Evidence map›Paper›PMID 36821389›Full record

ArticleThe Journal of clinical investigation2023

Kidney glycolysis serves as a mammalian phosphate sensor that maintains phosphate homeostasis.

Wen Zhou, Petra Simic, Iris Y Zhou, Peter Caravan, Xavier Vela Parada, Donghai Wen, Onica L Washington, Maria Shvedova, Kerry A Pierce, Clary B Clish and 5 more

Open access · goldAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
12.9field-weighted citation impact, top 1% 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

49 citing papers in PubMed, 65 citations in OpenAlex.

  1. FGF23 - A hormone produced by bone and has many faces.Reviews in endocrine & metabolic disorders · 2026
    Review
  2. Review
  3. Phosphate homeostasis and endocrine regulators.Pediatric nephrology (Berlin, Germany) · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. The effects of elevated phosphate on the kidney - damaging the gatekeeper.Pflugers Archiv : European journal of physiology · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Lysophosphatidic Acid Synergizes With 1,25-Dihydroxyvitamin D to Promote Fibroblast Growth Factor-23 Synthesis via MAPK Signaling and Induction of the IL12A Gene.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  12. Review
  13. Review
  14. TGFβ signaling regulates the response of the skeleton to phosphate.bioRxiv : the preprint server for biology · 2025
    Article
  15. The role of bone in whole-body energy metabolism.Nature reviews. Endocrinology · 2025
    Review
  16. Network Interactions of Circulating FGF23, HRG-HMGB1, and Cardiac Disease in CKD.Journal of the American Society of Nephrology : JASN · 2025
    Article
  17. Updates on renal phosphate transport.Current opinion in nephrology and hypertension · 2025
    Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 2 institutions in 1 country.

Wen ZhouNephrology Division, Department of Medicine, and.
Petra SimicNephrology Division, Department of Medicine, and.
Iris Y ZhouAthinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, Massachusetts, USA.
Peter CaravanAthinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, Massachusetts, USA.
Xavier Vela ParadaNephrology Division, Department of Medicine, and.
Donghai WenNephrology Division, Department of Medicine, and.
Onica L WashingtonNephrology Division, Department of Medicine, and.
Maria ShvedovaEndocrine Unit, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Kerry A PierceBroad Institute of MIT and Harvard, Cambridge, Massachusetts, USA.
Clary B ClishBroad Institute of MIT and Harvard, Cambridge, Massachusetts, USA.
Michael MannstadtEndocrine Unit, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Tatsuya KobayashiEndocrine Unit, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Marc N WeinEndocrine Unit, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Harald JüppnerEndocrine Unit, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Eugene P RheeNephrology Division, Department of Medicine, and.
Massachusetts General Hospital · USBroad Institute · US

Funding

Tissue Phenotyping CoreP01DK011794 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI BOUXSEIN, MARY L · 1986 to 2023
$44.4M
Translational Imaging and Phenotyping CoreP30AR075042 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI MARY L BOUXSEIN, PAOLA DIVIETI PAJEVIC · 2019 to 2026
$7.4M
Role of miR-17-92 miRNAs in skeletal development and bone homeostasisR01AR056645 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI KOBAYASHI, TATSUYA · 2010 to 2020
$4.1M
The role of salt inducible kinases in parathyroid hormone action in boneR01DK116716 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Marc Nathan Wein · 2018 to 2026
$3.8M
Metabolomics of CKD and CKD ProgressionU01DK106981 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI RHEE, EUGENE P. · 2015 to 2019
$2.2M
Kidney Glycolysis as the Mammalian Phosphate SensorR01DK130291 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI RHEE, EUGENE P. · 2022 to 2025
$1.9M
Lysophosphatidic acid (LPA) is a novel FGF23 regulator in acute kidney injury.K08DK124568 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI SIMIC, PETRA · 2020 to 2024
$866k
Quantitative MRI-PET Imaging of Pulmonary FibrosisK25HL148837 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI ZHOU, IRIS YUWEN · 2020 to 2023
$686k
MRI-Compatible PET Insert for Small Bore ScannerS10OD023503 · OD · MASSACHUSETTS GENERAL HOSPITAL · PI CARAVAN, PETER D · 2017 to 2017
$600k
NHLBI NIH HHS K25 HL148837NIAMS NIH HHS P30 AR075042NIAMS NIH HHS R01 AR056645NIDDK NIH HHS K08 DK124568NIDDK NIH HHS P01 DK011794NIDDK NIH HHS R01 DK116716NIDDK NIH HHS R01 DK130291NIDDK NIH HHS U01 DK106981NIH HHS S10 OD023503
6 · The paper itself

Abstract

How phosphate levels are detected in mammals is unknown. The bone-derived hormone fibroblast growth factor 23 (FGF23) lowers blood phosphate levels by reducing kidney phosphate reabsorption and 1,25(OH)2D production, but phosphate does not directly stimulate bone FGF23 expression. Using PET scanning and LC-MS, we found that phosphate increases kidney-specific glycolysis and synthesis of glycerol-3-phosphate (G-3-P), which then circulates to bone to trigger FGF23 production. Further, we found that G-3-P dehydrogenase 1 (Gpd1), a cytosolic enzyme that synthesizes G-3-P and oxidizes NADH to NAD+, is required for phosphate-stimulated G-3-P and FGF23 production and prevention of hyperphosphatemia. In proximal tubule cells, we found that phosphate availability is substrate-limiting for glycolysis and G-3-P production and that increased glycolysis and Gpd1 activity are coupled through cytosolic NAD+ recycling. Finally, we show that the type II sodium-dependent phosphate cotransporter Npt2a, which is primarily expressed in the proximal tubule, conferred kidney specificity to phosphate-stimulated G-3-P production. Importantly, exogenous G-3-P stimulated FGF23 production when Npt2a or Gpd1 were absent, confirming that it was the key circulating factor downstream of glycolytic phosphate sensing in the kidney. Together, these findings place glycolysis at the nexus of mineral and energy metabolism and identify a kidney-bone feedback loop that controls phosphate homeostasis.

Indexed as

Parathyroid HormonePhosphatesAnimalsFibroblast Growth FactorsGlycolysisHomeostasisKidneyMammalsNADFibroblast Growth FactorsNADParathyroid HormonePhosphatesCalciumChronic kidney diseaseEndocrinologyGlucose metabolismNephrology

Identifiers

PMID36821389
PMCPMC10104895
OpenAlexW4321611924

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.