Evidence map›Paper›PMID 31908154›Full record

ArticlePhysiological reports2020

Tacrolimus-induced hypomagnesemia and hypercalciuria requires FKBP12 suggesting a role for calcineurin.

Brittany D K Gratreak, Elizabeth A Swanson, Rebecca A Lazelle, Sabina K Jelen, Joost Hoenderop, René J Bindels, Chao-Ling Yang, David H Ellison

Open access · goldAbstract read
In one paragraph

Article in Physiological reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

17 citing papers in PubMed, 31 citations in OpenAlex.

  1. Management of glucocorticoid-induced osteoporosis in rheumatic diseases.Best practice & research. Clinical rheumatology · 2026
    Review
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  5. Understanding Renal Tubular Function: Key Mechanisms, Clinical Relevance, and Comprehensive Urine Assessment.Pathophysiology : the official journal of the International Society for Pathophysiology · 2025
    Review
  6. Article
  7. Article
  8. Calcineurin inhibitor effects on kidney electrolyte handling and blood pressure: tacrolimus versus voclosporin.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
    Article
  9. Review
  10. Evaluation of prolonged magnesium infusion after allogeneic hematopoietic cell transplant.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. NaCl cotransporter activity and MgAmerican journal of physiology. Renal physiology · 2020
    Review
  17. Article
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 at 2 institutions in 2 countries.

Brittany D K GratreakDivision of Nephrology and Hypertension, Department of Medicine, Oregon Health and Science University, Portland, OR, USA.
Elizabeth A SwansonDivision of Nephrology and Hypertension, Department of Medicine, Oregon Health and Science University, Portland, OR, USA.
Rebecca A LazelleDivision of Nephrology and Hypertension, Department of Medicine, Oregon Health and Science University, Portland, OR, USA.
Sabina K JelenRadboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, Netherlands.
Joost HoenderopRadboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, Netherlands.
René J BindelsRadboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, Netherlands.
Chao-Ling YangDivision of Nephrology and Hypertension, Department of Medicine, Oregon Health and Science University, Portland, OR, USA.
David H EllisonDivision of Nephrology and Hypertension, Department of Medicine, Oregon Health and Science University, Portland, OR, USA.ORCID 0000-0003-2915-265X
Oregon Health & Science University · USRadboud University Nijmegen · NL

Funding

WNK Kinase Regulation of Thiazide-sensitive NaCl TransportR01DK051496 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI David Hoadley Ellison, CHAO-LING YANG · 1998 to 2026
$8.4M
Molecular pathogenesis of calcineurin inhibitor-induced hypertensionR01DK095841 · NIDDK · OREGON HEALTH & SCIENCE UNIVERSITY · PI ELLISON, DAVID H, YANG, CHAO-LING · 2012 to 2015
$1.5M
A Novel Approach to Aldosterone SignalingF30DK114980 · NIDDK · OREGON HEALTH & SCIENCE UNIVERSITY · PI SWANSON, ELIZABETH ANNE · 2018 to 2020
$144k
American Heart Association-American Stroke Association 14PRE18330021BLRD VA I01 BX002228NIDDK NIH HHS F30 DK114980NIDDK NIH HHS R01 DK051496NIDDK NIH HHS R01 DK095841NIH HHS F30 DK-114980NIH HHS R01 DK095841NIH HHS R01 DK51496VA 1I01BX002228-01A1
6 · The paper itself

Abstract

Calcineurin inhibitors (CNIs) are immunosuppressive drugs used to prevent graft rejection after organ transplant. Common side effects include renal magnesium wasting and hypomagnesemia, which may contribute to new-onset diabetes mellitus, and hypercalciuria, which may contribute to post-transplant osteoporosis. Previous work suggested that CNIs reduce the abundance of key divalent cation transport proteins, expressed along the distal convoluted tubule, causing renal magnesium and calcium wasting. It has not been clear, however, whether these effects are specific for the distal convoluted tubule, and whether these represent off-target toxic drug effects, or result from inhibition of calcineurin. The CNI tacrolimus can inhibit calcineurin only when it binds with the immunophilin, FKBP12; we previously generated mice in which FKBP12 could be deleted along the nephron, to test whether calcineurin inhibition is involved, these mice are normal at baseline. Here, we confirmed that tacrolimus-treated control mice developed hypomagnesemia and urinary calcium wasting, with decreased protein and mRNA abundance of key magnesium and calcium transport proteins (NCX-1 and Calbindin-D

Indexed as

AnimalsCalbindin 1Calcineurin InhibitorsCalciumGene ExpressionHypercalciuriaKidney Tubules, DistalMagnesiumMiceMice, KnockoutRNA, MessengerSodium-Calcium ExchangerTacrolimusTacrolimus Binding Protein 1ATRPM Cation ChannelsWater-Electrolyte ImbalanceCalbindin 1Calcineurin InhibitorsCalciumMagnesiumNCX1 protein, mouseRNA, MessengerSodium-Calcium ExchangerTacrolimusTacrolimus Binding Protein 1ATrpm6 protein, mouseTRPM Cation Channelscalcineurin inhibitorcalciumdistal tubulemagnesiumtacrolimus

Identifiers

PMID31908154
PMCPMC6944708
OpenAlexW2999993627

What OpenQuestion holds

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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.