Evidence map›Paper›PMID 24578135›Full record

Trial reportJournal of the American Society of Nephrology : JASN2014

CKD-induced wingless/integration1 inhibitors and phosphorus cause the CKD-mineral and bone disorder.

Yifu Fang, Charles Ginsberg, Michael Seifert, Olga Agapova, Toshifumi Sugatani, Thomas C Register, Barry I Freedman, Marie-Claude Monier-Faugere, Hartmut Malluche, Keith A Hruska

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Society of Nephrology : JASN, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed
11.1field-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.

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

83 citing papers in PubMed, 173 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. [Potential of early diagnosis and targeted therapy for Klotho protein in chronic kidney disease].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
    Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Exosome-basedRegenerative biomaterials · 2025
    Article
  10. In chronic kidney disease altered cardiac metabolism precedes cardiac hypertrophy.American journal of physiology. Renal physiology · 2024
    Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Observational
  17. Article
  18. Article
  19. Review
  20. Article

23 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

10 authors at 4 institutions in 1 country.

Yifu FangDepartments of Pediatrics/Nephrology and.
Charles GinsbergMedicine, Washington University, St. Louis, Missouri;
Michael SeifertDepartments of Pediatrics/Nephrology and Department of Pediatric Nephrology, Southern Illinois School of Medicine, Springfield, Illinois;
Olga AgapovaDepartments of Pediatrics/Nephrology and.
Toshifumi SugataniDepartments of Pediatrics/Nephrology and.
Thomas C RegisterPathology, and.
Barry I FreedmanInternal Medicine/Nephrology, Wake Forest School of Medicine, Winston-Salem, North Carolina; and.
Marie-Claude Monier-FaugereDepartment of Medicine/Nephrology, University of Kentucky, Lexington, Kentucky.
Hartmut MallucheDepartment of Medicine/Nephrology, University of Kentucky, Lexington, Kentucky.
Keith A HruskaDepartments of Pediatrics/Nephrology and Medicine, Washington University, St. Louis, Missouri; hruska_k@kids.wustl.edu.
University of Kentucky · USWashington University in St. Louis · USSouthern Illinois University School of Medicine · USWake Forest University · US

Funding

Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
WORKER PROTECTION AGAINST AIRBORNE INFLUENZA - A PILOT STUDYM01RR007122 · NCRR · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI HUNDLEY, WILLIAM GREGORY · 1992 to 2010
$35.2M
Washington University Institute of Clinical and Translational SciencesKL2TR000450 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$8.8M
The Role of the Osteoblast Secretome in Bone FormationP30AR057235 · NIAMS · WASHINGTON UNIVERSITY · PI SILVA, MATTHEW J · 2009 to 2018
$5.7M
Renal Osteodystrophy: A Fresh ApproachR01DK080770 · NIDDK · UNIVERSITY OF KENTUCKY · PI MALLUCHE, HARTMUT H · 2009 to 2019
$4.8M
Subclinical CVD in African American Type 2 DiabeticsR01DK071891 · NIDDK · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI FREEDMAN, BARRY IRA · 2007 to 2016
$4.5M
RENAL OSTEODYSTROPHY AND VASCULAR CALCIFICATIONR01DK070790 · NIDDK · WASHINGTON UNIVERSITY · PI HRUSKA, KEITH A · 2006 to 2018
$3.9M
CARDIOVASCULAR RISK MECHANISMS IN CKDR01DK089137 · NIDDK · WASHINGTON UNIVERSITY · PI HRUSKA, KEITH A · 2012 to 2016
$1.6M
NCATS NIH HHS KL2 TR000450NCATS NIH HHS KL2-TR000450NCATS NIH HHS UL1 TR000448NCATS NIH HHS UL1-TR000448NCRR NIH HHS M01 RR007122NCRR NIH HHS M01-RR07122NIAMS NIH HHS P30 AR057235NIDDK NIH HHS DK070790NIDDK NIH HHS DK071891NIDDK NIH HHS DK080770NIDDK NIH HHS DK089137NIDDK NIH HHS R01 DK070790NIDDK NIH HHS R01 DK071891NIDDK NIH HHS R01 DK080770NIDDK NIH HHS R01 DK089137
6 · The paper itself

Abstract

In chronic kidney disease, vascular calcification, renal osteodystrophy, and phosphate contribute substantially to cardiovascular risk and are components of CKD-mineral and bone disorder (CKD-MBD). The cause of this syndrome is unknown. Additionally, no therapy addresses cardiovascular risk in CKD. In its inception, CKD-MBD is characterized by osteodystrophy, vascular calcification, and stimulation of osteocyte secretion. We tested the hypothesis that increased production of circulating factors by diseased kidneys causes the CKD-MBD in diabetic mice subjected to renal injury to induce stage 2 CKD (CKD-2 mice). Compared with non-CKD diabetic controls, CKD-2 mice showed increased renal production of Wnt inhibitor family members and higher levels of circulating Dickkopf-1 (Dkk1), sclerostin, and secreted klotho. Neutralization of Dkk1 in CKD-2 mice by administration of a monoclonal antibody after renal injury stimulated bone formation rates, corrected the osteodystrophy, and prevented CKD-stimulated vascular calcification. Mechanistically, neutralization of Dkk1 suppressed aortic expression of the osteoblastic transcription factor Runx2, increased expression of vascular smooth muscle protein 22-α, and restored aortic expression of klotho. Neutralization of Dkk1 did not affect the elevated plasma levels of osteocytic fibroblast growth factor 23 but decreased the elevated levels of sclerostin. Phosphate binder therapy restored plasma fibroblast growth factor 23 levels but had no effect on vascular calcification or osteodystrophy. The combination of the Dkk1 antibody and phosphate binder therapy completely treated the CKD-MBD. These results show that circulating Wnt inhibitors are involved in the pathogenesis of CKD-MBD and that the combination of Dkk1 neutralization and phosphate binding may have therapeutic potential for this disorder.

Indexed as

Adaptor Proteins, Signal TransducingAdultAnimalsBone Diseases, MetabolicBone Morphogenetic ProteinsDisease Models, AnimalDouble-Blind MethodFemaleFibroblast Growth Factor-23Fibroblast Growth FactorsGlucuronidaseGlycoproteinsHumansIntercellular Signaling Peptides and ProteinsKlotho ProteinsLanthanumAdaptor Proteins, Signal TransducingBone Morphogenetic ProteinsDkk1 protein, mouseFibroblast Growth Factor-23Fibroblast Growth FactorsGlucuronidaseGlycoproteinsIntercellular Signaling Peptides and ProteinsKlotho ProteinsLanthanumlanthanum carbonatePhosphatesPhosphorus, DietarySostdc1 protein, mouseSost protein, mouseWnt1 Protein

Identifiers

PMID24578135
PMCPMC4116062
OpenAlexW2132877985

What OpenQuestion holds

Textmetadata
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.