Evidence map›Paper›PMID 23873717›Full record

ArticleJournal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research2014

Neonatal iron deficiency causes abnormal phosphate metabolism by elevating FGF23 in normal and ADHR mice.

Erica L Clinkenbeard, Emily G Farrow, Lelia J Summers, Taryn A Cass, Jessica L Roberts, Christine A Bayt, Tim Lahm, Marjorie Albrecht, Matthew R Allen, Munro Peacock and 1 more

Open access · greenAbstract read
In one paragraph

Article in Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed
5.6field-weighted citation impact, top 3% 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

87 citing papers in PubMed, 125 citations in OpenAlex.

  1. Trial
  2. Erythropoietin stimulates fibroblast growth factor 23 (FGF23) in mice and men.Pflugers Archiv : European journal of physiology · 2018
    Trial
  3. Article
  4. Hypophosphatemic rickets: diagnosis and treatment.Archives of endocrinology and metabolism · 2026
    Review
  5. Review
  6. Review
  7. Review
  8. Iron and Bone Pathophysiology.Advances in experimental medicine and biology · 2025
    Review
  9. Review
  10. Review
  11. Article
  12. Non-Classical Effects of FGF23: Molecular and Clinical Features.International journal of molecular sciences · 2024
    Review
  13. Article
  14. Associations between anemia and FGF23 in the CKiD study.Pediatric nephrology (Berlin, Germany) · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review

27 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

11 authors at 3 institutions in 1 country.

Erica L ClinkenbeardDepartment of Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, IN, USA.
Emily G Farrow
Lelia J Summers
Taryn A Cass
Jessica L Roberts
Christine A Bayt
Tim Lahm
Marjorie Albrecht
Matthew R Allen
Munro Peacock
Kenneth E White
Indiana University – Purdue University Indianapolis · USIndiana University School of MedicineChildren's Mercy Hospital · US

Funding

INDIANA CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE (UL1): BPCAUL1RR025761 · NCRR · INDIANA UNIVERSITY INDIANAPOLIS · PI SHEKHAR, ANANTHA · 2008 to 2011
$21.0M
FGF-23 REGULATION OF PHOSPHATE HOMEOSTASISR01DK063934 · NIDDK · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI WHITE, KENNETH E · 2003 to 2015
$3.8M
Enhancing bone strength using combination drug therapyR01AR062002 · NIAMS · INDIANA UNIVERSITY INDIANAPOLIS · PI ALLEN, MATTHEW R · 2012 to 2016
$2.4M
Control of FGF23 Bioactivity via Circulating alpha-KlothoR01DK095784 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI WHITE, KENNETH E · 2013 to 2017
$1.7M
Conditional Isolation of Fgf23 ActivityR21AR059278 · NIAMS · INDIANA UNIVERSITY INDIANAPOLIS · PI WHITE, KENNETH E · 2010 to 2011
$373k
POSITIONAL CLONING OF THE ADHR GENEF32AR008550 · NIAMS · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI WHITE, KENNETH E · 1999 to 2001
$83k
NCRR NIH HHS UL1 RR025761NCRR NIH HHS UL1RR025761NIAMS NIH HHS AR059278NIAMS NIH HHS AR062002NIAMS NIH HHS F32 AR008550NIAMS NIH HHS R01 AR062002NIAMS NIH HHS R21 AR059278NIDDK NIH HHS DK063934NIDDK NIH HHS DK095784NIDDK NIH HHS R01 DK063934NIDDK NIH HHS R01 DK095784
6 · The paper itself

Abstract

Fibroblast growth factor 23 (FGF23) gain of function mutations can lead to autosomal dominant hypophosphatemic rickets (ADHR) disease onset at birth, or delayed onset following puberty or pregnancy. We previously demonstrated that the combination of iron deficiency and a knock-in R176Q FGF23 mutation in mature mice induced FGF23 expression and hypophosphatemia that paralleled the late-onset ADHR phenotype. Because anemia in pregnancy and in premature infants is common, the goal of this study was to test whether iron deficiency alters phosphate handling in neonatal life. Wild-type (WT) and ADHR female breeder mice were provided control or iron-deficient diets during pregnancy and nursing. Iron-deficient breeders were also made iron replete. Iron-deficient WT and ADHR pups were hypophosphatemic, with ADHR pups having significantly lower serum phosphate (p < 0.01) and widened growth plates. Both genotypes increased bone FGF23 mRNA (>50 fold; p < 0.01). WT and ADHR pups receiving low iron had elevated intact serum FGF23; ADHR mice were affected to a greater degree (p < 0.01). Iron-deficient mice also showed increased Cyp24a1 and reduced Cyp27b1, and low serum 1,25-dihydroxyvitamin D (1,25D). Iron repletion normalized most abnormalities. Because iron deficiency can induce tissue hypoxia, oxygen deprivation was tested as a regulator of FGF23, and was shown to stimulate FGF23 mRNA in vitro and serum C-terminal FGF23 in normal rats in vivo. These studies demonstrate that FGF23 is modulated by iron status in young WT and ADHR mice and that hypoxia independently controls FGF23 expression in situations of normal iron. Therefore, disturbed iron and oxygen metabolism in neonatal life may have important effects on skeletal function and structure through FGF23 activity on phosphate regulation.

Indexed as

Iron DeficienciesMutation, MissenseAmino Acid SubstitutionAnimalsAnimals, NewbornCalcitriolDietFamilial Hypophosphatemic RicketsFemaleFibroblast Growth Factor-23Fibroblast Growth FactorsGene Knock-In TechniquesHumansHypoxiaIronMaleCalcitriolCYP24A1 protein, humanCyp24a1 protein, mouseCyp24a1 protein, ratFGF23 protein, humanFgf23 protein, mouseFgf23 protein, ratFibroblast Growth Factor-23Fibroblast Growth FactorsIronPhosphatesRNA, MessengerSteroid HydroxylasesVitamin D3 24-HydroxylaseBONEHYPOPHOSPHATEMIAIRONKIDNEYOSTEOCYTEPHOSPHATE

Identifiers

PMID23873717
PMCPMC5240191
OpenAlexW1500101960

What OpenQuestion holds

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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.