Evidence map›Paper›PMID 22473330›Full record

ReviewNature reviews. Endocrinology2012

Arterial calcification and bone physiology: role of the bone-vascular axis.

Bithika Thompson, Dwight A Towler

Registry-linked trialAbstract readReview
In one paragraph

Review in Nature reviews. Endocrinology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05916950 (The THOR IDE Study), which is not on this map. Cited by 174 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
174citing papers in PubMed, 1 pooled it
10.6field-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.

NCT05916950 narecruitingnot on this mapstarted 2024, after this paper: background citation

The THOR IDE Study

TypeinterventionalSponsorPhilips Clinical & Medical Affairs GlobalRan2024 to 2027Enrolled155ConditionsPeripheral Artery Disease, Peripheral Artery Stenosis, Peripheral Artery Calcification, PADArmsThor laser atherectomy
3 · Its place in the literature

Who cites it

174 citing papers in PubMed, 1 synthesis or guideline pooled it, 319 citations in OpenAlex.

  1. Pooled it
  2. Risk Factors for Hip Fracture in Older Men: The Osteoporotic Fractures in Men Study (MrOS).Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2016
    Trial
  3. QCT Volumetric Bone Mineral Density and Vascular and Valvular Calcification: The Framingham Study.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2015
    Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Postmenopausal Osteoporosis, Endothelial Dysfunction, and Cardiovascular Risk.Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases · 2026
    Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Automated abdominal aortic calcification and trabecular bone score independently predict incident fracture during routine osteoporosis screening.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2026
    Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Quantitative computed tomography provides improved accuracy for diagnosis of lumbar osteoporosis in patients with facet joint osteoarthritis: a cross-sectional study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
  20. The link between osteoporosis and cardiovascular diseases: a review of shared mechanisms, risk factors, and therapeutic approaches.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Review

114 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

2 authors at 1 institution in 1 country.

Bithika ThompsonDepartment of Internal Medicine, Division of Endocrinology, Metabolism and Lipid Research, Washington University School of Medicine, Campus Box 8127, 660 South Euclid Avenue, St Louis, MO 63110, USA.
Dwight A Towler
Washington University in St. Louis · US

Funding

OSTEOGENIC REGULATION OF VASCULAR CALCIFICATIONR01HL069229 · NHLBI · WASHINGTON UNIVERSITY · PI TOWLER, DWIGHT A. · 2001 to 2022
$7.9M
MSX2-WNT SIGNALING IN CARDIOVASCULAR CALCIFICATIONR01HL081138 · NHLBI · WASHINGTON UNIVERSITY · PI TOWLER, DWIGHT A. · 2005 to 2013
$3.4M
TNF-ALPHA AND BMP2-WNT SIGNALING IN DIABETIC VASCULAR DISEASER01HL088651 · NHLBI · WASHINGTON UNIVERSITY · PI TOWLER, DWIGHT A. · 2008 to 2012
$1.9M
NHLBI NIH HHS HL69299NHLBI NIH HHS HL81138NHLBI NIH HHS HL88651NHLBI NIH HHS R01 HL069229NHLBI NIH HHS R01 HL081138NHLBI NIH HHS R01 HL088651
6 · The paper itself

Abstract

Bone never forms without vascular interactions. This simple statement of fact does not adequately reflect the physiological and pharmacological implications of the relationship. The vasculature is the conduit for nutrient exchange between bone and the rest of the body. The vasculature provides the sustentacular niche for development of osteoblast progenitors and is the conduit for egress of bone marrow cell products arising, in turn, from the osteoblast-dependent haematopoietic niche. Importantly, the second most calcified structure in humans after the skeleton is the vasculature. Once considered a passive process of dead and dying cells, vascular calcification has emerged as an actively regulated form of tissue biomineralization. Skeletal morphogens and osteochondrogenic transcription factors are expressed by cells within the vessel wall, which regulates the deposition of vascular calcium. Osteotropic hormones, including parathyroid hormone, regulate both vascular and skeletal mineralization. Cellular, endocrine and metabolic signals that flow bidirectionally between the vasculature and bone are necessary for both bone health and vascular health. Dysmetabolic states including diabetes mellitus, uraemia and hyperlipidaemia perturb the bone-vascular axis, giving rise to devastating vascular and skeletal disease. A detailed understanding of bone-vascular interactions is necessary to address the unmet clinical needs of an increasingly aged and dysmetabolic population.

Indexed as

AtherosclerosisBlood VesselsBone and BonesHealthHumansModels, BiologicalPeripheral Arterial DiseaseSignal TransductionVascular Calcification

Identifiers

PMID22473330
PMCPMC3423589
OpenAlexW2034953297

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.