Evidence map›Paper›PMID 20944546›Full record

ArticleKidney international2011

Hyperphosphatemia-induced nanocrystals upregulate the expression of bone morphogenetic protein-2 and osteopontin genes in mouse smooth muscle cells in vitro.

Andrew P Sage, Jinxiu Lu, Yin Tintut, Linda L Demer

Open access · bronzeAbstract read
In one paragraph

Article in Kidney international, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 112 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed, 1 pooled it
8.2field-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.

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

112 citing papers in PubMed, 1 synthesis or guideline pooled it, 210 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Review
  8. Bioinspired Collagen/κ-Carrageenan 3D Matrix forACS biomaterials science & engineering · 2025
    Article
  9. Elevated phosphate levels in CKD - a direct threat for the heart.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Review
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  11. Article
  12. Article
  13. Article
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  15. Article
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  19. Article
  20. Similarities and Differences of Vascular Calcification in Diabetes and Chronic Kidney Disease.Diabetes, metabolic syndrome and obesity : targets and therapy · 2024
    Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Andrew P SageDepartment of Medicine, David Geffen School of Medicine, UCLA, Los Angeles, California 90095-1679, USA.
Jinxiu Lu
Yin Tintut
Linda L Demer
University of California, Los Angeles · US

Funding

RANKL/OPG-Mediated Control of Vascular CalcificationR01HL081202 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DEMER, LINDA L. · 2006 to 2010
$1.9M
Regulation of PTH-induced Osteoanabolism by Inflammatory LipidsR01DK081346 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI TINTUT, YIN · 2009 to 2013
$1.8M
NHLBI NIH HHS HL081202NHLBI NIH HHS R01 HL081202NIDDK NIH HHS DK081346NIDDK NIH HHS R01 DK081346
6 · The paper itself

Abstract

Vascular calcification, which contributes to cardiovascular disease in patients with uremic hyperphosphatemia, is associated with vascular cell expression of osteogenic genes, including bone morphogenetic protein (BMP)-2 and osteopontin (OPN). High inorganic phosphate levels in vitro stimulate the osteogenic conversion of smooth muscle cells; however, the mechanism governing this is not clear. We found that high-phosphate medium increased the expression of BMP-2 and OPN in mouse smooth muscle cells in culture. However, this effect was lost in the presence of the mineralization inhibitor, pyrophosphate, suggesting a contribution of calcium phosphate crystals. Addition of 1-2 mmol/l phosphate alone to growth medium was sufficient to induce nanosized crystals after 1 day at 37 °C. Isolated crystals were about 160 nm in diameter and had a calcium to phosphate ratio of 1.35, consistent with the hydroxyapatite precursor octacalcium phosphate. Nanocrystal formation increased fourfold in the absence of serum, was blocked by fetuin-A, and was dependent on time and on the concentrations of phosphate and calcium. Purified synthetic hydroxyapatite nanocrystals and isolated high-phosphate-induced nanocrystals, but not nanocrystal-free high-phosphate medium, also induced BMP-2 and OPN. Thus, our results suggest that BMP-2 and OPN are induced by calcium phosphate nanocrystals, rather than soluble phosphate. This mechanism may contribute, in part, to hyperphosphatemia-related vascular cell differentiation and calcification.

Indexed as

AnimalsBase SequenceBone Morphogenetic Protein 2CalcinosisCalcium PhosphatesCell DifferentiationCell LineDNA PrimersHyperphosphatemiaIn Vitro TechniquesMiceMicroscopy, Electron, ScanningMyocytes, Smooth MuscleNanoparticlesOsteogenesisOsteopontinBmp2 protein, mouseBone Morphogenetic Protein 2calcium phosphateCalcium PhosphatesDNA PrimersOsteopontinSpp1 protein, mouse

Identifiers

PMID20944546
PMCPMC3198856
OpenAlexW2072196650

What OpenQuestion holds

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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 OpenQuestion graph.