Evidence map›Paper›PMID 33576771›Full record

ReviewCardiovascular research2021

From organic and inorganic phosphates to valvular and vascular calcifications.

Magnus Bäck, Jean-Baptiste Michel

Open access · bronzeAbstract readReview
In one paragraph

Review in Cardiovascular research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
8.0field-weighted citation impact, top 2% 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

46 citing papers in PubMed, 76 citations in OpenAlex.

  1. Article
  2. Review
  3. First quinquennium completed: highlights fromEuropean heart journal open · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. How to measure and model cardiovascular aging.Cardiovascular research · 2025
    Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 2 countries.

Magnus BäckDivision of Valvular and Coronary Disease, Department of Cardiology, Karolinska University Hospital, 141 86 Stockholm, Sweden.ORCID 0000-0003-0853-5141
Jean-Baptiste MichelUMR 1148, Inserm-Paris University, X. Bichat Hospital, Paris, France.ORCID 0000-0002-1529-2005
Inserm · FRKarolinska University Hospital · SE

Funding

Avenir FoundationFrench Society of CardiologySwedish Research Council 2019-01486
6 · The paper itself

Abstract

Calcification of the arterial wall and valves is an important part of the pathophysiological process of peripheral and coronary atherosclerosis, aortic stenosis, ageing, diabetes, and chronic kidney disease. This review aims to better understand how extracellular phosphates and their ability to be retained as calcium phosphates on the extracellular matrix initiate the mineralization process of arteries and valves. In this context, the physiological process of bone mineralization remains a human model for pathological soft tissue mineralization. Soluble (ionized) calcium precipitation occurs on extracellular phosphates; either with inorganic or on exposed organic phosphates. Organic phosphates are classified as either structural (phospholipids, nucleic acids) or energetic (corresponding to phosphoryl transfer activities). Extracellular phosphates promote a phenotypic shift in vascular smooth muscle and valvular interstitial cells towards an osteoblast gene expression pattern, which provokes the active phase of mineralization. A line of defense systems protects arterial and valvular tissue calcifications. Given the major roles of phosphate in soft tissue calcification, phosphate mimetics, and/or prevention of phosphate dissipation represent novel potential therapeutic approaches for arterial and valvular calcification.

Indexed as

OsteogenesisAnimalsArteriesBone Density Conservation AgentsCalcinosisChelating AgentsHeart Valve DiseasesHeart ValvesHumansOrganophosphatesPhosphatesVascular CalcificationBone Density Conservation AgentsChelating AgentsOrganophosphatesPhosphatesAgeingAortic stenosisAtherosclerosisExosomesSmooth muscle cells

Identifiers

PMID33576771
PMCPMC8318101
OpenAlexW3128624248

What OpenQuestion holds

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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.