Evidence map›Paper›PMID 24420643›Full record

Trial reportJournal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research2014

Teriparatide (PTH 1-34) treatment increases peripheral hematopoietic stem cells in postmenopausal women.

Elaine W Yu, Ruchit Kumbhani, Erica Siwila-Sackman, Michelle DeLelys, Frederic I Preffer, Benjamin Z Leder, Joy Y Wu

Abstract readClinical Trial
In one paragraph

Trial report in Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
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

18 citing papers in PubMed, 31 citations in OpenAlex.

  1. Trial
  2. Nf2 orchestrates β-arrestin2-biased PTH1R signaling to couple bone mass with skeletal integrity.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  3. Review
  4. Article
  5. Review
  6. Osteoblast Lineage Support of Hematopoiesis in Health and Disease.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2022
    Review
  7. Article
  8. Article
  9. Loss of Parathyroid Hormone Receptor Signaling in Osteoprogenitors Is Associated With Accumulation of Multiple Hematopoietic Lineages in the Bone Marrow.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2022
    Article
  10. Review
  11. Review
  12. Effects of Intermittent Parathyroid Hormone 1-34 Administration on Circulating Mesenchymal Stem Cells in Postmenopausal Osteoporotic Women.Medical science monitor : international medical journal of experimental and clinical research · 2019
    Article
  13. Review
  14. Article
  15. Bone Density Loss Is Associated With Blood Cell Counts.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2017
    Observational
  16. New agents in HSC mobilization.International journal of hematology · 2017
    Review
  17. PTH Signaling in Osteoprogenitors Is Essential for B-Lymphocyte Differentiation and Mobilization.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2015
    Article
  18. Review
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

7 authors at 2 institutions in 1 country.

Elaine W YuEndocrine Unit, Massachusetts General Hospital, Boston, MA, USA.
Ruchit Kumbhani
Erica Siwila-Sackman
Michelle DeLelys
Frederic I Preffer
Benjamin Z Leder
Joy Y Wu
Massachusetts General Hospital · USStratford University · US

Funding

"In vivo reconstitution of the hematopoietic niche"DP2OD008466 · OD · STANFORD UNIVERSITY · PI WU, JOY Y · 2011 to 2011
$2.4M
Role of Gsalpha in Regulating Osteoblast DifferentiationK08AR054741 · NIAMS · STANFORD UNIVERSITY · PI WU, JOY Y · 2008 to 2012
$630k
Roles of Gs Alpha and interaction with Wnt signaling in regulation of adipocyte dF32AR061228 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI SINHA, PARTHA S · 2011 to 2011
$59k
NIAMS NIH HHS AR54741NIAMS NIH HHS AR61228NIAMS NIH HHS F32 AR061228NIAMS NIH HHS K08 AR054741NIH HHS DP2 OD008466NIH HHS OD008466
6 · The paper itself

Abstract

Cells of the osteoblast lineage play an important role in regulating the hematopoietic stem cell (HSC) niche and early B-cell development in animal models, perhaps via parathyroid hormone (PTH)-dependent mechanisms. There are few human clinical studies investigating this phenomenon. We studied the impact of long-term daily teriparatide (PTH 1-34) treatment on cells of the hematopoietic lineage in postmenopausal women. Twenty-three postmenopausal women at high risk of fracture received teriparatide 20 mcg sc daily for 24 months as part of a prospective longitudinal trial. Whole blood measurements were obtained at baseline, 3, 6, 12, and 18 months. Flow cytometry was performed to identify hematopoietic subpopulations, including HSCs (CD34+/CD45(moderate); ISHAGE protocol) and early transitional B cells (CD19+, CD27-, IgD+, CD24[hi], CD38[hi]). Serial measurements of spine and hip bone mineral density (BMD) as well as serum P1NP, osteocalcin, and CTX were also performed. The average age of study subjects was 64 ± 5 years. We found that teriparatide treatment led to an early increase in circulating HSC number of 40% ± 14% (p = 0.004) by month 3, which persisted to month 18 before returning to near baseline by 24 months. There were no significant changes in transitional B cells or total B cells over the course of the study period. In addition, there were no differences in complete blood count profiles as quantified by standard automated flow cytometry. Interestingly, the peak increase in HSC number was inversely associated with increases in bone markers and spine BMD. Daily teriparatide treatment for osteoporosis increases circulating HSCs by 3 to 6 months in postmenopausal women. This may represent a proliferation of marrow HSCs or increased peripheral HSC mobilization. This clinical study establishes the importance of PTH in the regulation of the HSC niche within humans. © 2014 American Society for Bone and Mineral Research.

Indexed as

BiomarkersB-LymphocytesBone and BonesBone DensityCell CountCell LineageFemaleHematopoietic Stem CellsHumansMiddle AgedPostmenopauseTeriparatideT-LymphocytesBiomarkersTeriparatideB CELL LYMPHOPOIESISHEMATOPOIETIC STEM CELL NICHEPARATHYROID HORMONETERIPARATIDE

Identifiers

PMID24420643
PMCPMC4564394
OpenAlexW1849546311

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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 Socratic graph.