Recent Advances in Osteonecrosis of the Femoral Head: A Focus on Mesenchymal Stem Cells and Adipocytes
Open accessAbstract
Osteonecrosis of the femoral head (ONFH) is a debilitating orthopedic disease characterized by femoral head collapse and destruction of bone and articular cartilage, resulting in severe joint pain and loss of hip mobility. Bone marrow mesenchymal stem cells (BMSCs) exhibit multilineage differentiation potential, including osteoblasts, adipocytes, fibroblasts, chondrocytes, and neurocytes. The imbalance between osteogenesis and adipogenesis in BMSCs plays a critical role in ONFH pathogenesis. Factors such as alcohol consumption and glucocorticoid exposure promote adipogenic differentiation while inhibiting osteogenic differentiation, leading to excessive adipocyte accumulation, reduced bone formation, and vascular impairment. We highlight the molecular mechanisms underlying ONFH with a particular focus on the role of BMSCs and further discuss the involvement of adipocytes. Moreover, we suggest that the use of adipose-derived mesenchymal stem cells (ADMSCs) is a viable approach for stem cell therapy and may have immense potential in ONFH. Several signaling pathways, including the Wnt, TGFβ/BMP, and PI3K/AKT pathways, along with various RNAs and other regulators, govern the osteogenesis and adipogenesis of BMSCs. These signaling pathways target essential transcription factors, such as Runx2 for osteogenesis and PPARγ and C/EBPs for adipogenesis. Adipocytes and their secreted adipokines, including leptin and adiponectin, strongly influence ONFH progression. Emerging therapies involving ADMSCs show potential for promoting bone regeneration and neovascularization. Our review provides a comprehensive overview of the current understanding of ONFH mechanisms by focusing on mesenchymal stem cells and adipocytes and suggests future research directions for therapeutic interventions.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Leptin activates the PI3K/Akt pathway, which inhibits FoxO1 and supports appetite suppression.
“Simultaneously, leptin activates the PI3K/Akt pathway, which inhibits the transcription factor Forkhead box protein O1 (FoxO1) and supports appetite suppression”
From Exercise-Induced Muscle–Fat Crosstalk: Molecular Mediators and Their Pharmacological Modulation for the Maintenance of Metabolic Flexibility in Aging (2025) · cites this paper as [83]
The adipokines section discusses leptin’s effects on bone-cell differentiation and JAK3/STAT3 signaling. The PI3K/AKT section discusses bone-marrow stem-cell differentiation, but does not link that pathway to leptin. Searches for FoxO1 and appetite suppression found no passage supporting the claimed mechanism. (LLM, conf=0.74)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
2 retracted
Liao, W., Yu, N., Xu, H., Zou, W.-Z., Hu, J., Liu, X., Yang, Y., & Li, Z.-H. (2019) · Clinical Science · doi:10.1042/cs20181064 · Cited by 143 · see citing works
Self-citationRetractedQiu, Y., Luo, Y., Guo, G., Meng, J., Bao, N., & Jiang, H. (2024) · International Journal of Biological Macromolecules · doi:10.1016/j.ijbiomac.2024.136177 · Cited by 10 · see citing works
RetractedKomori, T., Yagi, H., Nomura, S., Yamaguchi, A., Sasaki, K., Deguchi, K., Shimizu, Y., Bronson, R. T., Gao, Y.-H., Inada, M., et al. (1997) · Cell · doi:10.1016/s0092-8674(00)80258-5 · Cited by 4,244 · see citing works
Convergence of Wnt, ß-Catenin, and Cadherin Pathways
Nelson, W. J., & Nusse, R. (2004) · Science · doi:10.1126/science.1094291 · Cited by 2,515 · see citing works
TGF-β and BMP Signaling in Osteoblast Differentiation and Bone Formation
Chen, G., Deng, C., & Li, Y.-P. (2012) · International Journal of Biological Sciences · doi:10.7150/ijbs.2929 · Cited by 1,756 · see citing works
Fate decision of mesenchymal stem cells: adipocytes or osteoblasts?
Chen, Q., Shou, P., Zheng, C., Jiang, M., Cao, G., Yang, Q., Cao, J., Xie, N., Velletri, T., Zhang, X., et al. (2016) · Cell Death and Differentiation · doi:10.1038/cdd.2015.168 · Cited by 1,245 · see citing works
Changes in phenotype and differentiation potential of human mesenchymal stem cells aging in vitro
Yang, Y.-H. K., Ogando, C. R., See, C. W., Chang, T.-Y., & Barabino, G. A. (2018) · Stem Cell Research & Therapy · doi:10.1186/s13287-018-0876-3 · Cited by 637 · see citing works
Adipose-derived and bone marrow mesenchymal stem cells: A donor-matched comparison
Mohamed-Ahmed, S., Fristad, I., Lie, S. A., Suliman, S., Mustafa, K., Vindenes, H., & Idris, S. B. (2018) · Stem Cell Research & Therapy · doi:10.1186/s13287-018-0914-1 · Cited by 515 · see citing works
Zhu, S., Chen, W., Masson, A., & Li, Y. (2024) · Cell Discovery · doi:10.1038/s41421-024-00689-6 · Cited by 513 · see citing works
Cawthorn, W., Scheller, E., Learman, B. S., Parlee, S., Simon, B., Mori, H., Ning, X.-M., Bree, A. J., Schell, B. A., Broome, D. T., et al. (2014) · Cell Metabolism · doi:10.1016/j.cmet.2014.06.003 · Cited by 506 · see citing works
Convergence between bone and energy homeostases: Leptin regulation of bone mass
Karsenty, G. (2006) · Cell Metabolism · doi:10.1016/j.cmet.2006.10.008 · Cited by 415 · see citing works
Osteonecrosis of the Femoral Head: an Updated Review of ARCO on Pathogenesis, Staging and Treatment
Hines, J. T., Jo, W.-L., Cui, Q., Mont, M. A., Koo, K., Cheng, E. Y., Goodman, S. B., Ha, Y., Hernigou, P., Jones, L. C., et al. (2021) · Journal of Korean Medical Science · doi:10.3346/jkms.2021.36.e177 · Cited by 250 · see citing works
Yu, W. H., Zhong, L., Yao, L., Wei, Y., Gui, T., Li, Z., Kim, H., Holdreith, N., Jiang, X., Tong, W., et al. (2020) · Journal of Clinical Investigation · doi:10.1172/jci140214 · Cited by 214 · see citing works
Self-citationAlcohol-Induced Adipogenesis in Bone and Marrow: A Possible Mechanism for Osteonecrosis
Wang, Y., Li, Y., Mao, K., Li, J., Cui, Q., & Wang, G. (2003) · Clinical Orthopaedics and Related Research · doi:10.1097/01.blo.0000063602.67412.83 · Cited by 199 · see citing works
Chen, X., Shen, Y.-S., He, M., Yang, F., Yang, P., Pang, F., He, W., Cao, Y., & Wei, Q. (2019) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2019.108746 · Cited by 192 · see citing works
Bone marrow adipose tissue is a unique adipose subtype with distinct roles in glucose homeostasis
Suchacki, K., Tavares, A., Mattiucci, D., Scheller, E., Papanastasiou, G., Gray, C. D., Sinton, M. C., Ramage, L., McDougald, W. A., Lovdel, A., et al. (2020) · Nature Communications · doi:10.1038/s41467-020-16878-2 · Cited by 183 · see citing works
Miyanishi, K., Yamamoto, T., Irisa, T., Yamashita, A., Jingushi, S., Noguchi, Y., & Iwamoto, Y. (2002) · Bone · doi:10.1016/s8756-3282(01)00663-9 · Cited by 175 · see citing works
Han, L., Wang, B., Wang, R., Gong, S., Chen, G., & Xu, W. (2019) · Stem Cell Research & Therapy · doi:10.1186/s13287-019-1498-0 · Cited by 172 · see citing works
Mesenchymal stem cells overexpressing interleukin-10 attenuate collagen-induced arthritis in mice
Choi, J.-J., Yoo, S.-A., Park, S.-J., Kang, Y.-J., Kim, W.-U., Oh, I.-H., & Cs, C. (2008) · Clinical & Experimental Immunology · doi:10.1111/j.1365-2249.2008.03683.x · Cited by 170 · see citing works
PPAR-γ and Wnt Regulate the Differentiation of MSCs into Adipocytes and Osteoblasts Respectively
Li, Y., Jin, D., Xie, W., Wen, L., Chen, W., Xu, J., Ding, J., & Ren, D. (2017) · Current Stem Cell Research & Therapy · doi:10.2174/1574888x12666171012141908 · Cited by 152 · see citing works
Wu, J., Cao, L., Liu, Y., Zheng, A., Jiao, D., Zeng, D., Wang, X. L., Kaplan, D. L., & Jiang, X. (2019) · ACS Applied Materials & Interfaces · doi:10.1021/acsami.8b22123 · Cited by 142 · see citing works
Decreased Osteogenic Differentiation of Mesenchymal Stem Cells in Alcohol-induced Osteonecrosis
Suh, K. T., Kim, S. W., Roh, H. L., Youn, M. S., & Jung, J. S. (2005) · Clinical Orthopaedics and Related Research · doi:10.1097/01.blo.0000150568.16133.3c · Cited by 136 · see citing works
Chen, G., Wang, Q., Li, Z., Yang, Q., Liu, Y., Du, Z., Zhang, G., & Song, Y. (2020) · Bone · doi:10.1016/j.bone.2020.115258 · Cited by 122 · see citing works
Self-citationNAP1L2 drives mesenchymal stem cell senescence and suppresses osteogenic differentiation
Hu, M., Xing, L., Zhang, L., Liu, F., Wang, S., Xie, Y., Wang, J., Jiang, H., Guo, J. R., Li, X., et al. (2022) · Aging Cell · doi:10.1111/acel.13551 · Cited by 119 · see citing works
Therapeutic application of mesenchymal stem cells in bone and joint diseases
Liu, Y., Wu, J., Zhu, Y., & Han, J. (2012) · Clinical and Experimental Medicine · doi:10.1007/s10238-012-0218-1 · Cited by 100 · see citing works
Fang, S., Li, Y., & Chen, P. (2018) · Drug Design Development and Therapy · doi:10.2147/dddt.s178698 · Cited by 100 · see citing works
The Unique Metabolic Characteristics of Bone Marrow Adipose Tissue
Li, Y.-J., Meng, Y., & Yu, X.-J. (2019) · Frontiers in Endocrinology · doi:10.3389/fendo.2019.00069 · Cited by 92 · see citing works
Preventive Effects of Puerarin on Alcohol-induced Osteonecrosis
Wang, Y., Li, Y., Li, Y., Liu, P., & Cui, Q. (2008) · Clinical Orthopaedics and Related Research · doi:10.1007/s11999-008-0178-7 · Cited by 82 · see citing works
Adipose-Derived Mesenchymal Stromal Cells in Basic Research and Clinical Applications
Czerwiec, K., Zawrzykraj, M., Deptuła, M., Skoniecka, A., Tymińska, A., Zieliński, J., Kosiński, A., & Pikuła, M. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24043888 · Cited by 80 · see citing works
Nan, K., Zhang, Y., Zhang, X., Li, D., Zhao, Y., Jing, Z., Liu, K., Shang, D., Geng, Z., & Fan, L. (2021) · Stem Cell Research & Therapy · doi:10.1186/s13287-021-02390-x · Cited by 74 · see citing works
Gong, Y., Li, Z., Zou, S., Deng, D., Lai, P., Hu, H., Yao, Y., Hu, L., Zhang, S., Li, K., et al. (2021) · Developmental Cell · doi:10.1016/j.devcel.2021.06.011 · Cited by 72 · see citing works
Self-citationZhang, Y., Wei, Q., Ding, W., Zhang, L., Wang, H.-C., Zhu, Y., He, W., Chai, Y.-N., & Liu, Y. (2017) · PLoS ONE · doi:10.1371/journal.pone.0182678 · Cited by 71 · see citing works
Self-citationXu, H., Wang, C., Liu, C., Peng, Z., Li, J., Jin, Y., Wang, Y., Guo, J., & Zhu, L. (2021) · Stem Cells Translational Medicine · doi:10.1002/sctm.20-0346 · Cited by 71 · see citing works
Interleukin-17A increases leptin production in human bone marrow mesenchymal stem cells
Noh, M. (2011) · Biochemical Pharmacology · doi:10.1016/j.bcp.2011.12.010 · Cited by 68 · see citing works
Wang, Q., Yang, Q., Chen, G., Du, Z., Ren, M., Wang, A., Zhao, H., Li, Z., Zhang, G., & Song, Y. (2018) · Scientific Reports · doi:10.1038/s41598-018-27501-2 · Cited by 68 · see citing works
Self-citationShang, G., Wang, Y., Xu, Y., Zhang, S., Sun, X., Guan, H., Zhao, X., Wang, Y., Li, Y., & Zhao, G. (2018) · Journal of Cellular Physiology · doi:10.1002/jcp.26424 · Cited by 67 · see citing works
Self-citationJiang, Y., Zhang, Y., Zhang, H., Zhu, B., Li, P., Lu, C., Xu, Y., Chen, W., & Lin, N. (2014) · Experimental Biology and Medicine · doi:10.1177/1535370213519215 · Cited by 63 · see citing works
Osteoclasts and osteoarthritis: Novel intervention targets and therapeutic potentials during aging
Wang, H., Yuan, T., Wang, Y., Liu, C., Li, D., Li, Z., & Sun, S. (2024) · Aging Cell · doi:10.1111/acel.14092 · Cited by 60 · see citing works
Self-citationMacFarlane, R. J., Graham, S. M., Davies, P., Korres, N., Tsouchnica, H., Heliotis, M., Mantalaris, A., & Tsiridis, E. E. (2013) · Expert Opinion on Therapeutic Targets · doi:10.1517/14728222.2013.746954 · Cited by 58 · see citing works
Wu, Y., Zhu, W., Yang, Y., Guo, M., Qian, H., Jiang, W., Chen, Y., Lian, C., Xu, Z., Bai, H., et al. (2021) · Stem Cell Research & Therapy · doi:10.1186/s13287-021-02438-y · Cited by 57 · see citing works
Lee, E., Ko, J., Kim, J., Park, J., Lee, S., & Im, G. (2019) · Biomaterials Science · doi:10.1039/c9bm01037h · Cited by 50 · see citing works
Role of the microenvironment in myeloid malignancies
Goulard, M. C., Dosquet, C., & Bonnet, D. A. (2017) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-017-2725-4 · Cited by 46 · see citing works
Yu, H., Zhu, D., Liu, P., Yang, Q., Gao, J., Huang, Y., Chen, Y., Gao, Y., & Zhang, C. (2020) · Journal of Cellular and Molecular Medicine · doi:10.1111/jcmm.15103 · Cited by 44 · see citing works
Duan, P., Wang, H., Yi, X., Zhang, H., Chen, H., & Pan, Z. (2022) · Stem Cell Research & Therapy · doi:10.1186/s13287-022-03027-3 · Cited by 40 · see citing works
Self-citationXiang, S., Zeng, L., & Weng, X. (2019) · Journal of Cellular Biochemistry · doi:10.1002/jcb.29161 · Cited by 39 · see citing works
Xu, H., Li, S.-M., Fang, L., Xia, C., Zhang, P., Xu, R., Shi, Z.-Y., Zou, Z., Ge, Q., Wang, P., et al. (2020) · Platelets · doi:10.1080/09537104.2020.1810221 · Cited by 38 · see citing works
Duan, D., Tang, J. P., Tian, H., Shi, Y., & Jia, J. (2021) · Life Sciences · doi:10.1016/j.lfs.2021.119548 · Cited by 37 · see citing works
Valle, A. D., Vertongen, P., Spruyt, D., Lechanteur, J., Suain, V., Gaspard, N., Brion, J., Gangji, V., & Rasschaert, J. (2019) · Frontiers in Endocrinology · doi:10.3389/fendo.2019.00726 · Cited by 35 · see citing works
Wu, F., Jiao, J., Liu, F., et al. (2019) · Experimental & Molecular Medicine · doi:10.1038/s12276-019-0220-8 · Cited by 35 · see citing works
Wang, T., Teng, S., Zhang, Y., Wang, F., Ding, H.-J., & Li, G. (2016) · Experimental and Therapeutic Medicine · doi:10.3892/etm.2016.3991 · Cited by 34 · see citing works
Xiang, S., Zeng, L., & Weng, X. (2020) · International Journal of Molecular Medicine · doi:10.3892/ijmm.2020.4455 · Cited by 34 · see citing works
Xu, H., Fang, L., Zeng, Q., Chen, J., Ling, H., Xia, H., Ge, Q., Wu, C., Zou, K., Wang, X., et al. (2022) · Food & Function · doi:10.1039/d2fo02337g · Cited by 32 · see citing works
Berg, B. C. V., Gilon, R., Malghem, J. J., Lecouvet, F. E., Depresseux, G., & Houssiau, F. A. (2006) · European Journal of Radiology · doi:10.1016/j.ejrad.2006.01.009 · Cited by 31 · see citing works
Cheng, C., Zhang, H., Zheng, J., Jin, Y., Wang, D., & Dai, Z. (2021) · Aging · doi:10.18632/aging.203778 · Cited by 31 · see citing works
Wei, B., & Wei, W. (2015) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2015.07.016 · Cited by 30 · see citing works
Sakamoto, K., Osaki, M., Hozumi, A., Goto, H., Fukushima, T., Baba, H., & Shindo, H. (2011) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-12-82 · Cited by 30 · see citing works
Wu, X., Liao, Z., Wang, K., Hua, W., Liu, X., Song, Y., Zhang, Y., Yang, S., & Cao, Y. (2019) · Experimental & Molecular Medicine · doi:10.1038/s12276-019-0310-7 · Cited by 30 · see citing works
Wang, C., Stöckl, S., Li, S., Herrmann, M., Lukas, C., Reinders, Y., Sickmann, A., & Grässel, S. (2022) · Cells · doi:10.3390/cells11162491 · Cited by 30 · see citing works
Chen, C., Wang, B., Zhao, X., Luo, Y., Fu, L., Qi, X., Ying, Z., Chen, L., Wang, Q., Sun, S., et al. (2024) · ACS Applied Materials & Interfaces · doi:10.1021/acsami.4c04199 · Cited by 30 · see citing works
Self-citationLi, J., Wang, Y., Li, Y., Sun, J., & Zhao, G. (2014) · Molecular and Cellular Biochemistry · doi:10.1007/s11010-014-2016-4 · Cited by 29 · see citing works
Wang, X.-L., Wang, N., Zheng, L.-Z., Xie, X.-H., Dong, Y., Liu, M.-Y., Yao, Z.-H., Dai, Y., Zhang, G., Yao, X., et al. (2013) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2013.06.008 · Cited by 29 · see citing works
Low Plasma Adiponectin as a Potential Biomarker for Osteonecrosis of the Femoral Head
Shuai, B., Shen, L., Yang, Y., Xie, J., 寿折星, & WEI, B. (2010) · The Journal of Rheumatology · doi:10.3899/jrheum.100342 · Cited by 28 · see citing works
Valproic acid prevents glucocorticoid‑induced osteonecrosis of the femoral head of rats
Zhou, D., Chen, Y., Yin, J., Tao, S., Guo, S., Wei, Z., Feng, Y., & Zhang, C. (2018) · International Journal of Molecular Medicine · doi:10.3892/ijmm.2018.3534 · Cited by 28 · see citing works
Hozumi, A., Osaki, M., Sakamoto, K., Goto, H., Fukushima, T., Baba, H., & Shindo, H. (2010) · Biomedical Research · doi:10.2220/biomedres.31.281 · Cited by 27 · see citing works
Influences of hucMSC-exosomes on VEGF and BMP-2 expression in SNFH rats.
Li, R., Chen, C., Rq, Z., Li, Z., Hao, G.-L., & Gc, Z. (2019) · PubMed · doi:10.26355/eurrev_201904_17573 · Cited by 27 · see citing works
Self-citationYu, H., Liu, P., Zhu, D., Yin, J., Yang, Q., Huang, Y., Chen, Y., Zhang, C., & Gao, Y. (2020) · Cell Proliferation · doi:10.1111/cpr.12871 · Cited by 27 · see citing works
Cao, Y., Jiang, C., Wang, X., Wang, H., Yan, Z., & Yuan, H. (2021) · Bone · doi:10.1016/j.bone.2021.115844 · Cited by 27 · see citing works
Self-citationLIN, L., DAI, S., & Fan, G.-Y. (2010) · Apmis · doi:10.1111/j.1600-0463.2010.02634.x · Cited by 26 · see citing works
Chen, J., Cui, Z., Wang, Y., Lyu, L., Feng, C., Feng, D., Cheng, Y., Li, Z., & Sun, S. (2022) · Oxidative Medicine and Cellular Longevity · doi:10.1155/2022/3182368 · Cited by 26 · see citing works
Self-citationSun, S., Zhou, L., Yu, Y., Zhang, T., & Wang, M. (2018) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2018.10.134 · Cited by 25 · see citing works
Self-citationHan, N., Li, Z., Cai, Z., Yan, Z., Hua, Y., & Xu, C. B. (2016) · Journal of Cellular and Molecular Medicine · doi:10.1111/jcmm.12917 · Cited by 24 · see citing works
Self-citationKato, T., Khánh, V. C., Sato, K., Kimura, K., Yamashita, T., Sugaya, H., Yoshioka, T., Mishima, H., & Ohneda, O. (2017) · Stem Cells and Development · doi:10.1089/scd.2017.0199 · Cited by 24 · see citing works
Yuan, S., Zhang, C., Zhu, Y., & Wang, B. (2020) · Drug Design Development and Therapy · doi:10.2147/dddt.s255276 · Cited by 23 · see citing works
Fang, S., He, T., You, M., Zhu, H., & Chen, P. (2023) · Free Radical Biology and Medicine · doi:10.1016/j.freeradbiomed.2023.12.026 · Cited by 23 · see citing works
Zhao, X., Wei, Z., Li, D., Yang, Z., Tian, M., & Kang, P. (2019) · Calcified Tissue International · doi:10.1007/s00223-019-00592-3 · Cited by 21 · see citing works
Preventive effects of siRNA targeting PPARγ gene on steroid-induced osteonecrosis in rabbits
Li, J., Li, Y., Wang, Y., Liu, M., & Zhao, G.-Q. (2014) · Connective Tissue Research · doi:10.3109/03008207.2014.941106 · Cited by 19 · see citing works
Maio, G. D., Alessio, N., Demirsoy, İ. H., Peluso, G., Perrotta, S., Monda, M., & Bernardo, G. D. (2021) · Cells · doi:10.3390/cells10020403 · Cited by 19 · see citing works
Fu, Z., Lai, Y., Zhuang, Y., & Lin, F. (2023) · APL Bioengineering · doi:10.1063/5.0130711 · Cited by 19 · see citing works
Kong, X., Li, X., Zhang, C., Zhu, L., Liu, C., Qin, Q., Liu, C., Wang, Q., Zhu, J., Wu, X., et al. (2017) · International Journal of Biological Sciences · doi:10.7150/ijbs.18430 · Cited by 18 · see citing works
Lin, X., Zhu, D., Wang, K., Luo, P., Rui, G., Gao, Y., Liu, F., & Yu, H. (2022) · Cell Proliferation · doi:10.1111/cpr.13252 · Cited by 17 · see citing works
CRISPR/Cas9 from bench to bedside: what clinicians need to know before application?
Li, Z., & Li, C. (2020) · Military Medical Research · doi:10.1186/s40779-020-00292-2 · Cited by 16 · see citing works
Self-citationAdipose tissue in bone regeneration - stem cell source and beyond
Labusca, L. S. (2022) · World Journal of Stem Cells · doi:10.4252/wjsc.v14.i6.372 · Cited by 15 · see citing works
Yang, F., Zhang, X., Song, T., Li, X., Lv, H., Li, T., Zhao, J., Liu, Z., Zhang, X., Hou, Y., et al. (2022) · Gene · doi:10.1016/j.gene.2022.146705 · Cited by 15 · see citing works
Cui, Y., Huang, T., Zhang, Z., Yang, Z., Hao, F., Yuan, T., & Zhou, Z. (2022) · Scientific Reports · doi:10.1038/s41598-022-25407-8 · Cited by 14 · see citing works
Maio, G. D., Alessio, N., Peluso, G., Perrotta, S., Monda, M., & Bernardo, G. D. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms232012151 · Cited by 13 · see citing works
Sun, T., Man, Z., Peng, C., Wang, G., & Sun, S. (2019) · Molecular Medicine Reports · doi:10.3892/mmr.2019.10335 · Cited by 12 · see citing works
Self-citationYang, N., Li, M., Li, X., Wu, L., Wang, W., Xu, Y., Wang, Z., Zhu, C., & Geng, D. (2024) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-024-05443-5 · Cited by 12 · see citing works
Yoon, P. W., Kang, J. Y., Kim, C., Lee, S. J., Yoo, J. J., Kim, H. J., Kang, S. K., Min, J. H., & Yoon, K. S. (2020) · Clinics in Orthopedic Surgery · doi:10.4055/cios20128 · Cited by 11 · see citing works
Xia, C., Xu, H., Fang, L., Chen, J., Yuan, W., Fu, D., Wang, X., He, B., Xiao, L., Wu, C., et al. (2024) · eLife · doi:10.7554/elife.92469.3 · Cited by 11 · see citing works
Xu, H., Wang, L., Zhu, X., Zhang, H., Chen, H., & Zhang, H. (2024) · Journal of Traditional and Complementary Medicine · doi:10.1016/j.jtcme.2024.03.013 · Cited by 11 · see citing works
Serum Amyloid A Correlates With the Osteonecrosis of Femoral Head by Affecting Bone Metabolism
Peng, X., Ma, Y., Wang, Q., Gao, Y., Li, G., Jiang, C., Gao, Y. J., & Feng, Y. (2021) · Frontiers in Pharmacology · doi:10.3389/fphar.2021.767243 · Cited by 10 · see citing works
Zhang, Y., Zhang, N., Wei, Q., Dong, Y., Liu, Y., Yuan, Q., He, W., Jing, Z., Hong, Z., Zhang, L., et al. (2022) · Regenerative Therapy · doi:10.1016/j.reth.2022.03.001 · Cited by 10 · see citing works
Self-citationDexamethasone treatment alters function of adipocytes from a mesenchymal stromal cell line
Johnston, J. C., Haile, A., Wang, D., Ronnett, G. V., & Jones, L. C. (2014) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2014.07.063 · Cited by 9 · see citing works
Zhang, W., Zheng, C., Yu, T., Zhang, H., Huang, J., Chen, L., Tong, P., & Zhen, G. (2022) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2022.1014789 · Cited by 9 · see citing works
Zhu, Z., Song, W., Zhang, C., & Yin, J. (2016) · Experimental and Therapeutic Medicine · doi:10.3892/etm.2016.3698 · Cited by 8 · see citing works
Steroid changes adipokine concentration in the blood and bone marrow fluid
FUKUSHIMA, T., Hozumi, A., Tomita, M., Yonekura, A., Miyata, N., MIYAMOTO, T., Taguchi, K., Goto, H., Tsuda, K., & Osaki, M. (2016) · Biomedical Research · doi:10.2220/biomedres.37.215 · Cited by 6 · see citing works
Zhang, T., Li, H., Sun, S., Zhou, W., Zhang, T., Yu, Y., Wang, Q., & Wang, M. (2023) · Scientific Reports · doi:10.1038/s41598-023-32868-y · Cited by 6 · see citing works
Self-citationXia, C., Xu, H., Fang, L., Chen, J., Yuan, W., Fu, D., Wang, X., He, B., Xiao, L., Wu, C., et al. (2023) · eLife · doi:10.7554/elife.92469 · Cited by 6 · see citing works
Guo, M., Qi, B., Pei, Z., Ni, H., Ren, J., Luo, H., Shi, H., Meng, C., Yu, Y., Tang, Z., et al. (2024) · Materials Today Bio · doi:10.1016/j.mtbio.2024.101426 · Cited by 3 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Tero-Vescan, A., Degens, H., Matsakas, A., Ștefănescu, R., Ősz, B. E., & Slevin, M. (2025) · Pharmaceuticals · doi:10.3390/ph18081222 · Cited by 44 · see citing works
“Simultaneously, leptin activates the PI3K/Akt pathway, which inhibits the transcription factor Forkhead box protein O1 (FoxO1) and supports appetite suppression [83].”
Lv, H., Zheng, C.-F., Chen, X., Wei, J.-H., Tao, Y.-Z., Feng, L., Feng, Z. C., & Lu, S. (2025) · World Journal of Stem Cells · doi:10.4252/wjsc.v17.i10.110190 · Cited by 5 · see citing works
Sun, H., Xu, M. Q., Mi, D., Li, Q., Sun, H., & Song, Y. (2025) · Frontiers in Immunology · doi:10.3389/fimmu.2025.1640657 · Cited by 4 · see citing works
Sun, W., Wang, J., Yu, T., Xu, S., Lin, D., Zhuang, Q., Tang, Y., Liu, C., Zhang, X., & Yu, H. (2026) · Phytomedicine · doi:10.1016/j.phymed.2026.158070 · Cited by 3 · see citing works
Chen, Q., Yi, L., Nie, P., Wang, J., Zhu, J., Peng, J., & Weng, T. (2026) · Stem Cell Research & Therapy · doi:10.1186/s13287-026-05026-0 · Cited by 3 · see citing works
Guo, M., Xu, H., Pei, Z., Qi, B., Meng, C., Chen, X., Luo, H., Ren, J., Wang, Z., Wang, L., et al. (2026) · Bioactive Materials · doi:10.1016/j.bioactmat.2026.03.035 · Cited by 1 · see citing works
Lv, Z., Cai, X., Xu, Y., Yang, X. L., Wang, R., Wang, H., Bian, Y., Xu, J., Lü, J., Liu, L., et al. (2026) · Advanced Science · doi:10.1002/advs.75897 · Cited by 1 · see citing works
Self-citationWITHDRAWN: A three-stage differentiation method for xeno-free iMSCs from hPSCs via gelatin screening
Wang, L., Li, R. Q., Li, Y., Chen, L., Yang, J., Wang, P., Zhou, T., Liu, Y., Chen, Y., & Wang, H. (2025) · Colloids and Surfaces B Biointerfaces · doi:10.1016/j.colsurfb.2025.114943
Self-citationRetractedmicroRNA-576-5p ameliorates dexamethasone-induced BMSC injury by suppressing ANXA2
Zhang, Y., Deng, Y., Yao, W., Xia, K., Zhang, L., & Wang, G. (2025) · Scientific Reports · doi:10.1038/s41598-025-16883-9
Yang, Q., Yang, Y., Li, B., & Li, G. (2026) · Scientific Reports · doi:10.1038/s41598-026-35663-7
Yang, W., Yunfei, Y., Nie, M., Bai, H., Zhang, H., & Zhang, J. (2026) · Research · doi:10.34133/research.1186
Zhang, X., Qiu, P., Shi, G., Xia, T., Zhang, N., Xu, T., Li, Y., Wang, Z., Shen, J., & Wu, T. H. (2026) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-026-09670-8
Stem Cells in Aging and Anti-Aging
Bai, Z., & Li, Z. (2026) · Stem Cell Reviews and Reports · doi:10.1007/s12015-026-11093-w
Self-citationZhao, D., Wang, L., & Yin, P. (2026) · Research Square · doi:10.21203/rs.3.rs-9712673/v1
Fan, X., Huang, Z., Li, X., Li, J., Lin, B., & Zhang, X. (2026) · BMC Anesthesiology · doi:10.1186/s12871-026-04097-z
Ran, L., Wei, C., Luo, H., Zhao, Y., Wang, X., Gong, L., & Wang, X. (2026) · Biochemical Pharmacology · doi:10.1016/j.bcp.2026.118304
PPARγ mediated ferroptosis in metabolic bone diseases
Shuai, Q., Guan, Z., Yang, W., Tian, J., & Huang, S. (2026) · Pathology - Research and Practice · doi:10.1016/j.prp.2026.156662
Tao, Y., Wang, Y., Wang, P., Wang, B., Lv, X., & Feng, Y. (2026) · Bone Research · doi:10.1038/s41413-026-00579-5
Mukhlis, S., Imanbekova, M., Saginova, D., Sarsenova, M., Nurgaliyeva, A., Altaeva, N., & Ogay, V. B. (2026) · Cells · doi:10.3390/cells15191787
Lv, Z.-H., Cai, X.-J., Ding, C.-Y., Wei, P.-H., Wang, D.-L., Wang, Z., Wang, R.-Y., Wang, Y.-J., Yang, X.-D., Bian, Y.-X., et al. (2026) · ACS Nano · doi:10.1021/acsnano.6c06052
Lou, H., & Cui, Y. (2026) · Applied Biochemistry and Microbiology · doi:10.1134/s0003683826601423
Zhao, C., Liu, J., Chen, D., Guan, D.-H., Guo, L., Wang, W., Xu, Q., Tao, H., Niu, C., Sun, B., et al. (2026) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2026.1975355
- Authors
- Zhang, S., Wang, H., Meng, Q., Lee, W. Y.-W., Li, Z., & Sun, S.
- Affiliations
- Shandong Provincial Hospital (CN)
- Shandong University (CN)
- Chinese University of Hong Kong (HK)
- Corresponding author
- Lee, Wayne Yuk-wai
- Li, Ziqing
- Sun, Shui
- Venue
- Journal of Translational Medicine
- Published
- 2025-05-27
- Volume
- 23
- Issue
- 1
- Pages
- 592-592
- ISSN
- 1479-5876 (ISSN-L)
- PMC
- PMC12108002
- OpenAlex
- W4410785943
- Cited by
- 22
- References
- 98
- Citations by year
- 2026: 17 · 2025: 5
- FWCI
- 4.83
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Journal of Translational Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Natural Science Foundation of China (82272485, 82100936)
- Taishan Scholar Foundation of Shandong Province (tsqnz20221170)
- Natural Science Foundation of Shandong Province (ZR2024MH320)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone and Joint Diseases
- Health Sciences › Medicine › Genetics › Mesenchymal stem cell research
- Health Sciences › Medicine › Oncology › Bone health and treatments
- Keywords
- osteonecrosis of the femoral head, bone marrow mesenchymal stem cells, adipocytes, adipogenesis, osteogenic differentiation, adipose-derived stem cells, stem cell therapy, Wnt signaling, PI3K/Akt signaling, Runx2, PPARγ, C/EBP, adipokines, leptin, adiponectin, glucocorticoids, alcohol consumption, neovascularization, bone regeneration
- MeSH terms
- Animals, Femur Head, Femur Head Necrosis, Humans, Osteogenesis, Signal Transduction, Adipocytes, Adipogenesis, Mesenchymal Stem Cells
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review