Evidence map›Paper›PMID 20032990›Full record

ArticleThe Journal of investigative dermatology2010

Pseudoxanthoma elasticum: molecular genetics and putative pathomechanisms.

Jouni Uitto, Qiaoli Li, Qiujie Jiang

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of investigative dermatology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04660461 (Response to Oral Lansoprazole of Inorganic Pyrophosphate Levels in Patients With Grönblad-Stranberg Disease), which is not on this map. Cited by 70 papers.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed
8.1field-weighted citation impact, top 2% of its field
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.

NCT04660461 phase4unknown statusnot on this mapstarted 2020, after this paper: background citation

Response to Oral Lansoprazole of Inorganic Pyrophosphate Levels in Patients With Grönblad-Stranberg Disease (Pseudoxanthoma Elasticum)

TypeinterventionalSponsorFundación Pública Andaluza para la Investigación de Málaga en Biomedicina y SaludRan2020 to 2021Enrolled20ConditionsGrönblad-Stranberg Disease (Pseudoxanthoma Elasticum)ArmsLansoprazole 30mg, Placebo
3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 144 citations in OpenAlex.

  1. An Overview of Genetics of Moyamoya: BeyondInternational journal of molecular sciences · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. A New Zebrafish Model for Pseudoxanthoma Elasticum.Frontiers in cell and developmental biology · 2021
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. The ABCC6 Transporter: A New Player in Biomineralization.International journal of molecular sciences · 2017
    Review
  13. Mutation spectrum in the ABCC6 gene and genotype-phenotype correlations in a French cohort with pseudoxanthoma elasticum.Genetics in medicine : official journal of the American College of Medical Genetics · 2017
    Article
  14. Article
  15. Mouse genome-wide association study identifies polymorphisms on chromosomes 4, 11, and 15 for age-related cardiac fibrosis.Mammalian genome : official journal of the International Mammalian Genome Society · 2016
    Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

10 more citing papers are in PubMed but not listed here.

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

3 authors at 2 institutions in 1 country.

Jouni UittoDepartment of Dermatology and Cutaneous Biology, Jefferson Medical College and Jefferson Institute of Molecular Medicine, Thomas Jefferson University, Philadelphia, PA 19107, USA. Jouni.uitto@jefferson.edu
Qiaoli Li
Qiujie Jiang
Jefferson Institute · USThomas Jefferson University · US

Funding

BIOCHEMISTRY AND MORPHOLOGY OF CONNECTIVE TISSUESR01AR028450 · NIAMS · THOMAS JEFFERSON UNIVERSITY · PI UITTO, JOUNI · 1986 to 2019
$6.5M
Model Systems for PXER01AR055225 · NIAMS · THOMAS JEFFERSON UNIVERSITY · PI UITTO, JOUNI · 2008 to 2017
$3.2M
Molecular Genetics of Familial Tumoral CalcinosisR01AR052627 · NIAMS · THOMAS JEFFERSON UNIVERSITY · PI UITTO, JOUNI · 2005 to 2009
$1.6M
NIAMS NIH HHS R01 AR028450NIAMS NIH HHS R01 AR052627NIAMS NIH HHS R01 AR055225NIAMS NIH HHS R01 AR28450NIAMS NIH HHS R01 AR52627NIAMS NIH HHS R01 AR55225
6 · The paper itself

Abstract

Pseudoxanthoma elasticum (PXE), a prototypic heritable disorder with ectopic mineralization, manifests with characteristic skin findings, ocular involvement and cardiovascular problems, with considerable morbidity and mortality. The classic forms of PXE are due to loss-of-function mutations in the ABCC6 gene, which encodes ABCC6, a transmembrane efflux transporter expressed primarily in the liver. Several lines of evidence suggest that PXE is a primary metabolic disorder, which in the absence of ABCC6 transporter activity, displays reduced plasma anti-mineralization capacity due to reduced fetuin-A and matrix gla-protein (MGP) levels. MGP requires to be activated by gamma-glutamyl carboxylation, a vitamin K-dependent reaction, to serve in an anti-mineralization role in the peripheral connective tissue cells. Although the molecules transported from the hepatocytes to circulation by ABCC6 in vivo remain unidentified, it has been hypothesized that a critical vitamin K derivative, such as reduced vitamin K conjugated with glutathione, is secreted to circulation physiologically, but not in the absence of ABCC6 transporter activity. As a result, activation of MGP by gamma-glutamyl carboxylase is diminished, allowing slow yet progressive mineralization of connective tissues characteristic of PXE. Understanding of the pathomechanistic details of PXE provides a basis for the development of targeted molecular therapies for this currently intractable disease.

Indexed as

alpha-2-HS-GlycoproteinAnimalsATP-Binding Cassette, Sub-Family C ProteinsATP-Binding Cassette TransportersBlood ProteinsCalcium-Binding ProteinsCarbon-Carbon LigasesConnective TissueExtracellular Matrix ProteinsHumansLiverMatrix Gla ProteinMiceMice, KnockoutPhenotypePseudoxanthoma ElasticumABCC6 protein, humanAbcc6 protein, mouseAHSG protein, humanAhsg protein, mousealpha-2-HS-GlycoproteinATP-Binding Cassette, Sub-Family C ProteinsATP-Binding Cassette TransportersBlood ProteinsCalcium-Binding ProteinsCarbon-Carbon LigasesExtracellular Matrix Proteinsglutamyl carboxylaseMatrix Gla ProteinVitamin K

Identifiers

PMID20032990
PMCPMC3349438
OpenAlexW2071949994

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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 OpenQuestion graph.