Evidence map›Paper›PMID 38878178›Full record

ArticleCalcified tissue international2024

Effect of RANKL on Lower Depressive Symptoms In Hemodialysis Patients.

Dong-Young Lee, Yerin Chung, Beom Kim, Jae-Hon Lee, Kangbaek Lee, Young Lee, Yu Ho Lee, Shin Young Ahn, Yang Gyun Kim, Hyeon Seok Hwang and 4 more

Abstract read
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In one paragraph

Article in Calcified tissue international, 2024. 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
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.

  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

14 authors.

Dong-Young LeeDepartment of Internal Medicine, Veterans Healthcare Service Medical Center, Seoul, Republic of Korea.ORCID 0000-0003-4963-8286
Yerin ChungDepartment of Internal Medicine, Veterans Healthcare Service Medical Center, Seoul, Republic of Korea.ORCID 0009-0008-1094-0967
Beom KimDepartment of Internal Medicine, Veterans Healthcare Service Medical Center, Seoul, Republic of Korea.
Jae-Hon LeeDepartment of Psychiatry, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.ORCID 0000-0002-9490-2050
Kangbaek LeeYonsei Miso Dental Clinic, Seongnam, Republic of Korea.ORCID 0000-0001-6601-1368
Young LeeVeterans Healthcare Service Medical Center, Veterans Medical Research Institute, Seoul, Republic of Korea.ORCID 0000-0003-0178-0187
Yu Ho LeeDivision of Nephrology, Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Republic of Korea.ORCID 0000-0001-5231-0551
Shin Young AhnDepartment of Internal Medicine, College of Medicine, Korea University, Seoul, Republic of Korea.ORCID 0000-0002-6844-0614
Yang Gyun KimDivision of Nephrology, Department of Internal Medicine, Kyung Hee University, Seoul, Republic of Korea.ORCID 0000-0002-3497-5514
Hyeon Seok HwangDivision of Nephrology, Department of Internal Medicine, Kyung Hee University, Seoul, Republic of Korea.ORCID 0000-0002-6356-4933
Ju-Young MoonDivision of Nephrology, Department of Internal Medicine, Kyung Hee University, Seoul, Republic of Korea.ORCID 0000-0003-3244-8371
Jae-Hong RyooDepartments of Occupational and Environmental Medicine, School of Medicine, Kyung Hee University, Seoul, Republic of Korea.ORCID 0000-0002-5232-1426
Kayla M TeopizMood Disorders Psychopharmacology Unit, Poul Hansen Family Centre for Depression, University of Health Network, Toronto, ON, Canada.ORCID 0000-0001-8429-6563
Roger S McIntyreMood Disorders Psychopharmacology Unit, Poul Hansen Family Centre for Depression, University of Health Network, Toronto, ON, Canada. roger.mcintyre@bcdf.org.ORCID 0000-0003-4733-2523

Funding

Veterans Health Service Medical Center Research Grant VHSMC23035
6 · The paper itself

Abstract

Depression and osteoporosis are common diseases in dialysis patients. In addition, patients with osteoporosis are more susceptible to depression. Contrary to previous anti-osteoporosis agents, denosumab and romosozumab could be used in dialysis patients and have similar action mechanisms for blocking RANKL. RANKL causes bone resorption after binding RANKL, but binding with OPG leads to suppress of bone resorption. In recent mice study, inhibition of RANKL with denosumab improved depressive-like phenotype. Besides, it was found that OPG was associated with depression. Therefore, this study aimed to investigate the association of depressive symptoms with RANKL and OPG in hemodialysis patients. We conducted a cross-sectional study with a total of 172 hemodialysis patients. The participants were measured for plasma RANKL, OPG, MMP-2, and MMP-9 levels. Logistic regression analysis was performed to evaluate the effect of RANKL and OPG on the presence of depressive symptoms. The depressive symptoms were observed in 90 (52.3%) subjects. RANKL tertile 3 had negative association with BDI score (β - 4.527, 95% CI - 8.310 to - 0.743) in univariate analysis, and this association persisted even after multivariate adjustments (β - 5.603, 95% CI - 9.715 to -1.491) in linear regression. In logistic regression between RANKL tertiles and depressive symptoms, RANKL tertile 3 had significantly lower unadjusted OR (0.40, 95% CI 0.19-0.86), and multivariate-adjusted OR (0.31, 95% CI 0.12-0.82) for depressive symptoms. OPG was not significantly associated with depressive symptoms. Higher plasma RANKL concentrations were significantly associated with lower depressive symptoms in HD patients.Trial registration WHO registry, No. KCT0003281, date: January 12, 2017.

Indexed as

DepressionRANK LigandRenal DialysisAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedOsteoporosisOsteoprotegerinOsteoprotegerinRANK LigandTNFSF11 protein, humanDepressive symptomsEnd stage renal diseaseHemodialysisMood disordersOsteoprotegerinRANKL

Identifiers

PMID38878178

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.