Evidence map›Paper›PMID 23403405›Full record

ReviewBone2013

Osteocyte regulation of phosphate homeostasis and bone mineralization underlies the pathophysiology of the heritable disorders of rickets and osteomalacia.

Jian Q Feng, Erica L Clinkenbeard, Baozhi Yuan, Kenneth E White, Marc K Drezner

Open access · greenAbstract readReview
In one paragraph

Review in Bone, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
7.4field-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

45 citing papers in PubMed, 99 citations in OpenAlex.

  1. Article
  2. Autosomal dominant hypophosphatemic rickets: a case report of two sisters with a novel FGF-23 mutation.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
  3. Review
  4. Article
  5. Article
  6. The osteocyte and its osteoclastogenic potential.Frontiers in endocrinology · 2023
    Review
  7. Article
  8. Review
  9. The osteocyte as a signaling cell.Physiological reviews · 2022
    Review
  10. Burden of disease and clinical targets in adult patients with X-linked hypophosphatemia. A comprehensive review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
    Review
  11. Review
  12. Article
  13. ScxBone · 2021
    Article
  14. X-Linked Hypophosphatemia: A New Era in Management.Journal of the Endocrine Society · 2020
    Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. 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

5 authors at 5 institutions in 1 country.

Jian Q FengDepartment of Biomedical Sciences, Baylor College of Dentistry, Texas A&M Health Science Center, Dallas, TX 75246, USA.
Erica L Clinkenbeard
Baozhi Yuan
Kenneth E White
Marc K Drezner
Indiana University – Purdue University Indianapolis · USIndiana University School of MedicineTexas A&M Health Science Center · USUniversity of Wisconsin–Madison · USWilliam S. Middleton Memorial Veterans Hospital · US

Funding

Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
FGF-23 REGULATION OF PHOSPHATE HOMEOSTASISR01DK063934 · NIDDK · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI WHITE, KENNETH E · 2003 to 2015
$3.8M
PATHOGENESIS OF VITAMIN D REFRACTORY DISEASESR01AR027032 · NIAMS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 1986 to 2015
$3.5M
Control of FGF23 Bioactivity via Circulating alpha-KlothoR01DK095784 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI WHITE, KENNETH E · 2013 to 2017
$1.7M
DMP1 Mutations: Defects in OdontogenesisR01DE018486 · NIDCR · TEXAS A&M UNIVERSITY HEALTH SCIENCE CTR · PI FENG, JIAN Q. · 2008 to 2012
$1.7M
PATHOGENESIS Of VITAMIN D REFRACTORY DISEASESR56AR027032 · NIAMS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2009 to 2009
$378k
Conditional Isolation of Fgf23 ActivityR21AR059278 · NIAMS · INDIANA UNIVERSITY INDIANAPOLIS · PI WHITE, KENNETH E · 2010 to 2011
$373k
NCATS NIH HHS 2UL1TR000427NCATS NIH HHS UL1 TR000427NIAMS NIH HHS AR059278NIAMS NIH HHS AR27032NIAMS NIH HHS R01 AR027032NIAMS NIH HHS R21 AR059278NIAMS NIH HHS R56 AR027032NIDCR NIH HHS DE018486NIDCR NIH HHS R01 DE018486NIDDK NIH HHS DK063934NIDDK NIH HHS R01 DK063934NIDDK NIH HHS R01 DK095784
6 · The paper itself

Abstract

Although recent studies have established that osteocytes function as secretory cells that regulate phosphate metabolism, the biomolecular mechanism(s) underlying these effects remain incompletely defined. However, investigations focusing on the pathogenesis of X-linked hypophosphatemia (XLH), autosomal dominant hypophosphatemic rickets (ADHR), and autosomal recessive hypophosphatemic rickets (ARHR), heritable disorders characterized by abnormal renal phosphate wasting and bone mineralization, have clearly implicated FGF23 as a central factor in osteocytes underlying renal phosphate wasting, documented new molecular pathways regulating FGF23 production, and revealed complementary abnormalities in osteocytes that regulate bone mineralization. The seminal observations leading to these discoveries were the following: 1) mutations in FGF23 cause ADHR by limiting cleavage of the bioactive intact molecule, at a subtilisin-like protein convertase (SPC) site, resulting in increased circulating FGF23 levels and hypophosphatemia; 2) mutations in DMP1 cause ARHR, not only by increasing serum FGF23, albeit by enhanced production and not limited cleavage, but also by limiting production of the active DMP1 component, the C-terminal fragment, resulting in dysregulated production of DKK1 and β-catenin, which contributes to impaired bone mineralization; and 3) mutations in PHEX cause XLH both by altering FGF23 proteolysis and production and causing dysregulated production of DKK1 and β-catenin, similar to abnormalities in ADHR and ARHR, but secondary to different central pathophysiological events. These discoveries indicate that ADHR, XLH, and ARHR represent three related heritable hypophosphatemic diseases that arise from mutations in, or dysregulation of, a single common gene product, FGF23 and, in ARHR and XLH, complimentary DMP1 and PHEX directed events that contribute to abnormal bone mineralization.

Indexed as

Calcification, PhysiologicHomeostasisAnimalsFibroblast Growth Factor-23HumansOsteocytesOsteomalaciaPhosphatesRicketsFGF23 protein, humanFibroblast Growth Factor-23Phosphates

Identifiers

PMID23403405
PMCPMC3672228
OpenAlexW2061807047

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.