Evidence map›Paper›PMID 32212912›Full record

ReviewJournal of the American Heart Association2020

Clinical Potential of Targeting Fibroblast Growth Factor-23 and αKlotho in the Treatment of Uremic Cardiomyopathy.

Jonathan P Law, Anna M Price, Luke Pickup, Ashwin Radhakrishnan, Chris Weston, Alan M Jones, Helen M McGettrick, Winnie Chua, Richard P Steeds, Larissa Fabritz and 4 more

Erratum issuedOpen access · goldAbstract readReview
In one paragraph

Review in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 8% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

Jonathan P LawBirmingham Cardio-Renal Group University Hospitals Birmingham University of Birmingham United Kingdom.
Anna M PriceBirmingham Cardio-Renal Group University Hospitals Birmingham University of Birmingham United Kingdom.
Luke PickupBirmingham Cardio-Renal Group University Hospitals Birmingham University of Birmingham United Kingdom.
Ashwin RadhakrishnanBirmingham Cardio-Renal Group University Hospitals Birmingham University of Birmingham United Kingdom.
Chris WestonInstitute of Immunology and Immunotherapy University of Birmingham United Kingdom.
Alan M JonesSchool of Pharmacy University of Birmingham United Kingdom.
Helen M McGettrickInstitute of Inflammation and Ageing University of Birmingham United Kingdom.
Winnie ChuaBirmingham Cardio-Renal Group University Hospitals Birmingham University of Birmingham United Kingdom.
Richard P SteedsBirmingham Cardio-Renal Group University Hospitals Birmingham University of Birmingham United Kingdom.
Larissa FabritzBirmingham Cardio-Renal Group University Hospitals Birmingham University of Birmingham United Kingdom.
Paulus KirchhofBirmingham Cardio-Renal Group University Hospitals Birmingham University of Birmingham United Kingdom.
Davor PavlovicBirmingham Cardio-Renal Group University Hospitals Birmingham University of Birmingham United Kingdom.
Jonathan N TownendBirmingham Cardio-Renal Group University Hospitals Birmingham University of Birmingham United Kingdom.
Charles J FerroBirmingham Cardio-Renal Group University Hospitals Birmingham University of Birmingham United Kingdom.
University Hospitals Birmingham NHS Foundation Trust · GBUniversity of Birmingham · GBUniversity College Birmingham · GB

Funding

British Heart Foundation AA/18/2/34218British Heart Foundation FS/16/73/32314British Heart Foundation FS/18/29/33554British Heart Foundation FS/18/29/44554British Heart Foundation FS/19/12/34204British Heart Foundation FS/19/16/34169British Heart Foundation PG/17/55/33087British Heart Foundation RG/17/15/33106
6 · The paper itself

Abstract

Chronic kidney disease is highly prevalent, affecting 10% to 15% of the adult population worldwide and is associated with increased cardiovascular morbidity and mortality. As chronic kidney disease worsens, a unique cardiovascular phenotype develops characterized by heart muscle disease, increased arterial stiffness, atherosclerosis, and hypertension. Cardiovascular risk is multifaceted, but most cardiovascular deaths in patients with advanced chronic kidney disease are caused by heart failure and sudden cardiac death. While the exact drivers of these deaths are unknown, they are believed to be caused by uremic cardiomyopathy: a specific pattern of myocardial hypertrophy, fibrosis, with both diastolic and systolic dysfunction. Although the pathogenesis of uremic cardiomyopathy is likely to be multifactorial, accumulating evidence suggests increased production of fibroblast growth factor-23 and αKlotho deficiency as potential major drivers of cardiac remodeling in patients with uremic cardiomyopathy. In this article we review the increasing understanding of the physiology and clinical aspects of uremic cardiomyopathy and the rapidly increasing knowledge of the biology of both fibroblast growth factor-23 and αKlotho. Finally, we discuss how dissection of these pathological processes is aiding the development of therapeutic options, including small molecules and antibodies, directly aimed at improving the cardiovascular outcomes of patients with chronic kidney disease and end-stage renal disease.

Indexed as

AnimalsCardiomyopathiesCardio-Renal SyndromeFibroblast Growth Factor-23Fibroblast Growth FactorsGlucuronidaseHumansKlotho ProteinsMolecular Targeted TherapyPrognosisRecombinant ProteinsRenal Insufficiency, ChronicRisk AssessmentRisk FactorsUremiaFGF23 protein, humanFibroblast Growth Factor-23Fibroblast Growth FactorsGlucuronidaseKlotho ProteinsRecombinant Proteinscardiorenal syndromeFGF23fibroblast growth factorgrowth factorkidneytreatmentαKlotho

Identifiers

PMID32212912
PMCPMC7428638
OpenAlexW3013230411

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.