Evidence map›Paper›PMID 30987161›Full record

ArticleJournal of clinical medicine2019

FGF23 and Klotho Levels are Independently Associated with Diabetic Foot Syndrome in Type 2 Diabetes Mellitus.

Javier Donate-Correa, Ernesto Martín-Núñez, Carla Ferri, Carolina Hernández-Carballo, Víctor G Tagua, Alejandro Delgado-Molinos, Ángel López-Castillo, Sergio Rodríguez-Ramos, Purificación Cerro-López, Victoria Castro López-Tarruella and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

8 citing papers in PubMed, 21 citations in OpenAlex.

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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

14 authors at 3 institutions in 1 country.

Javier Donate-CorreaResearch Unit, University Hospital Nuestra Señora de Candelaria (UHNSC), 38010 Santa Cruz de Tenerife, Spain. jdonate@ull.es.ORCID 0000-0001-7389-7347
Ernesto Martín-NúñezResearch Unit, University Hospital Nuestra Señora de Candelaria (UHNSC), 38010 Santa Cruz de Tenerife, Spain. emarnu87@gmail.com.ORCID 0000-0003-0341-0956
Carla FerriResearch Unit, University Hospital Nuestra Señora de Candelaria (UHNSC), 38010 Santa Cruz de Tenerife, Spain. carlamferri@gmail.com.ORCID 0000-0002-2711-3836
Carolina Hernández-CarballoResearch Unit, University Hospital Nuestra Señora de Candelaria (UHNSC), 38010 Santa Cruz de Tenerife, Spain. carolinahdezcarballo@gmail.com.
Víctor G TaguaResearch Unit, University Hospital Nuestra Señora de Candelaria (UHNSC), 38010 Santa Cruz de Tenerife, Spain. vtagua@funcanis.es.ORCID 0000-0003-1494-6895
Alejandro Delgado-MolinosVascular Surgery Service, University Hospital Nuestra Señora de Candelaria, 38010 Santa Cruz de Tenerife, Spain. adelgadomolinos@gmail.com.
Ángel López-CastilloVascular Surgery Service, University Hospital Nuestra Señora de Candelaria, 38010 Santa Cruz de Tenerife, Spain. angellopezcastillo24@gmail.com.
Sergio Rodríguez-RamosTransplant Coordination, University Hospital Nuestra Señora de Candelaria, 38010 Santa Cruz de Tenerife, Spain. sergiotomasr@hotmail.com.ORCID 0000-0003-1635-3604
Purificación Cerro-LópezTransplant Coordination, University Hospital Nuestra Señora de Candelaria, 38010 Santa Cruz de Tenerife, Spain. pcerlop@gobiernodecanarias.org.
Victoria Castro López-TarruellaPathology Service, University Hospital Nuestra Señora de Candelaria, 38010 Santa Cruz de Tenerife, Spain. vcaslop@gmail.com.
Miguel Angel Arévalo-GonzálezHuman Anatomy and Histology Department, University of Salamanca, 37008 Salamanca, Spain. marevalo@usal.es.
Nayra Pérez-DelgadoClinical Analysis Service, University Hospital Nuestra Señora de Candelaria, 38010 Santa Cruz de Tenerife, Spain. nperdel@gobiernodecanarias.org.
Carmen Mora-FernándezResearch Unit, University Hospital Nuestra Señora de Candelaria (UHNSC), 38010 Santa Cruz de Tenerife, Spain. carmenmora.fdez@gmail.com.
Juan F Navarro-GonzálezResearch Unit, University Hospital Nuestra Señora de Candelaria (UHNSC), 38010 Santa Cruz de Tenerife, Spain. jnavgon@gobiernodecanarias.org.ORCID 0000-0002-5015-7474
Hospital Universitario Nuestra Señora de Candelaria · ESUniversidad de La Laguna · ESUniversidad de Salamanca · ES

Funding

Fondo de Investigación en Salud PI15/00298, CP14/00133, PI16/02057, PI16/00024Fundación DISA DISA012ISCIII-Redes Temáticas de Investigación Cooperativa en Salud (RETIC)-REDINREN RD16/0009
6 · The paper itself

Abstract

backgroundDiabetic foot syndrome (DFS) is a prevalent complication in the diabetic population and a major cause of hospitalizations. Diverse clinical studies have related alterations in the system formed by fibroblast growth factor (FGF)-23 and Klotho (KL) with vascular damage. In this proof-of-concept study, we hypothesize that the levels of FGF23 and Klotho are altered in DFS patients.

methodsTwenty patients with limb amputation due to DFS, 37 diabetic patients without DFS, and 12 non-diabetic cadaveric organ donors were included in the study. Serum FGF23/Klotho and inflammatory markers were measured by enzyme-linked immunosorbent assay (ELISA). Protein and gene expression levels in the vascular samples were determined by immunohistochemistry and quantitative real-time PCR, respectively.

resultsSerum Klotho is significantly reduced and FGF23 is significantly increased in patients with DFS (

conclusionFGF23/Klotho system is associated with DFS, pointing to a new pathophysiological pathway involved in the development and progression of this complication.

Indexed as

diabetic foot syndromefibroblast growth factor 23inflammationKlothovascular disease

Identifiers

PMID30987161
PMCPMC6518424
OpenAlexW2928806905

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.