Evidence map›Paper›PMID 23657144›Full record

ArticleKidney international2013

Plasma FGF23 levels increase rapidly after acute kidney injury.

Marta Christov, Sushrut S Waikar, Renata C Pereira, Andrea Havasi, David E Leaf, David Goltzman, Paola D Pajevic, Myles Wolf, Harald Jüppner

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Kidney international, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02133599 (Prediction of Excretion and Toxicity of High Dose Methotrexate in Children and Adolescents With Acute Lymphoblastic Leukemia and Lymphoma), which is not on this map. Cited by 99 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed, 1 pooled it
9.2field-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.

NCT02133599 nacompletednot on this mapstarted 2014, after this paper: background citation

Prediction of Excretion and Toxicity of High Dose Methotrexate in Children and Adolescents With Acute Lymphoblastic Leukemia and Lymphoma

TypeinterventionalSponsorAnn & Robert H Lurie Children's Hospital of ChicagoRan2014 to 2019Enrolled23ConditionsALLArmsIOHEXOL
3 · Its place in the literature

Who cites it

99 citing papers in PubMed, 1 synthesis or guideline pooled it, 181 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Observational
  4. Review
  5. Review
  6. The effects of elevated phosphate on the kidney - damaging the gatekeeper.Pflugers Archiv : European journal of physiology · 2026
    Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Crosstalk between kidney and bone: insights from CKD-MBD.Journal of bone and mineral metabolism · 2024
    Review
  15. Non-Classical Effects of FGF23: Molecular and Clinical Features.International journal of molecular sciences · 2024
    Review
  16. Article
  17. Article
  18. Gut microbiota and neonatal acute kidney injury biomarkers.Pediatric nephrology (Berlin, Germany) · 2023
    Review
  19. Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 2 countries.

Marta Christov1] Endocrine Unit, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA [2] Division of Nephrology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Sushrut S Waikar
Renata C Pereira
Andrea Havasi
David E Leaf
David Goltzman
Paola D Pajevic
Myles Wolf
Harald Jüppner
Brigham and Women's Hospital · USHarvard University · USBeth Israel Deaconess Medical Center · USBoston Medical Center · USMcGill University · CAUniversity of California, Los Angeles · USUniversity of Miami · US

Funding

Tissue Phenotyping CoreP01DK011794 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI JUEPPNER, HARALD W. · 1986 to 2023
$44.4M
TRAINING PROGRAM IN ACADEMIC NEPHROLOGYT32DK007527 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI BONVENTRE, JOSEPH VINCENT · 1986 to 2021
$8.8M
Urinary Biomarkers of Chronic Kidney Disease Pathology and ProgressionU01DK085660 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI BONVENTRE, JOSEPH VINCENT, WAIKAR, SUSHRUT S. · 2009 to 2019
$5.3M
FGF23 and Cardiovascular Disease in CKDR01DK081374 · NIDDK · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI WOLF, MYLES S · 2008 to 2016
$4.2M
Role of FGF-23 in Mineral Metabolism Across the Spectum of Chronic Kidney DiseaseR01DK076116 · NIDDK · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI WOLF, MYLES S · 2007 to 2016
$2.9M
Biomarkers of Kidney PathologyR01DK093574 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI WAIKAR, SUSHRUT S. · 2012 to 2015
$2.4M
Effects of osteocyte specific Gs alpha signaling on bone mass and hematopoiesisR01AR060221 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI DIVIETI PAJEVIC, PAOLA · 2011 to 2015
$1.9M
Dissecting the Mechanisms that control FGF23K08DK093608 · NIDDK · NEW YORK MEDICAL COLLEGE · PI CHRISTOV, MARTA · 2012 to 2016
$752k
Proteinuria causes progressive kidney disease by impairing autophagyK08DK090143 · NIDDK · BOSTON MEDICAL CENTER · PI HAVASI, ANDREA · 2011 to 2015
$746k
NIAMS NIH HHS R01 AR060221NIDDK NIH HHS K08 DK090143NIDDK NIH HHS K08 DK093608NIDDK NIH HHS K08 DK93608NIDDK NIH HHS P01 DK011794NIDDK NIH HHS P01 DK11794NIDDK NIH HHS R01 DK076116NIDDK NIH HHS R01 DK081374NIDDK NIH HHS R01 DK093574NIDDK NIH HHS R01DK093574NIDDK NIH HHS T32 DK007527NIDDK NIH HHS U01DK085660
6 · The paper itself

Abstract

Emerging evidence suggests that fibroblast growth factor 23 (FGF23) levels are elevated in patients with acute kidney injury (AKI). In order to determine how early this increase occurs, we used a murine folic acid-induced nephropathy model and found that plasma FGF23 levels increased significantly from baseline already after 1 h of AKI, with an 18-fold increase at 24 h. Similar elevations of FGF23 levels were found when AKI was induced in mice with osteocyte-specific parathyroid hormone receptor ablation or the global deletion of parathyroid hormone or the vitamin D receptor, indicating that the increase in FGF23 was independent of parathyroid hormone and vitamin D signaling. Furthermore, FGF23 levels increased to a similar extent in wild-type mice maintained on normal or phosphate-depleted diets prior to induction of AKI, indicating that the marked FGF23 elevation is at least partially independent of dietary phosphate. Bone production of FGF23 was significantly increased in AKI. The half-life of intravenously administered recombinant FGF23 was only modestly increased. Consistent with the mouse data, plasma FGF23 levels rose 15.9-fold by 24 h following cardiac surgery in patients who developed AKI. The levels were significantly higher than in those without postoperative AKI. Thus, circulating FGF23 levels rise rapidly during AKI in rodents and humans. In mice, this increase is independent of established modulators of FGF23 secretion.

Indexed as

Acute Kidney InjuryAgedAged, 80 and overAnimalsBiomarkersCase-Control StudiesCohort StudiesDisease Models, AnimalFemaleFibroblast Growth Factor-23Fibroblast Growth FactorsFolic AcidHumansMaleMiceMice, Inbred C57BL1,25-dihydroxyvitamin DBiomarkersFGF23 protein, humanFgf23 protein, mouseFibroblast Growth Factor-23Fibroblast Growth FactorsFolic AcidParathyroid HormonePhosphatesVitamin D

Identifiers

PMID23657144
PMCPMC3766419
OpenAlexW2053152115

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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.