Evidence map›Paper›PMID 38110950›Full record

ArticleBMC medicine2023

The citrate transporter SLC13A5 as a therapeutic target for kidney disease: evidence from Mendelian randomization to inform drug development.

Dipender Gill, Loukas Zagkos, Rubinder Gill, Thomas Benzing, Jens Jordan, Andreas L Birkenfeld, Stephen Burgess, Grit Zahn

Open access · goldAbstract read
In one paragraph

Article in BMC medicine, 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
2.2field-weighted citation impact, top 10% 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, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Targeting Longevity GeneMetabolites · 2023
    Article
  8. 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

8 authors at 4 institutions in 2 countries.

Dipender GillDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK. dipender.gill@imperial.ac.uk.ORCID 0000-0001-7312-7078
Loukas ZagkosDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Rubinder GillPrimula Group Ltd, London, UK.
Thomas BenzingDepartment II of Internal Medicine and Center for Molecular Medicine Cologne (CMMC), University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Jens JordanInstitute of Aerospace Medicine, German Aerospace Center (DLR), Cologne, Germany.
Andreas L BirkenfeldDepartment of Diabetology Endocrinology and Nephrology, Internal Medicine IV, University Hospital Tübingen, Eberhard Karls University Tübingen, Tübingen, Germany.
Stephen BurgessMedical Research Council Biostatistics Unit at the University of Cambridge, Cambridge, UK.
Grit ZahnEternygen GmbH, Berlin, Germany.
Imperial College London · GBUniversity of Cologne · DEKing's College London · GBUniversity of Cambridge · GB

Funding

British Heart Foundation RE/18/4/34215Medical Research Council MC_UU_00002/7Wellcome Trust 100114Wellcome Trust 225790/Z/22/Z
6 · The paper itself

Abstract

backgroundSolute carrier family 13 member 5 (SLC13A5) is a Na

methodsThe primary Mendelian randomization analyses investigated the effect of SLC13A5 inhibition on measures of kidney function, including creatinine and cystatin C-based measures of estimated glomerular filtration rate (creatinine-eGFR and cystatin C-eGFR), blood urea nitrogen (BUN), urine albumin-creatinine ratio (uACR), and risk of chronic kidney disease and microalbuminuria. Secondary analyses included a paired plasma and urine metabolome-wide association study, investigation of secondary traits related to SLC13A5 biology, a phenome-wide association study (PheWAS), and a proteome-wide association study. All analyses were compared to the effect of genetically predicted plasma citrate levels using variants selected from across the genome, and statistical sensitivity analyses robust to the inclusion of pleiotropic variants were also performed. Data were obtained from large-scale genetic consortia and biobanks, with sample sizes ranging from 5023 to 1,320,016 individuals.

resultsWe found evidence of associations between genetically proxied SLC13A5 inhibition and higher creatinine-eGFR (p = 0.002), cystatin C-eGFR (p = 0.005), and lower BUN (p = 3 × 10

conclusionsThis Mendelian randomization analysis provides human-centric insight to guide clinical development of an SLC13A5 inhibitor. We identify plasma calcium and citrate as biologically plausible biomarkers of target engagement, and plasma citrate as a potential biomarker of mechanism of action. Our human genetic evidence corroborates evidence from various animal models to support effects of SLC13A5 inhibition on improving kidney function.

Indexed as

Renal Insufficiency, ChronicSymportersBiomarkersCalciumCarrier ProteinsCitratesCreatinineCystatin CDrug DevelopmentGenome-Wide Association StudyHumansKidneyMendelian Randomization AnalysisBiomarkersCalciumCarrier Proteinscitrate-binding transport proteinCitratesCreatinineCystatin CSLC13A5 protein, humanSymportersCitrateDrug developmentKidneyMendelian randomizationRenal functionSLC13A5

Identifiers

PMID38110950
PMCPMC10729503
OpenAlexW4389904076

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.