Evidence map›Paper›PMID 21438115›Full record

ReviewIUBMB life2011

Osteo-renal regulation of systemic phosphate metabolism.

Mohammed Shawkat Razzaque

Open access · bronzeAbstract readReview
In one paragraph

Review in IUBMB life, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Interactions between FGF23 and vitamin D.Endocrine connections · 2022
    Review
  5. Article
  6. Phosphate Burden and Inflammation.Advances in experimental medicine and biology · 2022
    Article
  7. Phosphate Dysregulation and Neurocognitive Sequelae.Advances in experimental medicine and biology · 2022
    Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. The rachitic tooth.Endocrine reviews · 2014
    Review
  13. FGF23 associated bone diseases.Frontiers of medicine · 2013
    Review
  14. Article
  15. Article
  16. Entpd5 is essential for skeletal mineralization and regulates phosphate homeostasis in zebrafish.Proceedings of the National Academy of Sciences of the United States of America · 2012
    Article
  17. The role of Klotho in energy metabolism.Nature reviews. Endocrinology · 2012
    Review
  18. Can features of phosphate toxicity appear in normophosphatemia?Journal of bone and mineral metabolism · 2012
    Review
  19. Article
  20. Dietary and genetic evidence for enhancing glucose metabolism and reducing obesity by inhibiting klotho functions.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2011
    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

1 author at 1 institution in 2 countries.

Mohammed Shawkat RazzaqueDepartment of Oral Medicine, Infection and Immunity, Harvard School of Dental Medicine, Boston, MA, USA. mrazzaque@hms.harvard.edu
Harvard University · US

Funding

In vivo interactions of Fgf-23, klotho and vitamin DR01DK077276 · NIDDK · HARVARD MEDICAL SCHOOL · PI RAZZAQUE, MOHAMMED S · 2007 to 2011
$1.5M
NIDDK NIH HHS R01 DK077276NIDDK NIH HHS R01-DK077276
6 · The paper itself

Abstract

Impaired kidney function and subsequent skeletal responses play a critical role in disrupting phosphate balance in chronic kidney disease (CKD) patients with mineral and bone disorder (CKD-MBD). In patients with CKD-MBD, the inability of the kidney to maintain normal mineral ion balance affects bone remodeling to induce skeletal fracture and extraskeletal vascular calcification. In physiological conditions, bone-derived fibroblast growth factor 23 (FGF23) acts on the kidney to reduce serum phosphate and 1,25-dihydroxyvitamin D levels. In humans, increased bioactivity of FGF23 leads to increased urinary phosphate excretion, which induces hypophosphatemic diseases (e.g., rickets/osteomalacia). However, reduced FGF23 activity is associated with hyperphosphatemic diseases (e.g., tumoral calcinosis). In patients with CKD, high serum levels of FGF23 fail to reduce serum phosphate levels and lead to numerous complications, including vascular calcification, one of the important determinants of mortality of CKD-MBD patients. Of particular significance, molecular, biochemical and morphological changes in patients with CKD-MBD are mostly due to osteo-renal dysregulation of mineral ion metabolism. Furthermore, hyperphosphatemia can partly contribute to the development of secondary hyperparathyroidism in patients with CKD-MBD. Relatively new pharmacological agents including sevelamer hydrochloride, calcitriol analogs and cinacalcet hydrochloride are used either alone, or in combination, to minimize hyperphosphatemia and hyperparathyroidism associated complications to improve morbidity and mortality of CKD-MBD patients. This article will briefly summarize how osteo-renal miscommunication can induce phosphate toxicity, resulting in extensive tissue injuries.

Indexed as

AnimalsBone and BonesBone Diseases, MetabolicFibroblast Growth Factor-23Fibroblast Growth FactorsGlucuronidaseHumansHyperparathyroidismHyperphosphatemiaKidneyKlotho ProteinsParathyroid HormonePhosphatesRenal Insufficiency, ChronicVitamin D1,25-dihydroxyvitamin DFGF23 protein, humanFibroblast Growth Factor-23Fibroblast Growth FactorsGlucuronidaseKlotho ProteinsParathyroid HormonePhosphatesVitamin D

Identifiers

PMID21438115
PMCPMC3120048
OpenAlexW2038208512

What OpenQuestion holds

Textmetadata
LicenceTDM
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.