Evidence map›Paper›PMID 34516037›Full record

ArticleOrthopaedic surgery2021

Investigation of Diagnostic Biomarkers for Osteoporosis Based on Differentially Expressed Gene Profile with QCT and mDixon-Quant Techniques.

Shan Zhu, Aixian Tian, Lin Guo, Hua Xu, Xiaofeng Li, Zhi Wang, Feng He

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Shan ZhuTianjin Hospital of Tianjin University, Tianjin, China.ORCID https://orcid.org/0000-0001-8041-0090
Aixian TianTianjin Hospital of Tianjin University, Tianjin, China.
Lin GuoTianjin Hospital of Tianjin University, Tianjin, China.
Hua XuTianjin Hospital of Tianjin University, Tianjin, China.
Xiaofeng LiTianjin Hospital of Tianjin University, Tianjin, China.
Zhi WangTianjin Hospital of Tianjin University, Tianjin, China.
Feng HeDepartment of Biomedical Engineering, School of Precision Instrument and Optoelectronic Engineering, Tianjin University, Tianjin, China.
Tianjin University · CN

Funding

Tianjin Health Science and Techology Project KJ20091Tianjin Health Science and Techology Project RC20204Tianjin Science and Technology Project in the Key Field of Traditional Chinese Mecicine 2017008
6 · The paper itself

Abstract

objectiveTo develop a comprehensive differential expression profile for osteoporosis based on two independent data sources.

methodsUsing a hindlimb unloading (HLU) rat model to mimic osteoporosis syndrome in humans (animal experiments), the significant differentially expressed mRNAs in osteoporosis were analyzed using RNA-seq. The enriched GO terms as well as KEGG signaling pathways were also deeply investigated. Using clinical specimens to verify the functions of potential hub genes (biomarkers) for osteoporosis (clinical experiments), 128 suspected cases for osteoporosis from January 2019 to December 2020 were randomly selected and analyzed by quantitative computed tomography (QCT) as well as modified Dixon quantification (mDixon-Quant) techniques in the Tianjin hospital. Among these, 80 patients out of 128 suspected cases were finally diagnosed as the osteoporosis group. Meanwhile, 48 patients were selected for osteopenia group. There was no significant age and gender difference across participant subgroups. The protein levels of potential hub genes (FST, CCL3, and RAPGEF4) were determined by ELISA double antibody sandwich method for osteopenia and osteoporosis groups from peripheral blood.

resultIn the RNA-seq analysis, compared with control group, a total of 803 differentially expressed mRNAs were identified, including 288 up-regulated and 515 down-regulated mRNAs. Of these, FST, CCL3, CPE, RAPGEF4, IL6, MDFI, PDZD2, and GATM were primary hub genes (biomarkers) for osteoporosis. These differentially expressed genes were significantly enriched in GO terms related to extracellular matrix process and KEGG signaling pathways including osteoclast differentiation. In the functional experiments, the protein expression level of FST, CCL3, and RAPGEF4 displayed a specific expression pattern between osteoporosis patients and control group. The protein concentration of FST was 23.63 ± 6.39 ng/mL in osteoporosis patients compared as 48.36 ± 9.12 ng/mL in osteopenia group (P < 0.01). Meanwhile, CCL3 was 1.03 ± 0.64 ng/mL in osteoporosis patients vs 0.56 ± 0.24 in osteopenia group (P < 0.01) and RAPGEF4 was 53.58 ± 11.42 ng/mL in osteoporosis patients vs 66.47 ± 13.28 ng/mL in osteopenia group (P < 0.05), respectively.

conclusionThis study has identified potential gene biomarkers (the genes with most significantly differential expression and useful for distinguishing osteoporosis from other bone disorders) and established a differential expression profile for osteoporosis, which is a valuable reference for future clinical research.

Indexed as

AnimalsBiomarkersChemokine CCL3Disease Models, AnimalFemaleFollistatinGene ExpressionGuanine Nucleotide Exchange FactorsHindlimb SuspensionHumansMagnetic Resonance ImagingMaleMiddle AgedOsteoporosisProtein Interaction MapsRatsBiomarkersCCL3 protein, humanChemokine CCL3FollistatinFST protein, humanGuanine Nucleotide Exchange FactorsRAPGEF4 protein, humanRNA, MessengerDifferentially expressed geneHLU ratmDixon-Quant techniquesOsteoporosisQCT

Identifiers

PMID34516037
PMCPMC8528986
OpenAlexW3200436194

What Socratic holds

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LicenceCC BY-NC-ND
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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 Socratic graph.