Evidence map›Paper›PMID 42472045›Full record

ArticleJournal of orthopaedic translation2026

GFRα2 identified in TBI-induced bone healing is a novel therapeutic target for osteoporosis via osteogenesis and angiogenesis.

Huibo Ti, Zhenyu Zhang, Huaxin Kang, Yuechun Chen, Keyue Zhang, Shuwen Shi, Xian Wu, Zixin Luo, Xingchen Yao, Xielin Yan and 5 more

Abstract read
In one paragraph

Article in Journal of orthopaedic translation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

15 authors.

Huibo TiInstitute of Integrated Chinese and Western Medicine, Affiliated Hospital of Jiangnan University, Wuxi, China.
Zhenyu ZhangInstitute of Integrated Chinese and Western Medicine, Affiliated Hospital of Jiangnan University, Wuxi, China.
Huaxin KangWuxi School of Medicine, Jiangnan University, Wuxi, China.
Yuechun ChenInstitute of Integrated Chinese and Western Medicine, Affiliated Hospital of Jiangnan University, Wuxi, China.
Keyue ZhangInstitute of Integrated Chinese and Western Medicine, Affiliated Hospital of Jiangnan University, Wuxi, China.
Shuwen ShiInstitute of Integrated Chinese and Western Medicine, Affiliated Hospital of Jiangnan University, Wuxi, China.
Xian WuInstitute of Integrated Chinese and Western Medicine, Affiliated Hospital of Jiangnan University, Wuxi, China.
Zixin LuoInstitute of Integrated Chinese and Western Medicine, Affiliated Hospital of Jiangnan University, Wuxi, China.
Xingchen YaoInstitute of Integrated Chinese and Western Medicine, Affiliated Hospital of Jiangnan University, Wuxi, China.
Xielin YanInstitute of Integrated Chinese and Western Medicine, Affiliated Hospital of Jiangnan University, Wuxi, China.
Junjie WuInstitute of Integrated Chinese and Western Medicine, Affiliated Hospital of Jiangnan University, Wuxi, China.
Zhengdong YuanInstitute of Integrated Chinese and Western Medicine, Affiliated Hospital of Jiangnan University, Wuxi, China.
Hao NieInstitute of Integrated Chinese and Western Medicine, Affiliated Hospital of Jiangnan University, Wuxi, China.
Feng-Lai YuanInstitute of Integrated Chinese and Western Medicine, Affiliated Hospital of Jiangnan University, Wuxi, China.
Xia LiInstitute of Integrated Chinese and Western Medicine, Affiliated Hospital of Jiangnan University, Wuxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Osteoporosis (OP) is a systemic disease featured by reduced bone mass, deteriorated microstructure and elevated fracture risk. Traditional therapies mainly target direct regulators of bone remodeling. Emerging evidence suggests a critical crosstalk between the skeletal and nervous systems. Traumatic brain injury (TBI) markedly accelerates fracture healing, which holds great potential for OP treatment, yet the underlying mechanism remains unclear. Methods: A mouse TBI plus femoral fracture model was established. Micro-CT, histomorphometry and transcriptome sequencing were performed. In vitro studies included qPCR, Western blot, ALP/Alizarin Red staining, co-culture, ELISA and tube formation assays. Ovariectomized (OVX) mice received tail vein injection of Gfrα2 overexpression plasmid or siRNA for in vivo validation. Results: TBI significantly accelerated fracture healing with elevated GFRα2 in callus BMSCs. GFRα2 promoted BMSC osteogenesis by maintaining iron homeostasis via Ferritin Heavy Chain 1 (FTH1) and enhanced angiogenesis by increasing VEGFD secretion. In OVX mice, GFRα2 overexpression markedly improved bone mineral density, trabecular microstructure, bone formation rate and intraosseous angiogenesis. Conclusions: GFRα2 serves as a key hub linking TBI to accelerated bone formation via dual effects on osteogenesis and angiogenesis. Targeting GFRα2 represents a promising therapeutic strategy against osteoporosis. The translational potential of this article: This study identifis GFRα2 as a key mediator linking traumatic brain injury-accelerated bone formation to osteogenesis and angiogenesis. Targeting GFRα2 effectively ameliorates bone loss in osteoporotic mice by restoring both bone formation and intraosseous vascularization. These findings establish a novel neuro-osteogenic regulatory axis and provide a promising molecular target for developing new therapeutic strategies to treat osteoporosis and improve fracture healing in clinical practice.

Indexed as

BMSCsBone formationDifferentiationGFRα2OsteoporosisTraumatic brain injury

Identifiers

PMID42472045
PMCPMC13380060

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.