Evidence map›Paper›PMID 31365830›Full record

ArticleFASEB journal : official publication of the Federation of American Societies for Experimental Biology2019

IL-6/p-BTK/p-ERK signaling mediates calcium phosphate-induced pruritus.

Sunita Keshari, Apriska Dewi Sipayung, Ching-Chuan Hsieh, Li-Jen Su, Yun-Ru Chiang, Huan-Cheng Chang, Wu-Chang Yang, Tsung-Hsien Chuang, Chien-Lung Chen, Chun-Ming Huang

Open access · greenAbstract read
In one paragraph

Article in FASEB journal : official publication of the Federation of American Societies for Experimental Biology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
1.1field-weighted citation impact, top 22% 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

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. European S2k Guideline on Chronic PruritusActa dermato-venereologica · 2025
    Guideline
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Review
  7. A guide to uraemic toxicity.Nature reviews. Nephrology · 2026
    Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Molecular medicine reports · 2024
    Article
  15. Circadian rhythm of cutaneous pruritus.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
    Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. Critical Players and Therapeutic Targets in Chronic Itch.International journal of molecular sciences · 2022
    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

10 authors at 4 institutions in 2 countries.

Sunita Keshari *Department of Life Sciences, National Central University, Taoyuan, Taiwan.
Apriska Dewi SipayungDepartment of Life Sciences, National Central University, Taoyuan, Taiwan.
Ching-Chuan HsiehDivision of General Surgery, Department of Surgery, Chang Gung Memorial Hospital, Chia-Yi, Taiwan.
Li-Jen SuDepartment of Biomedical Sciences and Engineering, National Central University, Taoyuan, Taiwan.
Yun-Ru ChiangDepartment of Biomedical Sciences and Engineering, National Central University, Taoyuan, Taiwan.
Huan-Cheng ChangDivision of Nephrology, Landseed Hospital, Taoyuan, Taiwan.
Wu-Chang YangDivision of Nephrology, Landseed Hospital, Taoyuan, Taiwan.
Tsung-Hsien ChuangImmunology Research Center, National Health Research Institutes, Zhunan, Taiwan.
Chien-Lung Chen *Department of Biomedical Sciences and Engineering, National Central University, Taoyuan, Taiwan.
Chun-Ming HuangDepartment of Life Sciences, National Central University, Taoyuan, Taiwan.
National Central University · TWLandseed Hospital · TWChiayi Chang Gung Memorial Hospital · TWNational Health Research Institutes · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Uremic pruritus with elevated levels of calcium phosphate (CaP) in skin is a common symptom in patients with chronic kidney disease (CKD). In this study, we demonstrate that intradermal injection of CaP into mice triggered scratching by up-regulating the IL-6 in skin and phosphorylation of ERKs in dorsal root ganglion (DRG) in a dose-dependent manner. IL-6 is essential because the CaP-induced up-regulation of phosphorylated (p)-ERK in DRG was considerably reduced in the IL-6 knockout mice. Microarray analysis in conjunction with real-time PCR revealed a higher mRNA expression of Bruton's tyrosine kinase (BTK) gene in DRG after CaP injection. The inhibition of BTK by ibrutinib noticeably diminish the CaP-induced up-regulation of IL-6 and p-ERK in mice. A high amount of IL-6 was detected in itchy skin and blood of patients with CKD. The expressions of p-BTK and p-ERK in DRG primary cells reached maximum levels at 1 and 10 min, respectively, after treatment of recombinant IL-6 and were significantly reduced by treatment of IL-6 along with ibrutinib. The mechanism by which the CaP-induced pruritus mediated by the IL-6/p-BTK/p-ERK signaling was revealed.-Keshari, S., Sipayung, A. D., Hsieh, C.-C., Su, L.-J., Chiang, Y.-R., Chang, H.-C., Yang, W.-C., Chuang, T.-H., Chen, C.-L., Huang, C.-M. IL-6/p-BTK/p-ERK signaling mediates calcium phosphate-induced pruritus.

Indexed as

AdenineAgammaglobulinaemia Tyrosine KinaseAnimalsCalcium PhosphatesExtracellular Signal-Regulated MAP KinasesFemaleGanglia, SpinalGene Expression ProfilingInterleukin-6Mice, Inbred C57BLMice, KnockoutPhosphorylationPiperidinesPruritusPyrazolesPyrimidinesAdenineAgammaglobulinaemia Tyrosine Kinasecalcium phosphateCalcium PhosphatesExtracellular Signal-Regulated MAP KinasesibrutinibInterleukin-6PiperidinesPyrazolesPyrimidinesBruton’s tyrosine kinaseCaPCKD

Identifiers

PMID31365830
PMCPMC6902723
OpenAlexW2966265295

What OpenQuestion holds

Textmetadata
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.