Evidence map›Paper›PMID 37079387›Full record

ArticleThe Journal of clinical investigation2023

Transcription factor HNF4α2 promotes osteogenesis and prevents bone abnormalities in mice with renal osteodystrophy.

Marta Martinez-Calle, Guillaume Courbon, Bridget Hunt-Tobey, Connor Francis, Jadeah Spindler, Xueyan Wang, Luciene M Dos Reis, Carolina Sw Martins, Isidro B Salusky, Hartmut Malluche and 4 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.2field-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

9 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Network Interactions of Circulating FGF23, HRG-HMGB1, and Cardiac Disease in CKD.Journal of the American Society of Nephrology : JASN · 2025
    Article
  4. Osteocytes burn out, give bone a break.Kidney international · 2025
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 2 countries.

Marta Martinez-CalleDivision of Nephrology and Hypertension, Department of Medicine, and Center for Translational Metabolism and Health, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Guillaume CourbonDivision of Nephrology and Hypertension, Department of Medicine, and Center for Translational Metabolism and Health, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Bridget Hunt-TobeyDivision of Nephrology and Hypertension, Department of Medicine, and Center for Translational Metabolism and Health, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Connor FrancisDivision of Nephrology and Hypertension, Department of Medicine, and Center for Translational Metabolism and Health, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Jadeah SpindlerDivision of Nephrology and Hypertension, Department of Medicine, and Center for Translational Metabolism and Health, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Xueyan WangDivision of Nephrology and Hypertension, Department of Medicine, and Center for Translational Metabolism and Health, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Luciene M Dos ReisLIM 16, Nephrology Department, Hospital das Clínicas da Faculdade de Medicina da USP (HCFMUSP), Universidade de São Paulo, São Paulo, Brazil.
Carolina Sw MartinsLIM 16, Nephrology Department, Hospital das Clínicas da Faculdade de Medicina da USP (HCFMUSP), Universidade de São Paulo, São Paulo, Brazil.
Isidro B SaluskyDepartment of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Hartmut MallucheDivision of Nephrology, Bone and Mineral Metabolism, Department of Internal Medicine, University of Kentucky, Lexington, Kentucky, USA.
Thomas L NickolasDepartment of Medicine, Columbia Irving University Medical Center, New York, New York, USA.
Rosa Ma MoysesLIM 16, Nephrology Department, Hospital das Clínicas da Faculdade de Medicina da USP (HCFMUSP), Universidade de São Paulo, São Paulo, Brazil.
Aline MartinDivision of Nephrology and Hypertension, Department of Medicine, and Center for Translational Metabolism and Health, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Valentin DavidDivision of Nephrology and Hypertension, Department of Medicine, and Center for Translational Metabolism and Health, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Northwestern University · USHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRColumbia University Irving Medical Center · USUniversity of California, Los Angeles · USUniversity of Kentucky · US

Funding

Therapeutics Development Core (Core B)P30DK114857 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI QUAGGIN, SUSAN E. · 2018 to 2022
$5.7M
Regulation of FGF23 in Chronic Kidney Disease (CKD) by iron and inflammationR01DK102815 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI DAVID, NICOLAE VALENTIN · 2015 to 2024
$4.9M
Role of FGF23 peptides in chronic kidney disease (CKD)R01DK132657 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Nicolae Valentin David · 2023 to 2026
$2.6M
Role of FGF23 and Phosphate in Chronic Kidney DiseaseR01DK131046 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MARTIN, ALINE C · 2022 to 2025
$2.5M
The role of DMP1 in FGF23-induced hypophosphatemiaR01DK132342 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MARTIN, ALINE C · 2022 to 2025
$2.3M
Regulation of FGF23 by DMP1 in Health and in Chronic Kidney Disease (CKD)R01DK101730 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MARTIN, ALINE C · 2015 to 2019
$2.1M
Role of HNF4a in the regulation of FGF23 in health and diseaseR01DK114158 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI DAVID, NICOLAE VALENTIN · 2018 to 2021
$1.6M
Renal Osteodystrophy Precision Medicine ProjectR56DK127986 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI DAVID, NICOLAE VALENTIN, MALLUCHE, HARTMUT H · 2022 to 2023
$899k
NIDDK NIH HHS P30 DK114857NIDDK NIH HHS R01 DK101730NIDDK NIH HHS R01 DK102815NIDDK NIH HHS R01 DK114158NIDDK NIH HHS R01 DK131046NIDDK NIH HHS R01 DK132342NIDDK NIH HHS R01 DK132657NIDDK NIH HHS R56 DK127986
6 · The paper itself

Abstract

Renal osteodystrophy (ROD) is a disorder of bone metabolism that affects virtually all patients with chronic kidney disease (CKD) and is associated with adverse clinical outcomes including fractures, cardiovascular events, and death. In this study, we showed that hepatocyte nuclear factor 4α (HNF4α), a transcription factor mostly expressed in the liver, is also expressed in bone, and that osseous HNF4α expression was dramatically reduced in patients and mice with ROD. Osteoblast-specific deletion of Hnf4α resulted in impaired osteogenesis in cells and mice. Using multi-omics analyses of bones and cells lacking or overexpressing Hnf4α1 and Hnf4α2, we showed that HNF4α2 is the main osseous Hnf4α isoform that regulates osteogenesis, cell metabolism, and cell death. As a result, osteoblast-specific overexpression of Hnf4α2 prevented bone loss in mice with CKD. Our results showed that HNF4α2 is a transcriptional regulator of osteogenesis, implicated in the development of ROD.

Indexed as

Chronic Kidney Disease-Mineral and Bone DisorderRenal Insufficiency, ChronicAnimalsGene Expression RegulationHepatocyte Nuclear Factor 4MiceOsteogenesisTranscription FactorsHepatocyte Nuclear Factor 4Transcription FactorsBone BiologyBone diseaseChronic kidney diseaseMetabolism

Identifiers

PMID37079387
PMCPMC10231994
OpenAlexW4366464132

What OpenQuestion holds

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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.