Evidence map›Paper›PMID 33070177›Full record

ReviewCardiovascular research2022

TNAP as a therapeutic target for cardiovascular calcification: a discussion of its pleiotropic functions in the body.

Claudia Goettsch, Agnieszka Strzelecka-Kiliszek, Laurence Bessueille, Thibaut Quillard, Laura Mechtouff, Slawomir Pikula, Emmanuelle Canet-Soulas, Jose Luis Millan, Caroline Fonta, David Magne

Erratum issuedOpen access · bronzeAbstract readReview
In one paragraph

Review in Cardiovascular research, 2022. 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 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
5.0field-weighted citation impact, top 4% 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

42 citing papers in PubMed, 62 citations in OpenAlex.

  1. Review
  2. Article
  3. Six Bioactive Small Molecules fromFoods (Basel, Switzerland) · 2026
    Article
  4. Article
  5. Review
  6. Hypophosphatasia-pathophysiological understanding, preclinical data looking beyond the skeleton, and upcoming treatments.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2026
    Review
  7. ENPP1 inhibition as a therapeutic approach for later-onset hypophosphatasia.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2026
    Article
  8. Article
  9. Neuronal alkaline phosphatase promotes the spread of Tau-induced pathology, and its blockade prevents neurodegeneration and memory loss.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Article
  10. Review
  11. Article
  12. Article
  13. Vascular Calcification and CKD: Challenges, Emerging Targets, and Future Perspectives.Clinical journal of the American Society of Nephrology : CJASN · 2025
    Article
  14. Article
  15. Determinants of thoracic aortic calcification and its effects on thoracic aortic size.The international journal of cardiovascular imaging · 2025
    Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 4 countries.

Claudia GoettschDepartment of Internal Medicine I, Cardiology, Medical Faculty, RWTH Aachen University, Aachen, Germany.
Agnieszka Strzelecka-KiliszekLaboratory of Biochemistry of Lipids, Nencki Institute of Experimental Biology, 3 Pasteur Street, 02-093 Warsaw, Poland.
Laurence BessueilleInstitute of Molecular and Supramolecular Chemistry and Biochemistry (ICBMS), UMR CNRS 5246, Université Claude Bernard Lyon 1, Bâtiment Raulin, 43 Bd du 11 novembre 1918, Lyon 69622 Villeurbanne Cedex, France.
Thibaut QuillardPHY-OS Laboratory, UMR 1238 INSERM, Université de Nantes, CHU de Nantes, France.
Laura MechtouffStroke Department, Hospices Civils de Lyon, France.
Slawomir PikulaLaboratory of Biochemistry of Lipids, Nencki Institute of Experimental Biology, 3 Pasteur Street, 02-093 Warsaw, Poland.
Emmanuelle Canet-SoulasCarMeN Laboratory, Univ Lyon, INSERM, INRA, INSA Lyon, Université Claude Bernard Lyon 1, Lyon, France.
Jose Luis MillanHuman Genetics Program, Sanford Burnham Prebys Medical Discovery Institute, La Jolla, CA 92037, USA.
Caroline FontaBrain and Cognition Research Center CerCo, CNRS UMR5549, Université de Toulouse, France.
David MagneInstitute of Molecular and Supramolecular Chemistry and Biochemistry (ICBMS), UMR CNRS 5246, Université Claude Bernard Lyon 1, Bâtiment Raulin, 43 Bd du 11 novembre 1918, Lyon 69622 Villeurbanne Cedex, France.
Centre National de la Recherche Scientifique · FRInserm · FRInstytut Biologii Doświadczalnej im. Marcelego Nenckiego · PLCentre de Recherche en Acquisition et Traitement de l'Image pour la Santé · FRInstitut de Chimie et Biochimie Moléculaires et Supramoléculaires · FRRWTH Aachen University · DESanford Burnham Prebys Medical Discovery Institute · US

Funding

MOLECULAR PATHOGENESIS/TREATMENT OF HYPOPHOSPHATASIAR01DE012889 · NIDCR · SANFORD BURNHAM PREBYS MEDICAL DISCOVERY INSTITUTE · PI MILLAN, JOSE LUIS · 1999 to 2020
$9.2M
NIDCR NIH HHS R01 DE012889
6 · The paper itself

Abstract

Cardiovascular calcification (CVC) is associated with increased morbidity and mortality. It develops in several diseases and locations, such as in the tunica intima in atherosclerosis plaques, in the tunica media in type 2 diabetes and chronic kidney disease, and in aortic valves. In spite of the wide occurrence of CVC and its detrimental effects on cardiovascular diseases (CVD), no treatment is yet available. Most of CVC involve mechanisms similar to those occurring during endochondral and/or intramembranous ossification. Logically, since tissue-nonspecific alkaline phosphatase (TNAP) is the key-enzyme responsible for skeletal/dental mineralization, it is a promising target to limit CVC. Tools have recently been developed to inhibit its activity and preclinical studies conducted in animal models of vascular calcification already provided promising results. Nevertheless, as its name indicates, TNAP is ubiquitous and recent data indicate that it dephosphorylates different substrates in vivo to participate in other important physiological functions besides mineralization. For instance, TNAP is involved in the metabolism of pyridoxal phosphate and the production of neurotransmitters. TNAP has also been described as an anti-inflammatory enzyme able to dephosphorylate adenosine nucleotides and lipopolysaccharide. A better understanding of the full spectrum of TNAP's functions is needed to better characterize the effects of TNAP inhibition in diseases associated with CVC. In this review, after a brief description of the different types of CVC, we describe the newly uncovered additional functions of TNAP and discuss the expected consequences of its systemic inhibition in vivo.

Indexed as

Alkaline PhosphataseAnimalsArteriesCardiovascular AgentsEnzyme InhibitorsHumansPhosphorylationSignal TransductionSubstrate SpecificityVascular CalcificationAlkaline PhosphataseALPL protein, humanCardiovascular AgentsEnzyme InhibitorsCardiovascular calcificationInflammationInhibitionTherapeutic targetTissue non-specific alkaline phosphatase

Identifiers

PMID33070177
PMCPMC8752354
OpenAlexW3093056287

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.