Evidence map›Paper›PMID 30584645›Full record

ArticleInternational urology and nephrology2019

Relationship between plasma levels of sclerostin, calcium-phosphate disturbances, established markers of bone turnover, and inflammation in haemodialysis patients.

Barbara Pietrzyk, Katarzyna Wyskida, Joanna Ficek, Aureliusz Kolonko, Rafał Ficek, Andrzej Więcek, Magdalena Olszanecka-Glinianowicz, Jerzy Chudek

Abstract read
In one paragraph

Article in International urology and nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Sclerostin: a new biomarker of CKD-MBD.International urology and nephrology · 2020
    Review
  12. Pro-inflammatory Cytokines and Osteocytes.Current osteoporosis reports · 2019
    Review
  13. Article
  14. 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

8 authors.

Barbara PietrzykPathophysiology Unit, Department of Pathophysiology, Medical University of Silesia, Katowice, Poland.
Katarzyna WyskidaHealth Promotion and Obesity Management Unit, Department of Pathophysiology, Medical University of Silesia, Katowice, Poland.
Joanna FicekPathophysiology Unit, Department of Pathophysiology, Medical University of Silesia, Katowice, Poland.
Aureliusz KolonkoDepartment of Nephrology, Transplantation and Internal Medicine, Medical University of Silesia, Katowice, Poland.
Rafał FicekDepartment of Nephrology, Transplantation and Internal Medicine, Medical University of Silesia, Katowice, Poland.
Andrzej WięcekDepartment of Nephrology, Transplantation and Internal Medicine, Medical University of Silesia, Katowice, Poland.
Magdalena Olszanecka-GlinianowiczHealth Promotion and Obesity Management Unit, Department of Pathophysiology, Medical University of Silesia, Katowice, Poland.
Jerzy ChudekPathophysiology Unit, Department of Pathophysiology, Medical University of Silesia, Katowice, Poland. chj@poczta.fm.

Funding

Medical University of Silesia in Katowice KNW-1-004/N/7/0
6 · The paper itself

Abstract

purposeData concerning the relation between increased levels of circulating sclerostin (a physiological inhibitor of bone formation) and bone turnover in patients with chronic renal failure (CRF) are limited. Therefore, the aim of this study was to evaluate associations between plasma sclerostin levels and calcium-phosphate disturbances, markers of bone turnover as well as inflammation in haemodialysis (HD) patients.

methodsIn plasma samples obtained in 150 stable HD patients (92 men) aged 40-70 years, levels of sclerostin, fibroblast growth factor (cFGF23), osteocalcin, the N-terminal propeptide of type I procollagen, C-terminal telopeptide of the alpha chain of type I collagen (β-CTx), and inflammatory markers (IL-6 and TNF-α) in addition to routine parameters (calcium, phosphorus, parathyroid hormone-iPTH, 25-OH-D, alkaline phosphatase) were measured.

resultsPlasma sclerostin concentrations were significantly higher in HD men than women (2.61 vs. 1.88 ng/mL, p < 0.01). Patients with sclerostin levels above median were characterized by lower iPTH and IL-6, but higher cFGF23 and TNF-α (significantly only in men) concentrations. Plasma sclerostin concentration positively correlated with serum 25-OH-D (τ = 0.204), phosphorus (τ = 0.1482), and TNF-α (τ = 0.183) and inversely with iPTH (τ = - 0.255), alkaline phosphatase (τ = - 0.203), IL-6 (τ =- 0.201), and β-CTx (τ = - 0.099) levels. In multivariate regression analysis, variability of sclerostin levels was explained by sex and 25-OH-D and phosphorus levels.

conclusionsIncreased circulating sclerostin levels seem to reflect slower bone turnover in HD patients. Low levels of sclerostin are associated with vitamin D deficiency and good phosphates alignment.

Indexed as

Bone RemodelingAdaptor Proteins, Signal TransducingAdultAgedAlkaline PhosphataseBone Morphogenetic ProteinsCalciumChronic Kidney Disease-Mineral and Bone DisorderCollagen Type IFemaleFibroblast Growth Factor-23Fibroblast Growth FactorsGenetic MarkersHumansInflammationInterleukin-625-hydroxyvitamin DAdaptor Proteins, Signal TransducingAlkaline PhosphataseBone Morphogenetic ProteinsCalciumCollagen Type Icollagen type I trimeric cross-linked peptideFibroblast Growth Factor-23Fibroblast Growth FactorsGenetic MarkersIL6 protein, humanInterleukin-6OsteocalcinParathyroid HormonePeptidesPhosphatesPhosphorusSOST protein, humanTumor Necrosis Factor-alphaVitamin DCalcium–phosphate disturbancesChronic kidney disease-mineral and bone disorder (CKD-MBD)Haemodialysis patientsRenal osteodystrophy (ROD)Sclerostin

Identifiers

PMID30584645
PMCPMC6424932

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.