Evidence map›Paper›PMID 41530944›Full record

ReviewAnnals of medicine2026

The retinoic acid-related orphan receptors (RORs) signaling axis in skeletal homeostasis: mechanistic insights and chronotherapeutic prospects.

Liangsheng Wei, Qiaoning Yue, Dayong Yang, Shaogang Miao, Mingyao Lu, Zidan Zhang, Xiaoyan Liang, Xiguang Zhang, Yi Zhang

Abstract readReview
In one paragraph

Review in Annals of medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. New insights into the skeletal muscle circadian clock in ruminants.Journal of animal science and biotechnology · 2026
    Review
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

9 authors.

Liangsheng WeiKunming Medical University, Kunming, China.
Qiaoning YueKunming Medical University, Kunming, China.
Dayong YangCangyuan Wa Autonomous County People's Hospital, Lincang, China.
Shaogang MiaoDepartment of Orthopedic, Sixth Affiliated Hospital of Kunming Medical University: People's Hospital of Yuxi City, Yuxi, China.
Mingyao LuDali University, Dali, China.
Zidan ZhangKunming Medical University, Kunming, China.
Xiaoyan LiangZunyi Medical University, Zunyi, China.
Xiguang ZhangDepartment of Orthopedic, Sixth Affiliated Hospital of Kunming Medical University: People's Hospital of Yuxi City, Yuxi, China.
Yi ZhangDepartment of Orthopedic, Sixth Affiliated Hospital of Kunming Medical University: People's Hospital of Yuxi City, Yuxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe global rise in aging populations has substantially increased the clinical and socioeconomic burden of osteoporosis (OP), a disorder characterized by impaired bone formation and excessive resorption. Disruption of circadian rhythmicity is increasingly recognized as a significant contributor to skeletal fragility and fracture risk. The retinoic acid-related orphan receptor (ROR) family-RORα, RORβ, and RORγ-integrates circadian regulation with immune and metabolic pathways essential to bone remodeling, presenting emerging therapeutic opportunities.

methodsWe systematically synthesized current evidence spanning four major dimensions of ROR biology relevant to skeletal physiology: (1) structural characteristics and ligand specificity, (2) subtype-dependent roles in bone homeostasis, (3) molecular and cellular regulatory mechanisms, and (4) translational progress and therapeutic potential, including chronopharmacological strategies.

resultsRORα/β/γ exhibit distinct ligand-binding architectures that confer subtype-specific transcriptional regulation, enabling coordinated control over osteoblast, osteoclast, and osteocyte activity. Functionally, RORα promotes osteogenesis and supports circadian transcriptional oscillation; RORβ acts as a transcriptional repressor limiting osteoblast differentiation; and RORγt mediates osteoimmune crosstalk

conclusionsRORα, RORβ, and RORγ function as complementary regulators of bone homeostasis and represent compelling targets for precision therapeutics against OP and related skeletal disorders. Future research should prioritize defining spatiotemporal regulation within bone microenvironments, quantifying immune-mediated RORγt signaling, and optimizing chronopharmacological strategies to enable time-synchronized, subtype-selective interventions.

Indexed as

Bone and BonesOsteoporosisAnimalsBone RemodelingCircadian RhythmHomeostasisHumansNuclear Receptor Subfamily 1, Group F, Member 1Nuclear Receptor Subfamily 1, Group F, Member 2Nuclear Receptor Subfamily 1, Group F, Member 3OsteoclastsOsteogenesisSignal TransductionNuclear Receptor Subfamily 1, Group F, Member 1Nuclear Receptor Subfamily 1, Group F, Member 2Nuclear Receptor Subfamily 1, Group F, Member 3Bone metabolismcircadian rhythmorphan nuclear receptorsosteoimmunologyROR family

Identifiers

PMID41530944
PMCPMC12805853

What Socratic holds

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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.