Evidence map›Paper›PMID 21985788›Full record

ArticleThe Journal of clinical investigation2011

FGF23 induces left ventricular hypertrophy.

Christian Faul, Ansel P Amaral, Behzad Oskouei, Ming-Chang Hu, Alexis Sloan, Tamara Isakova, Orlando M Gutiérrez, Robier Aguillon-Prada, Joy Lincoln, Joshua M Hare and 25 more

5 registry-linked trialsAbstract readMulticenter Study
In one paragraph

Article in The Journal of clinical investigation, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 1,056 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,056citing papers in PubMed, 1 pooled it
69.9field-weighted citation impact, top 1% 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.

NCT00304148 active not recruitingnot on this map

Prospective Cohort Study of Chronic Renal Insufficiency

TypeobservationalSponsorUniversity of PennsylvaniaRan2003 to 2028Enrolled5,499ConditionsRenal Insufficiency, Chronic
NCT02830464 completednot on this mapstarted 2016, after this paper: background citation

New Biomarkers in Heart- and Renal Failure: Cohort Study for Assessing Prognosis in Acute Coronary Syndrome and Acute/Chronic Cardiovascular and Renal Failure by Means of Fibroblast Growth Factor 23

TypeobservationalSponsorRWTH Aachen UniversityRan2016 to 2018Enrolled500ConditionsHeart Failure, Kidney Failure
NCT03489993 completednot on this mapstarted 2018, after this paper: background citation

Interplay of FGF23 and Angiotensin-(1-7) in Hypophosphatemia (GAP)

TypeobservationalSponsorWake Forest University Health SciencesRan2018 to 2020Enrolled8ConditionsHypophosphatemia, X-linked Hypophosphatemia, Renin-angiotensin System, Left Ventricular HypertrophyArmsAng II and Ang-(1-7), FGF23 and klotho
NCT03648736 unknown statusnot on this mapstarted 2018, after this paper: background citation

Time Course of Circulating Myocardial Biomarkers After a TASH Procedure.

Typeobservational_patient_registrySponsorRWTH Aachen UniversityRan2018 to 2021Enrolled40ConditionsCardiac InsufficiencyArmsblood withdrawal
NCT05258370 unknown statusnot on this mapstarted 2023, after this paper: background citation

"Exploration of the Role of Intact Fibroblast Growth Factor 23 and Its C-terminal Fragment in Chronic Respiratory Failure "

TypeobservationalSponsorAssistance Publique - Hôpitaux de ParisRan2023 to 2026Enrolled50ConditionsChronic Respiratory FailureArmsDosage, Cardiac echography
3 · Its place in the literature

Who cites it

1,056 citing papers in PubMed, 1 synthesis or guideline pooled it, 1,972 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Tenapanor Beyond Phosphate: Gut Sodium Transport, Stool Transit Time, and Volume Balance in Dialysis Patients.Hemodialysis international. International Symposium on Home Hemodialysis · 2026
    Review
  8. Article
  9. Cardiovascular Disease in CKD: Ethnic and Regional Differences in Risk and Phenotype.Clinical journal of the American Society of Nephrology : CJASN · 2026
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. FGF23 - A hormone produced by bone and has many faces.Reviews in endocrine & metabolic disorders · 2026
    Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. Observational

996 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

35 authors at 12 institutions in 2 countries.

Christian FaulDivision of Nephrology and Hypertension, Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida, USA. cfaul@med.miami.edu
Ansel P Amaral
Behzad Oskouei
Ming-Chang Hu
Alexis Sloan
Tamara Isakova
Orlando M Gutiérrez
Robier Aguillon-Prada
Joy Lincoln
Joshua M Hare
Peter Mundel
Azorides Morales
Julia Scialla
Michael Fischer
Elsayed Z Soliman
Jing Chen
Alan S Go
Sylvia E Rosas
Lisa Nessel
Raymond R Townsend
Harold I Feldman
Martin St John Sutton
Akinlolu Ojo
Crystal Gadegbeku
Giovana Seno Di Marco
Stefan Reuter
Dominik Kentrup
Klaus Tiemann
Marcus Brand
Joseph A Hill
Orson W Moe
Makoto Kuro-O
John W Kusek
Martin G Keane
Myles Wolf
University of Miami · USUniversity of Münster · DEThe University of Texas Southwestern Medical Center · USHarvard University Press · USNational Institutes of Health · USTemple University · USTulane University · USUniversity of Alabama at Birmingham · USUniversity of California, San Francisco · USUniversity of Illinois Chicago · USUniversity of Michigan–Ann Arbor · USWake Forest University · US

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
Institute for Clinical and Translational Research (UL1)UL1RR025005 · NCRR · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2007 to 2011
$75.8M
INSTITUTIONAL CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR024134 · NCRR · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2006 to 2011
$70.4M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024989 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$53.7M
MICHIGAN INSTITUTE FOR CLINICAL AND HEALTH RESEARCH (MICHR) (UL1): (BPCA)UL1RR024986 · NCRR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SHANLEY, THOMAS P. · 2007 to 2011
$51.2M
Scientific and Data Coordinating Center(SDCC) for the P*U01DK060990 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI FELDMAN, HAROLD I · 2001 to 2017
$50.1M
ZINC GLUCONATE GLYCINE LOZENGES &VITAMIN C EFFECTS ON COMMON COLDM01RR000042 · NCRR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI RUBENFIRE, MELVYN · 1985 to 2007
$40.8M
Zonulin Antibodies in Intestinal Permeabilitiy in IDDMM01RR016500 · NCRR · UNIVERSITY OF MARYLAND BALTIMORE · PI OSWALD, LYNN M · 2002 to 2009
$20.2M
Study of the Care and Outcomes of REnal InsufficiencyU01DK060902 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI GO, ALAN S · 2001 to 2025
$19.5M
ZENARESTAT IN DIABETIC NEUROPATHYM01RR005096 · NCRR · TULANE UNIVERSITY OF LOUISIANA · PI FONSECA, VIVIAN A · 1990 to 2006
$17.4M
Limited Competition for the Continuation of the Chronic Renal Insufficiency CohorU01DK061021 · NIDDK · CASE WESTERN RESERVE UNIVERSITY · PI RAHMAN, MAHBOOB · 2001 to 2025
$17.3M
Prospective Renal Insufficiency Cohort Evaluation:PRICEU01DK060984 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI COHEN, DEBBIE L · 2001 to 2025
$17.0M
NCRR NIH HHS M01 RR-000042NCRR NIH HHS M01 RR000042NCRR NIH HHS M01 RR005096NCRR NIH HHS M01 RR016500NCRR NIH HHS M01 RR16500NCRR NIH HHS RR024131NCRR NIH HHS RR05096NCRR NIH HHS UL1 RR024131NCRR NIH HHS UL1 RR024134NCRR NIH HHS UL1 RR024986NCRR NIH HHS UL1 RR024989NCRR NIH HHS UL1 RR025005NCRR NIH HHS UL1 RR029879NIA NIH HHS R01 AG019712NIA NIH HHS R01AG019712NIDDK NIH HHS 5U01DK060902NIDDK NIH HHS 5U01DK060963NIDDK NIH HHS 5U01DK060984NIDDK NIH HHS 5U01DK060990NIDDK NIH HHS 5U01DK06102NIDDK NIH HHS 5U01DK061021NIDDK NIH HHS 5U01DK061028NIDDK NIH HHS 5U01DK60980NIDDK NIH HHS F30 DK091057NIDDK NIH HHS F30DK091057NIDDK NIH HHS K23 DK081673NIDDK NIH HHS K23DK081673NIDDK NIH HHS K23 DK087858NIDDK NIH HHS K23DK087858NIDDK NIH HHS K24 DK062234NIDDK NIH HHS P30DK-07938NIDDK NIH HHS R01 DK062472NIDDK NIH HHS R01 DK076116NIDDK NIH HHS R01DK076116NIDDK NIH HHS R01 DK081374NIDDK NIH HHS R01DK081374NIDDK NIH HHS R01 DK091218NIDDK NIH HHS R01 DK091392NIDDK NIH HHS R01DK091392NIDDK NIH HHS R01 DK092461NIDDK NIH HHS U01 DK060902NIDDK NIH HHS U01 DK060963NIDDK NIH HHS U01 DK060980NIDDK NIH HHS U01 DK060984NIDDK NIH HHS U01 DK060990NIDDK NIH HHS U01 DK061021NIDDK NIH HHS U01 DK061028
6 · The paper itself

Abstract

Chronic kidney disease (CKD) is a public health epidemic that increases risk of death due to cardiovascular disease. Left ventricular hypertrophy (LVH) is an important mechanism of cardiovascular disease in individuals with CKD. Elevated levels of FGF23 have been linked to greater risks of LVH and mortality in patients with CKD, but whether these risks represent causal effects of FGF23 is unknown. Here, we report that elevated FGF23 levels are independently associated with LVH in a large, racially diverse CKD cohort. FGF23 caused pathological hypertrophy of isolated rat cardiomyocytes via FGF receptor-dependent activation of the calcineurin-NFAT signaling pathway, but this effect was independent of klotho, the coreceptor for FGF23 in the kidney and parathyroid glands. Intramyocardial or intravenous injection of FGF23 in wild-type mice resulted in LVH, and klotho-deficient mice demonstrated elevated FGF23 levels and LVH. In an established animal model of CKD, treatment with an FGF-receptor blocker attenuated LVH, although no change in blood pressure was observed. These results unveil a klotho-independent, causal role for FGF23 in the pathogenesis of LVH and suggest that chronically elevated FGF23 levels contribute directly to high rates of LVH and mortality in individuals with CKD.

Indexed as

AdultAgedAnimalsCohort StudiesDisease Models, AnimalFemaleFibroblast Growth Factor 2Fibroblast Growth Factor-23Fibroblast Growth FactorsGlucuronidaseHumansHypertrophy, Left VentricularKidney Failure, ChronicKlotho ProteinsMaleMiceFGF23 protein, humanFgf23 protein, mouseFgf23 protein, ratFibroblast Growth Factor 2Fibroblast Growth Factor-23Fibroblast Growth FactorsGlucuronidaseKlotho ProteinsReceptors, Fibroblast Growth FactorRecombinant Proteins

Identifiers

PMID21985788
PMCPMC3204831
OpenAlexW2015668150

What OpenQuestion holds

Textmetadata
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.