medical University CYYY-BSYJSKYCXXM202404Fujian Provincial Natural Science Foundation of China 2025J01127Future Medical Youth Innovation Team Project of Chongqing Medical University W0042Natural Science Foundation of China 32271179Natural Science Foundation of China 82102610Natural Science Foundation of China 82473020Research project of Fujian Medical University Union Hospital 2024XH034The Graduate Advisor Team Project of the First Affiliated Hospital of Chongqing Medical University CYYY-DSTDXM-202407The Graduate Advisor Team Project of the First Affiliated Hospital of Chongqing Medical University CYYY-XKDFJH-DSTD-202405The Science and Technology Research Project of Chongqing Education Commission KJQN202200404The Science and Technology Research Project of Chongqing Education Commission KJQN202200441The Science and Technology Research Project of Chongqing Sports Bureau A202206The Science and Technology Research Project of Chongqing Sports Bureau C202124
6 · The paper itself

Abstract

Dyslipidaemia has been implicated in osteonecrosis through some clinical studies. However, a direct causal relationship between hyperlipidaemia and osteonecrosis remains unconfirmed, and whether lipid-lowering agents could be used to treat osteonecrosis remains unclear. This study aimed to investigate the causal role of lipid traits in osteonecrosis using Mendelian randomisation (MR) analysis, assess the potential effects and mechanisms of lipid-lowering drug targets on osteonecrosis risk and validate these findings through experimental approaches. Genome-wide association study (GWAS) data were used to analyse lipid traits, drug targets and FinnGen osteonecrosis. Statin effects were further studied in a rat model of steroid-induced osteonecrosis and in vitro cell models. MR analysis revealed a significant association between LDL-C and increased osteonecrosis risk. Genetic mimicry of HMGCR inhibitors was associated with reduced osteonecrosis risk, which was validated through colocalisation. Stem cell growth factor-β (SCGF-β) was identified as a mediator of 21.3% of HMGCR inhibitors' effect on osteonecrosis risk. Further studies confirmed simvastatin's alleviating effect on SONFH, suggesting that simvastatin promotes osteogenesis and inhibits adipogenesis of mesenchymal stem cells (MSCs), partly mediated by SCGF-β upregulation, which activates the Wnt signalling pathway. Our findings supported dyslipidaemia as a causal factor for osteonecrosis, highlighting HMGCR as a promising therapeutic target.

Indexed as

AdipogenesisHydroxymethylglutaryl-CoA Reductase InhibitorsMesenchymal Stem CellsOsteogenesisOsteonecrosisAnimalsDisease Models, AnimalGenome-Wide Association StudyHumansMaleRatsRats, Sprague-DawleySimvastatinHydroxymethylglutaryl-CoA Reductase InhibitorsSimvastatinmendelian randomisationmesenchymal stem cellsosteonecrosisstatinsstem cell growth factor‐β

Identifiers

PMID41294017
PMCPMC12648295

What OpenQuestion holds

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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.