Evidence map›Paper›PMID 42589698›Full record

ArticleInternational journal of molecular sciences2026

Osteoglycin and Sclerostin Imbalance in Hypophosphatasia: Bone-Derived Markers of Mineralization and Systemic Involvement.

Luis Martínez-Heredia, Clara Toro-Comino, María José Muñoz-Domene, Trinidad González-Cejudo, María Carmen Andreo-López, Victoria Contreras-Bolívar, Cristina García-Fontana, Beatriz García-Fontana, Manuel Muñoz-Torres

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2026. 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

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.

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Luis Martínez-HerediaInstituto de Investigación Biosanitaria de Granada (Ibs. Granada), 18012 Granada, Spain.ORCID 0000-0001-9330-8108
Clara Toro-CominoInstituto de Investigación Biosanitaria de Granada (Ibs. Granada), 18012 Granada, Spain.
María José Muñoz-DomeneInstituto de Investigación Biosanitaria de Granada (Ibs. Granada), 18012 Granada, Spain.ORCID 0009-0008-1181-679X
Trinidad González-CejudoInstituto de Investigación Biosanitaria de Granada (Ibs. Granada), 18012 Granada, Spain.
María Carmen Andreo-LópezInstituto de Investigación Biosanitaria de Granada (Ibs. Granada), 18012 Granada, Spain.ORCID 0009-0002-7452-4387
Victoria Contreras-BolívarInstituto de Investigación Biosanitaria de Granada (Ibs. Granada), 18012 Granada, Spain.
Cristina García-FontanaInstituto de Investigación Biosanitaria de Granada (Ibs. Granada), 18012 Granada, Spain.ORCID 0000-0002-9328-6022
Beatriz García-FontanaInstituto de Investigación Biosanitaria de Granada (Ibs. Granada), 18012 Granada, Spain.ORCID 0000-0002-4134-5561
Manuel Muñoz-TorresInstituto de Investigación Biosanitaria de Granada (Ibs. Granada), 18012 Granada, Spain.ORCID 0000-0002-9645-3260

Funding

Instituto de Salud Carlos III CB16/10/00475Instituto de Salud Carlos III CP22/00022Instituto de Salud Carlos III PI21/01069Junta de Andalucía C1-0001-2024Junta de Andalucía EXC-2023-06
6 · The paper itself

Abstract

Hypophosphatasia (HPP) is a rare inherited disorder caused by deficient tissue-nonspecific alkaline phosphatase (TNSALP) activity and classically characterized by impaired mineralization processes, although growing evidence suggests broader systemic involvement beyond bone. This cross-sectional study aimed to characterize circulating levels of osteoglycin and sclerostin in patients with HPP and to explore their relationships with TNSALP activity and systemic clinical-biochemical profiles. This cross-sectional study included 25 genetically confirmed HPP patients and 25 age- and sex-matched controls without cardiovascular disease. Circulating osteoglycin and sclerostin were measured by ELISA, and clinical, metabolic, renal, inflammatory, cardiovascular, and bone-related variables were assessed. HPP patients showed lower osteoglycin and higher sclerostin levels compared with controls. Osteoglycin was mainly associated with ALP activity and mineral-related variables, while sclerostin showed broader associations involving glycemic, inflammatory, renal, and cardiovascular domains. In multivariable analyses, osteoglycin was linked to ALP, renal and inflammatory markers, whereas sclerostin was associated with glycemic, mineral, inflammation, and circulatory markers. Overall, osteoglycin variability appeared mainly driven by mineral-related factors, while sclerostin was more influenced by metabolic and inflammatory domains. In conclusion, HPP is associated with an imbalance in circulating bone-derived proteins, characterized by reduced osteoglycin and increased sclerostin, suggesting systemic alterations in bone-related signaling beyond impaired mineralization.

Indexed as

Adaptor Proteins, Signal TransducingCalcification, PhysiologicHypophosphatasiaIntercellular Signaling Peptides and ProteinsAdolescentAdultAlkaline PhosphataseBiomarkersBone and BonesCross-Sectional StudiesFemaleHumansMaleAdaptor Proteins, Signal TransducingAlkaline PhosphataseBiomarkersIntercellular Signaling Peptides and ProteinsOGN protein, humanSOST protein, humanalkaline phosphatasehypophosphatasiaosteoglycinsclerostinsystemic diseases

Identifiers

PMID42589698
PMCPMC13467457

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.