Evidence map›Paper›PMID 34547525›Full record

ArticleBone2022

Bone and fat hormonal crosstalk with antiretroviral initiation.

Arnold Z Olali, Qiuhu Shi, Donald R Hoover, Mariana Bucovsky, Elizabeth Shane, Michael T Yin, Ryan D Ross

Open access · greenAbstract read
In one paragraph

Article in Bone, 2022. 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
–field-weighted citation impact, top 83% 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, 2 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

7 authors at 4 institutions in 1 country.

Arnold Z OlaliDepartment of Cell & Molecular Medicine, Rush University Medical Center, Chicago, IL, United States of America.
Qiuhu ShiDepartment of Public Health, New York Medical College, Valhalla, NY, United States of America.
Donald R HooverDepartment of Statistics and Institute for Health, Health Care Policy and Aging Research, Rutgers University, Piscataway, NJ, United States of America.
Mariana BucovskyColumbia University Irving Medical Center, New York, NY, United States of America.
Elizabeth ShaneColumbia University Irving Medical Center, New York, NY, United States of America.
Michael T YinColumbia University Irving Medical Center, New York, NY, United States of America.
Ryan D RossDepartment of Cell & Molecular Medicine, Rush University Medical Center, Chicago, IL, United States of America. Electronic address: Ryan_Ross@rush.edu.
Columbia University Irving Medical Center · USRush University Medical Center · USNew York Medical College · USRutgers, The State University of New Jersey · US

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Osteoporosis in HIV Infected Postmenopausal WomenR01AI065200 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHANE, ELIZABETH J · 2005 to 2014
$6.7M
Mentoring Research in Non-infectious Complications of HIVK24AI155230 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI YIN, MICHAEL T · 2021 to 2025
$940k
Bone mass and mineral metabolism in HIV+ womenK23AI059884 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI YIN, MICHAEL T · 2004 to 2008
$647k
NCATS NIH HHS UL1 TR001873NIAID NIH HHS K23 AI059884NIAID NIH HHS K24 AI155230NIAID NIH HHS R01 AI065200
6 · The paper itself

Abstract

backgroundBone mineral density (BMD) loss and fat gain is common in people living with HIV (PLWH), particularly after initiating combination antiretroviral therapy (cART). Given the close metabolic interaction between bone and fat, we tested the hypotheses that changes in bone-derived hormones are associated with fat accumulation and changes in fat-derived hormones are associated with BMD loss following cART initiation.

methodsHIV-seropositive subjects (n = 15) initiating fixed dose cART of tenofovir disoproxil fumarate/emtricitabine/efavirenz (TDF/FTC/EFV) underwent dual X-ray absorptiometry (DXA) assessment pre-cART and again 12-months post-cART initiation. DXA-derived measurements included BMD at the lumbar spine, femoral neck, total hip, and trochanter and the trunk and total fat. Serum undercarboxylated osteocalcin (ucOCN), sclerostin, lipocalin-2, leptin, and adiponectin were measured pre and post-cART. Spearman's rank-order correlations assessed the cross-sectional associations between hormones and bone and fat mass pre- and post-cART. Linear regression models adjusting for baseline bone or fat mass assessed the association between hormone change and BMD/fat changes following cART initiation.

resultsucOCN (p = 0.04) and lipocalin-2 (p = 0.03) increased post-cART while sclerostin, leptin, and adiponectin remained unchanged. BMD significantly decreased post-cART at all skeletal sites. Trunk and total fat increased post-cART but not significantly, while weight and BMI remained unchanged. In models adjusting for baseline BMD and fat mass, change in ucOCN was negatively associated with change in trunk (p = 0.008) and total fat (p = 0.01) and the change in leptin was positively associated with change in total hip (p = 0.03) and trochanteric BMD (p = 0.02).

conclusionThe current study demonstrates bone-fat crosstalk in cART initiating PLWH.

Indexed as

Anti-HIV AgentsHIV InfectionsAbsorptiometry, PhotonBone DensityCross-Sectional StudiesEmtricitabineFemur NeckHumansAnti-HIV AgentsEmtricitabineAntiretroviralsBoneFatHIVLeptinOsteocalcin

Identifiers

PMID34547525
PMCPMC8671338
OpenAlexW3199833405

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.