Evidence map›Paper›PMID 40564162›Full record

ReviewBiomedicines2025

Beyond Bone Loss: A Biology Perspective on Osteoporosis Pathogenesis, Multi-Omics Approaches, and Interconnected Mechanisms.

Yixin Zhao, Jihan Wang, Lijuan Xu, Haofeng Xu, Yu Yan, Heping Zhao, Yuzhu Yan

Abstract readReview
In one paragraph

Review in Biomedicines, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
–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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pharmacological effects ofFrontiers in pharmacology · 2026
    Pooled it
  2. Pooled it
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  7. FeBioengineering (Basel, Switzerland) · 2026
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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.

Yixin ZhaoClinical Laboratory of Honghui Hospital, Xi'an Jiaotong University, Xi'an 710054, China.
Jihan WangYan'an Medical College, Yan'an University, Yan'an 716000, China.
Lijuan XuClinical Laboratory of Honghui Hospital, Xi'an Jiaotong University, Xi'an 710054, China.
Haofeng XuClinical Laboratory of Honghui Hospital, Xi'an Jiaotong University, Xi'an 710054, China.
Yu YanClinical Laboratory of Honghui Hospital, Xi'an Jiaotong University, Xi'an 710054, China.
Heping ZhaoClinical Laboratory of Honghui Hospital, Xi'an Jiaotong University, Xi'an 710054, China.
Yuzhu YanClinical Laboratory of Honghui Hospital, Xi'an Jiaotong University, Xi'an 710054, China.ORCID 0000-0003-1355-0266

Funding

the Project of Xi'an Science and Technology 22YXYJ0041Youth Cultivation Project of Xi'an Health Commission No. 2025qn08
6 · The paper itself

Abstract

Osteoporosis is a systemic bone disorder characterized by decreased bone mass and deteriorated microarchitecture, leading to an increased risk of fractures. Recent studies have revealed that its pathogenesis involves complex biological processes beyond bone remodeling, including oxidative stress, chronic inflammation, cellular senescence, osteoimmunology, gut microbiota alterations, and epigenetic modifications. Oxidative stress disrupts bone homeostasis by promoting excessive free radical production and osteoclast activity. Chronic inflammation and the accumulation of senescent cells impair skeletal repair mechanisms. Advances in osteoimmunology have highlighted the critical role of immune-bone crosstalk in regulating bone resorption and formation. Moreover, the gut-bone axis, mediated by microbial metabolites, influences bone metabolism through immune and endocrine pathways. Epigenetic changes, such as DNA methylation and histone modification, contribute to gene-environment interactions, affecting disease progression. Multi-omics approaches (genomics, proteomics, and metabolomics) systematically identify molecular networks and comorbid links with diabetes/cardiovascular diseases, revealing pathological feedback loops that exacerbate bone loss. In conclusion, osteoporosis pathogenesis extends beyond bone remodeling to encompass systemic inflammation, immunometabolic dysregulation, and gut microbiota-host interactions. Future research should focus on integrating multi-omics biomarkers with targeted therapies to advance precision medicine strategies for osteoporosis prevention and treatment.

Indexed as

bone remodelingepigeneticsmulti-omicsosteoimmunologyosteoporosis pathogenesis

Identifiers

PMID40564162
PMCPMC12190919

What Socratic holds

Textmetadata
LicenceCC BY
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.