Evidence map›Paper›PMID 29928063›Full record

ArticlePloS one2018

Circulating levels of sclerostin are associated with cardiovascular mortality.

Cristina Novo-Rodríguez, Beatriz García-Fontana, Juan De Dios Luna-Del Castillo, Francisco Andújar-Vera, Verónica Ávila-Rubio, Cristina García-Fontana, Sonia Morales-Santana, Pedro Rozas-Moreno, Manuel Muñoz-Torres

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
5.3field-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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Role of Sclerostin in Cardiovascular System.International journal of molecular sciences · 2025
    Review
  4. Article
  5. Article
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  10. Exploring the Role of Sclerostin as a Biomarker of Cardiovascular Disease and Mortality: A Scoping Review.International journal of environmental research and public health · 2022
    Article
  11. Review
  12. Article
  13. Article
  14. Circulating Sclerostin Levels Are Positively Related to Coronary Artery Disease Severity and Related Risk Factors.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2022
    Article
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  17. Review
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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

9 authors at 3 institutions in 1 country.

Cristina Novo-RodríguezEndocrinology and Nutrition Unit, Hospital Universitario San Cecilio. Instituto de Investigación Biosanitaria de Granada (Ibs.GRANADA). Av. de la Ilustración, s/n, Granada, Spain.ORCID 0000-0002-7765-6695
Beatriz García-FontanaEndocrinology and Nutrition Unit, Hospital Universitario San Cecilio. Instituto de Investigación Biosanitaria de Granada (Ibs.GRANADA). Av. de la Ilustración, s/n, Granada, Spain.ORCID 0000-0002-4134-5561
Juan De Dios Luna-Del CastilloDepartment of Biostatistical, University of Granada. Av. de la Investigación, Granada, Spain.
Francisco Andújar-VeraEndocrinology and Nutrition Unit, Hospital Universitario San Cecilio. Instituto de Investigación Biosanitaria de Granada (Ibs.GRANADA). Av. de la Ilustración, s/n, Granada, Spain.ORCID 0000-0002-2663-8809
Verónica Ávila-RubioEndocrinology and Nutrition Unit, Hospital Universitario San Cecilio. Instituto de Investigación Biosanitaria de Granada (Ibs.GRANADA). Av. de la Ilustración, s/n, Granada, Spain.ORCID 0000-0001-8478-2377
Cristina García-FontanaEndocrinology and Nutrition Unit, Hospital Universitario San Cecilio. Instituto de Investigación Biosanitaria de Granada (Ibs.GRANADA). Av. de la Ilustración, s/n, Granada, Spain.ORCID 0000-0002-9328-6022
Sonia Morales-SantanaCIBERFES. Instituto de Salud Carlos III. Carretera de Majadahonda-Pozuelo, Km. 2.200, Majadahonda, Madrid, Spain.
Pedro Rozas-MorenoCIBERFES. Instituto de Salud Carlos III. Carretera de Majadahonda-Pozuelo, Km. 2.200, Majadahonda, Madrid, Spain.ORCID 0000-0003-2050-1526
Manuel Muñoz-TorresEndocrinology and Nutrition Unit, Hospital Universitario San Cecilio. Instituto de Investigación Biosanitaria de Granada (Ibs.GRANADA). Av. de la Ilustración, s/n, Granada, Spain.ORCID 0000-0002-9645-3260
Instituto de Investigación Biosanitaria de Granada · ESInstituto de Salud Carlos III · ESUniversidad de Granada · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiovascular diseases are a health problem throughout the world, especially in people with diabetes. The identification of cardiovascular disease biomarkers can improve risk stratification. Sclerostin is a modulator of the Wnt/β-catenin signalling pathway in different tissues, and it has recently been linked to vascular biology. The current study aimed to evaluate the relationship between circulating sclerostin levels and cardiovascular and non-cardiovascular mortality in individuals with and without type 2 diabetes. We followed up a cohort of 130 participants (mean age 56.8 years; 48.5% females; 75 with type 2 diabetes; 46 with prevalent cardiovascular disease) in which serum sclerostin levels were measured at the baseline. Time to death (both of cardiovascular and non-cardiovascular causes) was assessed to establish the relationship between sclerostin and mortality. We found that serum sclerostin concentrations were significantly higher in patients with prevalent cardiovascular disease (p<0.001), and independently associated with cardiovascular mortality (p = 0.008), showing sclerostin to be a stronger predictor of mortality than other classical risk factors (area under the curve = 0.849 vs 0.823). The survival analysis showed that an increase of 10 pmol/L in the serum sclerostin level resulted in a 31% increase in cardiovascular mortality. However, no significant association was observed between sclerostin levels and non-cardiovascular mortality (p = 0.346). From these results, we conclude that high sclerostin levels are related to mortality due to cardiovascular causes. The clinical implication of these findings is based on the possible use of serum sclerostin as a new biomarker of cardiovascular mortality risk in order to establish preventive strategies.

Indexed as

Adaptor Proteins, Signal TransducingBone Morphogenetic ProteinsCardiovascular DiseasesCohort StudiesDiabetes Mellitus, Type 2FemaleGenetic MarkersHumansIncidenceKaplan-Meier EstimateLogistic ModelsMaleMiddle AgedProportional Hazards ModelsRisk FactorsROC CurveAdaptor Proteins, Signal TransducingBone Morphogenetic ProteinsGenetic MarkersSOST protein, human

Identifiers

PMID29928063
PMCPMC6013204
OpenAlexW2809634620

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.