Evidence map›Paper›PMID 39196305›Full record

ArticleUrolithiasis2024

A high-calcium environment induced ectopic calcification of renal interstitial fibroblasts via TFPI-2-DCHS1-ALP/ENPP1 axis to participate in Randall's plaque formation.

Minghui Liu, Zhi Liu, Fang Huang, Hequn Chen, Zhongqing Yang, Zewu Zhu

Abstract read
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Article in Urolithiasis, 2024. 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
–field-weighted citation impact
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.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. M2 Macrophages Attenuate AQP2Research (Washington, D.C.) · 2026
    Article
  7. Review
  8. Article
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

6 authors.

Minghui LiuDepartment of Urology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.
Zhi LiuDepartment of Urology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.
Fang HuangNational Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.
Hequn ChenDepartment of Urology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.
Zhongqing YangDepartment of Urology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China. yzqing91035@126.com.
Zewu ZhuDepartment of Urology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China. zhuzevxy@csu.edu.cn.

Funding

Basic Research Program of Qiandongnan Prefecture 【2023】NO.16.Natural Science Foundation of Hunan Province 2022JJ30977Scientific Research Fund Project of Hunan Provincial Health Commission 202304058290
6 · The paper itself

Abstract

Randall's plaques (RP) serve as anchoring sites for calcium oxalate (CaOx) stones, but the underlying mechanism remains unclear. Renal interstitium with a high-calcium environment is identified as pathogenesis of RP formation where the role of human renal interstitial fibroblasts (hRIFs) was highlighted. Our study aims to elucidate the potential mechanism by which a high-calcium environment drives ectopic calcification of hRIFs to participate in RP formation. Alizarin Red staining demonstrated calcium nodules in hRIFs treated with high-calcium medium. Utilizing transcriptome sequencing, tissue factor pathway inhibitor-2 (TFPI-2) was found to be upregulated in high-calcium-induced hRIFs and RP tissues, and TFPI-2 promoted high-calcium-induced calcification of hRIFs. Subsequently, the downstream regulator of TFPI2 was screened by transcriptome sequencing analysis of hRIFs with TFPI-2 knockdown or overexpressed. Dachsous Cadherin Related 1 (DCHS1) knockdown was identified to suppress the calcification of hRIFs enhanced by TFPI-2. Further investigation revealed that TFPI-2/DCHS1 axis promoted high-calcium-induced calcification of hRIFs via disturbing the balance of ENPP1/ALP activities, but without effect on the canonical osteogenic markers, such as osteopontin (OPN), osteogenic factors runt-related transcription factor 2 (RUNX2), bone morphogenetic protein 2 (BMP2). In summary, our study mimicked the high-calcium environment observed in CaOx stone patients with hypercalciuria, and discovered that the high-calcium drove ectopic calcification of hRIFs via a novel TFPI-2-DCHS1-ALP/ENPP1 pathway rather than adaption of osteogenic phenotypes to participate in RP formation.

Indexed as

CalcinosisFibroblastsGlycoproteinsAlkaline PhosphataseCalciumCells, CulturedHumansKidneyKidney CalculiAlkaline PhosphataseCalciumGlycoproteinstissue-factor-pathway inhibitor 2DCHS1Ectopic calcificationKidney stonesRandall’s plaqueTFPI-2

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Registered trials

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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.