Evidence mapPaperPMID 39883563Full record

ArticleThe Journal of clinical endocrinology and metabolism2025

Bone Health and Linear Growth in Children With Familial Hypoparathyroidism Treated With Human Parathyroid Hormone 1-34.

Karen K Winer, Babette S Zemel, Andrea Kelly, James C Reynolds, Joseph Pechacek, Taura Webb, Didier Hans, Michail S Lionakis, Heidi J Kalkwarf

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Article in The Journal of clinical endocrinology and metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Karen K WinerEunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Bethesda, MD 20892-7002, USA.ORCID 0000-0001-8261-5188
Babette S ZemelDivision of Gastroenterology, Hepatology and Nutrition, The Children's Hospital of Philadelphia, Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA.
Andrea KellyDivision of Endocrinology, The Children's Hospital of Philadelphia, Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA.
James C ReynoldsNational Institutes of Health Clinical Center, Radiology and Imaging Sciences, Bethesda, MD 20892, USA.
Joseph PechacekLaboratory of Clinical Immunology & Microbiology, National Institute of Allergy & Infectious Diseases (NIAID), National Institutes of Health, Bethesda, MD 20892, USA.
Taura WebbLaboratory of Clinical Immunology & Microbiology, National Institute of Allergy & Infectious Diseases (NIAID), National Institutes of Health, Bethesda, MD 20892, USA.
Didier HansCenter of Bone Diseases, Bone and Joint Department, Lausanne University Hospital and University of Lausanne, Av. Pierre Decker 4, Lausanne 1011, Switzerland.
Michail S LionakisLaboratory of Clinical Immunology & Microbiology, National Institute of Allergy & Infectious Diseases (NIAID), National Institutes of Health, Bethesda, MD 20892, USA.
Heidi J KalkwarfGastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH 45229, USA.

Funding

NHLBI NIH HHSNIAIDNICHDNIH
6 · The paper itself

Abstract

contextOur study explores the impact of human parathyroid hormone (PTH) 1-34 injections (PTH therapy) on growth, areal bone mineral density (BMD), and bone quality (measured by trabecular bone score, TBS) in hypoparathyroidism due to autoimmune polyendocrine syndrome type 1 (APS-1) or an activating variant of the calcium sensing receptor (CaR).

objectiveTo assess associations of (1) age and PTH therapy duration with age-standardized Z-scores for height (HAZ), BMD (BMD-Z), and TBS (TBS-Z) in CaR or APS-1, and (2) APS-1 disease severity with BMD-Z and TBS-Z.

methodsThis secondary analysis pooled linear growth and lumbar spine (LS) dual-energy x-ray absorptiometry data from studies of hypoparathyroidism with mean baseline age of 13.7 ± 5.5 years. Comparing the 2 diagnostic etiologies (18 APS-1 and 9 CaR), we examined the impact of age and PTH duration on HAZ, LS-BMD-Z, and LS-TBS-Z using longitudinal mixed-effects modeling.

resultsDuring PTH therapy, mean HAZ remained below 0 in the APS-1 group at all ages, whereas HAZ increased in the CaR group (age by group interaction P < .0001). Mean LS-BMD-Z were normal (BMD-Z: 0 ± 1) for both groups. Mean LS-TBS-Z were near or above 0 and differed by group; CaR showed an upward trajectory according to time on PTH whereas the APS-1 group maintained a LS-TBS-Z of approximately 0 (time by group interaction P = .02). The APS-1 group with greater disease severity (≥7 manifestations) had lower LS-BMD-Z and LS-TBS-Z than the less severe APS-1 or CaR groups.

conclusionOur study highlights distinct growth and BMD patterns in APS-1 and CaR and underscores the need for careful monitoring and tailored treatment strategies to optimize growth and bone health.

Indexed as

Bone DensityBone DevelopmentHypoparathyroidismParathyroid HormoneTeriparatideAbsorptiometry, PhotonAdolescentBody HeightChildFemaleHormone Replacement TherapyHumansLumbar VertebraeMaleReceptors, Calcium-SensingParathyroid HormoneReceptors, Calcium-SensingTeriparatideAPECEDAPS-1BMD in childhoodCaSRTBS

Identifiers

PMID39883563
PMCPMC12448599

What Socratic holds

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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.