Evidence map›Paper›PMID 26693712›Full record

ArticleAmerican journal of nephrology2015

Plasma FGF23 and Calcified Atherosclerotic Plaque in African Americans with Type 2 Diabetes Mellitus.

Barry I Freedman, Jasmin Divers, Gregory B Russell, Nicholette D Palmer, Donald W Bowden, J Jeffrey Carr, Lynne E Wagenknecht, R Caresse Hightower, Jianzhao Xu, Susan Carrie Smith and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of nephrology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Novel Cardiovascular Risk Factors in Patients with Diabetic Kidney Disease.International journal of molecular sciences · 2021
    Review
  5. Role of Glycosylation in Vascular Calcification.International journal of molecular sciences · 2021
    Review
  6. Observational
  7. Review
  8. Review
  9. Article
  10. Article
  11. FGF23 Concentration andDiabetes care · 2018
    Article
  12. Article
  13. Article
  14. Review
  15. FGF-23 and cardiovascular disease: review of literature.Current opinion in endocrinology, diabetes, and obesity · 2016
    Review
  16. TBS Predict Coronary Artery Calcification in Adults.BioMed research international · 2016
    Article
  17. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 1 country.

Barry I FreedmanDepartment of Internal Medicine, Section on Nephrology, Wake Forest School of Medicine, Winston-Salem, N.C., USA.
Jasmin Divers
Gregory B Russell
Nicholette D Palmer
Donald W Bowden
J Jeffrey Carr
Lynne E Wagenknecht
R Caresse Hightower
Jianzhao Xu
Susan Carrie Smith
Carl D Langefeld
Keith A Hruska
Thomas C Register
Personalized Medicine Research CenterWake Forest University · USVanderbilt University · USWashington University in St. Louis · US

Funding

WORKER PROTECTION AGAINST AIRBORNE INFLUENZA - A PILOT STUDYM01RR007122 · NCRR · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI HUNDLEY, WILLIAM GREGORY · 1992 to 2010
$35.2M
Subclinical CVD in African American Type 2 DiabeticsR01DK071891 · NIDDK · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI FREEDMAN, BARRY IRA · 2007 to 2016
$4.5M
Epidemiology of cardiovascular disease in diabetesR01HL067348 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BOWDEN, DONALD W · 2001 to 2004
$4.3M
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
Genetics of Bone and Vascular Calcium in Type 2 DiabetesR01AR048797 · NIAMS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI CARR, JOHN JEFFREY · 2001 to 2004
$1.3M
NCRR NIH HHS M01 RR007122NCRR NIH HHS M01 RR07122NHLBI NIH HHS HL67348NHLBI NIH HHS R01 HL067348NIAMS NIH HHS AR48797NIAMS NIH HHS R01 AR048797NIDDK NIH HHS DK070790NIDDK NIH HHS DK089137NIDDK NIH HHS R01 DK070790NIDDK NIH HHS R01 DK071891NIDDK NIH HHS R01 DK089137
6 · The paper itself

Abstract

backgroundFibroblast growth factor 23 (FGF23) is a phosphaturic hormone implicated in disorders of serum phosphorus concentration and vitamin D. The role of FGF23 in vascular calcification remains controversial.

methodsRelationships between FGF23 and coronary artery calcified atherosclerotic plaque (CAC), aortoiliac calcified plaque (CP), carotid artery CP, volumetric bone mineral density (vBMD), albuminuria, and estimated glomerular filtration rate (eGFR) were determined in 545 African Americans with type 2 diabetes (T2D) and preserved kidney function in African American-Diabetes Heart Study participants. Generalized linear models were fitted to test associations between FGF23 and cardiovascular, bone, and renal phenotypes, and change in measurements over time, adjusting for age, gender, African ancestry proportion, body mass index, diabetes duration, hemoglobin A1c, blood pressure, renin-angiotensin-system inhibitors, statins, calcium supplements, serum calcium, and serum phosphate.

resultsThe sample was 56.7% female with a mean (SD) age of 55.6 (9.6) years, diabetes duration of 10.3 (8.2) years, eGFR 90.9 (22.1) ml/min/1.73 m2, urine albumin:creatinine ratio (UACR) 151 (588) (median 13) mg/g, plasma FGF23 161 (157) RU/ml, and CAC 637 (1,179) mg. In fully adjusted models, FGF23 was negatively associated with eGFR (p < 0.0001) and positively associated with UACR (p < 0.0001) and CAC (p = 0.0006), but not with carotid CP or aortic CP. Baseline FGF23 concentration did not associate with changes in vBMD or CAC after a mean of 5.1 years follow-up.

conclusionsPlasma FGF23 concentrations were independently associated with subclinical coronary artery disease, albuminuria, and kidney function in the understudied African American population with T2D. Findings support relationships between FGF23 and vascular calcification, but not between FGF23 and bone mineral density, in African Americans lacking advanced nephropathy.

Indexed as

AdultAgedAlbuminuriaBlack or African AmericanBlood PressureBone DensityCarotid ArteriesCoronary VesselsCross-Sectional StudiesDiabetes Mellitus, Type 2FemaleFibroblast Growth Factor-23Fibroblast Growth FactorsFollow-Up StudiesGlomerular Filtration RateGlycated HemoglobinFGF23 protein, humanFibroblast Growth Factor-23Fibroblast Growth FactorsGlycated Hemoglobinhemoglobin A1c protein, humanPhosphatesVitamin D

Identifiers

PMID26693712
PMCPMC4732898
OpenAlexW2233151735

What OpenQuestion holds

Textmetadata
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.