Evidence map›Paper›PMID 31578308›Full record

ArticleJCI insight2019

HTLV-1 viral oncogene HBZ drives bone destruction in adult T cell leukemia.

Jingyu Xiang, Daniel A Rauch, Devra D Huey, Amanda R Panfil, Xiaogang Cheng, Alison K Esser, Xinming Su, John C Harding, Yalin Xu, Gregory C Fox and 12 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 30% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Does pre-checkpoint inhibitor sarcopenia, visceral, or subcutaneous fat predict survival in non-small cell lung cancer patients?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Mouse Models for HTLV-1 Infection and Adult T Cell Leukemia.International journal of molecular sciences · 2023
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. When Viruses Cross Developmental Pathways.Frontiers in cell and developmental biology · 2021
    Review
  15. 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

22 authors at 4 institutions in 1 country.

Jingyu XiangDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, Missouri, USA.
Daniel A RauchDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, Missouri, USA.
Devra D HueyCenter for Retrovirus Research, Department of Veterinary Biosciences, The Ohio State University, Columbus, Ohio, USA.
Amanda R PanfilCenter for Retrovirus Research, Department of Veterinary Biosciences, The Ohio State University, Columbus, Ohio, USA.
Xiaogang ChengDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, Missouri, USA.
Alison K EsserDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, Missouri, USA.
Xinming SuDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, Missouri, USA.
John C HardingDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, Missouri, USA.
Yalin XuDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, Missouri, USA.
Gregory C FoxDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, Missouri, USA.
Francesca FontanaDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, Missouri, USA.
Takayuki KobayashiDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, Missouri, USA.
Junyi SuDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, Missouri, USA.
Hemalatha SundaramoorthiDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, Missouri, USA.
Wing Hing WongDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, Missouri, USA.
Yizhen JiaDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, Missouri, USA.
Thomas J RosolCenter for Retrovirus Research, Department of Veterinary Biosciences, The Ohio State University, Columbus, Ohio, USA.
Deborah J VeisDepartment of Medicine, Division of Bone and Mineral Diseases, St. Louis, Missouri, USA.
Patrick L GreenCenter for Retrovirus Research, Department of Veterinary Biosciences, The Ohio State University, Columbus, Ohio, USA.
Stefan NiewieskCenter for Retrovirus Research, Department of Veterinary Biosciences, The Ohio State University, Columbus, Ohio, USA.
Lee RatnerDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, Missouri, USA.
Katherine N WeilbaecherDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, Missouri, USA.
Washington University in St. Louis · USThe Ohio State University · USMissouri Bone and Joint Center · USOhio University · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
NATIONAL RESEARCH SERVICE AWARD-MEDICAL SCIENTISTT32GM007200 · NIGMS · WASHINGTON UNIVERSITY · PI YOKOYAMA, WAYNE M. · 1985 to 2024
$59.8M
Role of Inflammation in Tax-mediated TumorigenesisP01CA100730 · NCI · WASHINGTON UNIVERSITY · PI Lee Ratner · 2003 to 2026
$44.8M
Resource Based Center for Musculoskeletal Biology and Medicine (Overall Application)P30AR074992 · NIAMS · WASHINGTON UNIVERSITY · PI MATTHEW J SILVA · 2019 to 2026
$6.8M
The Role of the Osteoblast Secretome in Bone FormationP30AR057235 · NIAMS · WASHINGTON UNIVERSITY · PI SWARNKAR, GAURAV · 2009 to 2018
$5.7M
MOLECULAR ONCOLOGY TRAINING GRANTT32CA113275 · NCI · WASHINGTON UNIVERSITY · PI Matthew J Walter · 2006 to 2026
$5.7M
Skeletal Disorders Training ProgramT32AR060719 · NIAMS · WASHINGTON UNIVERSITY · PI Roberto Civitelli · 2011 to 2026
$4.6M
PROLIFERATIVE EFFECTS OF HTLV1R01CA063417 · NCI · WASHINGTON UNIVERSITY · PI RATNER, LEE · 1995 to 2017
$3.7M
ROLE OF BETA 3 INTEGRIN IN SKELETAL METASTASISR01CA097250 · NCI · WASHINGTON UNIVERSITY · PI WEILBAECHER, KATHERINE NELSON · 2003 to 2014
$3.3M
NEXT GENERATION APPROACHES TO BREAST CANCER USING IMAGE GUIDED DRUG DELIVERYR01CA154737 · NCI · WASHINGTON UNIVERSITY · PI LANZA, GREGORY M, PAN, DIPANJAN · 2011 to 2015
$2.4M
Role of Mitochondrial Dynamics In Bone HomeostasisR01AR070030 · NIAMS · WASHINGTON UNIVERSITY · PI VEIS, DEBORAH J · 2016 to 2020
$1.8M
ROLE OF BETA 3 INTEGRIN IN SKELETAL METASTASISR56CA097250 · NCI · WASHINGTON UNIVERSITY · PI WEILBAECHER, KATHERINE NELSON · 2009 to 2009
$330k
NCI NIH HHS P01 CA100730NCI NIH HHS P30 CA091842NCI NIH HHS R01 CA063417NCI NIH HHS R01 CA097250NCI NIH HHS R01 CA154737NCI NIH HHS R56 CA097250NCI NIH HHS T32 CA113275NCRR NIH HHS S10 RR027552NIAMS NIH HHS P30 AR057235NIAMS NIH HHS P30 AR074992NIAMS NIH HHS R01 AR070030NIAMS NIH HHS T32 AR060719NIGMS NIH HHS T32 GM007200
6 · The paper itself

Abstract

Osteolytic bone lesions and hypercalcemia are common, serious complications in adult T cell leukemia/lymphoma (ATL), an aggressive T cell malignancy associated with human T cell leukemia virus type 1 (HTLV-1) infection. The HTLV-1 viral oncogene HBZ has been implicated in ATL tumorigenesis and bone loss. In this study, we evaluated the role of HBZ on ATL-associated bone destruction using HTLV-1 infection and disease progression mouse models. Humanized mice infected with HTLV-1 developed lymphoproliferative disease and continuous, progressive osteolytic bone lesions. HTLV-1 lacking HBZ displayed only modest delays to lymphoproliferative disease but significantly decreased disease-associated bone loss compared with HTLV-1-infected mice. Gene expression array of acute ATL patient samples demonstrated increased expression of RANKL, a critical regulator of osteoclasts. We found that HBZ regulated RANKL in a c-Fos-dependent manner. Treatment of HTLV-1-infected humanized mice with denosumab, a monoclonal antibody against human RANKL, alleviated bone loss. Using patient-derived xenografts from primary human ATL cells to induce lymphoproliferative disease, we also observed profound tumor-induced bone destruction and increased c-Fos and RANKL gene expression. Together, these data show the critical role of HBZ in driving ATL-associated bone loss through RANKL and identify denosumab as a potential treatment to prevent bone complications in ATL patients.

Indexed as

AdultAnimalsBasic-Leucine Zipper Transcription FactorsBone and BonesBone ResorptionDisease Models, AnimalDisease ProgressionFemaleGene Expression Regulation, NeoplasticHeterograftsHumansHuman T-lymphotropic virus 1Kaplan-Meier EstimateLeukemia-Lymphoma, Adult T-CellMaleMiceBasic-Leucine Zipper Transcription FactorsHBZ protein, human T-cell leukemia virus type IRANK LigandRetroviridae ProteinsTNFSF11 protein, humanTnfsf11 protein, mouseBone BiologyBone diseaseOncogenesOncology

Identifiers

PMID31578308
PMCPMC6795409
OpenAlexW2978725699

What Socratic holds

Textmetadata
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.