Evidence map›Paper›PMID 36510827›Full record

ArticleThe Journal of clinical endocrinology and metabolism2023

Effects of 25-Hydroxyvitamin D Levels on Renal Function: A Bidirectional Mendelian Randomization Study.

Manel Adi, Faegheh Ghanbari, Mallory L Downie, Adriana Hung, Cassiane Robinson-Cohen, Despoina Manousaki

Open access · greenAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. 25-Hydroxyvitamin D Levels, Free Serum Calcium, Glomerular Filtration Rate, Albumin, and Femoral Fracture Elderly Patient Mortality.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 3 countries.

Manel AdiDepartment of Biochemistry and Molecular Medicine, University of Montreal, Montreal, QC H3T1J4, Canada.
Faegheh GhanbariResearch Center of the Sainte-Justine University Hospital, University of Montreal, Montreal, QC H3TAC5, Canada.
Mallory L DownieDepartment of Renal Medicine, University College London, London NW32PF, UK.
Adriana HungDepartment of Medicine, Vanderbilt University Medical Center, Veterans Administration Tennessee Valley Healthcare System, Nashville, TN 37212, USA.
Cassiane Robinson-CohenDivision of Nephrology, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Despoina ManousakiDepartment of Biochemistry and Molecular Medicine, University of Montreal, Montreal, QC H3T1J4, Canada.ORCID 0000-0002-4133-0618
Université de Montréal · CAUniversity College London · GBVanderbilt University Medical Center · USVA Tennessee Valley Healthcare System · US

Funding

Modular Automated -80C Sample Storage SystemS10OD025092 · OD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GOLDENRING, JAMES RICHARD · 2019 to 2019
$2.0M
Investigating causality between abnormalities of mineral metabolism and kidney, cardiovascular and bone diseaseR01DK122075 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ROBINSON-COHEN, CASSIANNE · 2019 to 2023
$1.9M
NIDDK NIH HHS R01 DK122075NIH HHS S10 OD025092
6 · The paper itself

Abstract

contextObservational studies investigating the role of vitamin D in renal function have yielded inconsistent results.

objectiveWe tested whether 25-hydroxyvitamin D (25[OH]D) serum levels are associated with renal function, and inversely, whether altered renal function causes changes in 25(OH)D, using Mendelian randomization (MR).

methodsIn this two-sample MR study, we used single nucleotide polymorphisms (SNP) associated with 25(OH)D in 443 734 Europeans and evaluated their effects on estimated glomerular filtration rate (eGFR), blood urea nitrogen (BUN), chronic kidney disease (CKD) risk and progression in genome-wide association studies totaling over 1 million Europeans. To control for pleiotropy, we also used SNPs solely in DHCR7, CYP2R1, and GC, all genes with known roles in vitamin D metabolism. We performed a reverse MR, using SNPs for the above indices of renal function to study causal effects on 25(OH)D levels.

resultsWe did not find robust evidence supporting effects of 25(OH)D on eGFR, BUN, and CKD or its progression. Our inverse variance weighted MR demonstrated a 0.56 decrease in standardized log-transformed 25(OH)D (95% CI -0.73, -0.41; P = 2.89 × 10-12) per unit increase in log-transformed eGFR. Increased BUN was associated with increased 25(OH)D (β = 0.25, 95% CI 0.15, 0.36; P = 4.12 × 10-6 per unit increase in log-transformed BUN). Finally, genetically predicted CKD conferred a 0.05 increase in standardized log-transformed 25(OH)D level (95% CI 0.04, 0.06; P = 1.06 × 10-13). Other MR methods confirmed the findings of the main analyses.

conclusionGenetically predicted CKD, increased BUN, and decreased eGFR are associated with increased 25(OH)D levels, but we found no causal effect of 25(OH)D on renal function in Europeans.

Indexed as

Mendelian Randomization AnalysisRenal Insufficiency, ChronicCalcifediolGenome-Wide Association StudyHumansKidneyPolymorphism, Single NucleotideRisk FactorsVitamin D25-hydroxyvitamin DCalcifediolVitamin Dcausal inferencechronic kidney diseaseGWASMendelian randomizationrenal functionvitamin D

Identifiers

PMID36510827
PMCPMC10413421
OpenAlexW4311292701

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.