Evidence map›Paper›PMID 31263178›Full record

ArticleExperimental & molecular medicine2019

C-type natriuretic peptide attenuates renal osteodystrophy through inhibition of FGF-23/MAPK signaling.

Dong Dong Zhang, Yang Fang Wu, Wei Xia Chen, Yao Xu, Si Yan Liu, Huang Huang Luo, Guang Mei Jiang, Yue Wu, Peng Hu

Open access · goldAbstract read
In one paragraph

Article in Experimental & molecular medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.6field-weighted citation impact, top 34% 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

7 citing papers in PubMed, 8 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

9 authors at 2 institutions in 1 country.

Dong Dong ZhangDepartment of Pediatrics, the First Affiliated Hospital of Anhui Medical University, No. 218 Ji-Xi Road, 230022, Hefei, China.
Yang Fang WuDepartment of Pediatrics, the First Affiliated Hospital of Anhui Medical University, No. 218 Ji-Xi Road, 230022, Hefei, China.
Wei Xia ChenDepartment of Pediatrics, the First Affiliated Hospital of Anhui Medical University, No. 218 Ji-Xi Road, 230022, Hefei, China.
Yao XuDepartment of Pediatrics, the First Affiliated Hospital of Anhui Medical University, No. 218 Ji-Xi Road, 230022, Hefei, China.
Si Yan LiuDepartment of Pediatrics, the First Affiliated Hospital of Anhui Medical University, No. 218 Ji-Xi Road, 230022, Hefei, China.
Huang Huang LuoDepartment of Pediatrics, the First Affiliated Hospital of Anhui Medical University, No. 218 Ji-Xi Road, 230022, Hefei, China.
Guang Mei JiangDepartment of Pediatrics, the First Affiliated Hospital of Anhui Medical University, No. 218 Ji-Xi Road, 230022, Hefei, China.
Yue WuDepartment of Pediatrics, the First Affiliated Hospital of Anhui Medical University, No. 218 Ji-Xi Road, 230022, Hefei, China.
Peng HuDepartment of Pediatrics, the First Affiliated Hospital of Anhui Medical University, No. 218 Ji-Xi Road, 230022, Hefei, China. hupeng28@aliyun.com.
Anhui Medical University · CNFirst Affiliated Hospital of Anhui Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Renal osteodystrophy (ROD) occurs as early as chronic kidney disease (CKD) stage 2 and seems ubiquitous in almost all pediatric patients with CKD stage 5. Fibroblast growth factor (FGF)-23, a bone-derived endocrine regulator of phosphate homeostasis, is overexpressed in CKD and disturbs osteoblast differentiation and matrix mineralization. In contrast, C-type natriuretic peptide (CNP) acts as a potent positive regulator of bone growth. In the present study, we infused CNP into uremic rats and observed whether CNP could attenuate ROD through the inhibition of FGF-23 cascades. In uremic rats, CNP administration significantly alleviated renal dysfunction, calcium phosphate metabolic disorders, hypovitaminosis D, secondary hyperparathyroidism, the decrease in bone turnover markers and retarded bone pathological progression. More importantly, within FGF-23/mitogen-activated protein kinase (MAPK) signaling, the fibroblast growth factor receptor-1, Klotho and alternative (STAT-1/phospho-STAT-1) elements were upregulated by CNP, whereas FGF-23, RAF-1/phospho-RAF-1, and downstream (ERK/phospho-ERK and P38/phospho-P38) elements were paradoxically underexpressed in bone tissue. Therefore, CNP exerts a therapeutic effect on ROD through inhibition of FGF-23/MAPK signaling at the RAF-1 level.

Indexed as

Bone RemodelingAnimalsBone and BonesCalciumCell DifferentiationChronic Kidney Disease-Mineral and Bone DisorderDisease Models, AnimalFibroblast Growth Factor-23Fibroblast Growth FactorsGene Expression RegulationHumansKidneyMaleMAP Kinase Signaling SystemNatriuretic Peptide, C-TypeProto-Oncogene Proteins c-rafCalciumFGF23 protein, humanFgf23 protein, ratFibroblast Growth Factor-23Fibroblast Growth FactorsNatriuretic Peptide, C-TypeProto-Oncogene Proteins c-rafRaf1 protein, rat

Identifiers

PMID31263178
PMCPMC6802631
OpenAlexW2955080906

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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.