Evidence map›Paper›PMID 25944690›Full record

ArticleOncotarget2015

FGF23 is elevated in multiple myeloma and increases heparanase expression by tumor cells.

Attaya Suvannasankha, Douglas R Tompkins, Daniel F Edwards, Katarina V Petyaykina, Colin D Crean, Pierrick G Fournier, Jamie M Parker, George E Sandusky, Shoji Ichikawa, Erik A Imel and 1 more

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04846647 (Study of the Inappropriate Secretion of FGF23 in Patients Followed in Hospital in a Context of Hypophosphatemia), which is not on this map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
2.6field-weighted citation impact, top 10% 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.

NCT04846647 completednot on this mapstarted 2021, after this paper: background citation

Study of the Inappropriate Secretion of FGF23 in Patients Followed in Hospital in a Context of Hypophosphatemia

TypeobservationalSponsorUniversity Hospital, Clermont-FerrandRan2021 to 2022Enrolled260ConditionsHypophosphatemia Without Immediate Anteriority, Unexplained HypophosphatemiaArmsunexplained hypophoshatemia
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 46 citations in OpenAlex.

  1. Review
  2. Ex Vivo Model Systems of Cancer-Bone Cell Interactions.Methods in molecular biology (Clifton, N.J.) · 2025
    Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Obesity: a perfect storm for carcinogenesis.Cancer metastasis reviews · 2022
    Review
  11. Review
  12. Prognostic Value of Serum Soluble Klotho and Fibroblast Growth Factor-23 in Multiple Myeloma Patients.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2022
    Article
  13. The regulation of FGF23 under physiological and pathophysiological conditions.Pflugers Archiv : European journal of physiology · 2022
    Review
  14. The osteocyte as a signaling cell.Physiological reviews · 2022
    Review
  15. Osteocytes and Cancer.Current osteoporosis reports · 2021
    Review
  16. The Heparanase Regulatory Network in Health and Disease.International journal of molecular sciences · 2021
    Review
  17. Review
  18. Review
  19. Article
  20. Review
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 2 institutions in 1 country.

Attaya SuvannasankhaDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Douglas R TompkinsDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Daniel F EdwardsDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Katarina V PetyaykinaDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Colin D CreanDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Pierrick G FournierDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Jamie M ParkerDepartment of Pathology, Indiana University School of Medicine, Indianapolis, IN, USA.
George E SanduskyDepartment of Pathology, Indiana University School of Medicine, Indianapolis, IN, USA.
Shoji IchikawaDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Erik A ImelDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
John M ChirgwinDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Indiana University School of MedicineIndiana University – Purdue University Indianapolis · US

Funding

FGF23 in Pediatric Phosphate Physiology and X-linked Hypophosphatemic Rickets.K23AR057096 · NIAMS · INDIANA UNIVERSITY INDIANAPOLIS · PI IMEL, ERIK ALLEN · 2009 to 2013
$642k
Role of Osteocytes in Myeloma Bone DiseaseI01CX000977 · VA · RLR VA MEDICAL CENTER · PI CHIRGWIN, JOHN M, SUVANNASANKHA, ATTAYA · 2014 to 2017
–
CSRD VA I01 CX000977NIAMS NIH HHS K23 AR057096NIAMS NIH HHS K23AR057096
6 · The paper itself

Abstract

Multiply myeloma (MM) grows in and destroys bone, where osteocytes secrete FGF23, a hormone which affects phosphate homeostasis and aging. We report that multiple myeloma (MM) cells express receptors for and respond to FGF23. FGF23 increased mRNA for EGR1 and its target heparanase, a pro-osteolytic factor in MM. FGF23 signals through a complex of klotho and a classical FGF receptor (FGFR); both were expressed by MM cell lines and patient samples. Bone marrow plasma cells from 42 MM patients stained positively for klotho, while plasma cells from 8 patients with monoclonal gammopathy of undetermined significance (MGUS) and 6 controls were negative. Intact, active FGF23 was increased 2.9X in sera of MM patients compared to controls. FGF23 was not expressed by human MM cells, but co-culture with mouse bone increased its mRNA. The FGFR inhibitor NVP-BGJ398 blocked the heparanase response to FGF23. NVP-BGJ398 did not inhibit 8226 growth in vitro but significantly suppressed growth in bone and induction of the osteoclast regulator RANK ligand, while decreasing heparanase mRNA. The bone microenvironment provides resistance to some anti-tumor drugs but increased the activity of NVP-BGJ398 against 8226 cells. The FGF23/klotho/heparanase signaling axis may offer targets for treatment of MM in bone.

Indexed as

AdultAgedAnimalsCase-Control StudiesCoculture TechniquesEarly Growth Response Protein 1FemaleFibroblast Growth Factor-23Fibroblast Growth FactorsGene Expression Regulation, NeoplasticGlucuronidaseHeparanaseHumansKlotho ProteinsMaleMCF-7 CellsEarly Growth Response Protein 1EGR1 protein, humanFGF23 protein, humanFgf23 protein, mouseFibroblast Growth Factor-23Fibroblast Growth FactorsGlucuronidaseHeparanaseinfigratinibKlotho ProteinsPhenylurea CompoundsPyrimidinesRANK LigandReceptors, Fibroblast Growth FactorRNA, MessengerTNFSF11 protein, humanFGF23FGF receptorklothomultiple myelomaosteocytes

Identifiers

PMID25944690
PMCPMC4637311
OpenAlexW1595113042

What OpenQuestion holds

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LicenceCC BY
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.