Evidence map›Paper›PMID 42677728›Full record

ArticleActa physiologica (Oxford, England)2026

The Binding of Fibroblast Growth Factor 23 (FGF23) to FGF Receptor-αKlotho Complex Increases Sinoatrial Electrical Activity.

Giorgia Bertoli, Patrizia Benzoni, Serena Canzolino, David Molla, Raffaella Milanesi, Chiara Piantoni, Makoto Kuro-O, Carmen Delgado, Gema Ruiz-Hurtado, Mirko Baruscotti and 1 more

Abstract read
In one paragraph

Article in Acta physiologica (Oxford, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Giorgia BertoliThe Cell Physiology MiLab, Department of Biosciences, Università Degli Studi di Milano, Milan, Italy.ORCID https://orcid.org/0000-0001-5352-253X
Patrizia BenzoniThe Cell Physiology MiLab, Department of Biosciences, Università Degli Studi di Milano, Milan, Italy.ORCID https://orcid.org/0000-0002-3371-3301
Serena CanzolinoThe Cell Physiology MiLab, Department of Biosciences, Università Degli Studi di Milano, Milan, Italy.
David MollaThe Cell Physiology MiLab, Department of Biosciences, Università Degli Studi di Milano, Milan, Italy.ORCID https://orcid.org/0000-0003-4355-4508
Raffaella MilanesiThe Cell Physiology MiLab, Department of Biosciences, Università Degli Studi di Milano, Milan, Italy.ORCID https://orcid.org/0000-0001-9513-8878
Chiara PiantoniThe Cell Physiology MiLab, Department of Biosciences, Università Degli Studi di Milano, Milan, Italy.ORCID https://orcid.org/0000-0002-3621-8402
Makoto Kuro-ODivision of Mineral Metabolism, Center for Molecular Medicine, Jichi Medical University, Tochigi, Japan.ORCID https://orcid.org/0000-0003-0018-7269
Carmen DelgadoInstituto de Investigaciones Biomédicas Sols-Morreale (CSIC-UAM), Madrid, Spain.ORCID https://orcid.org/0000-0002-0047-4674
Gema Ruiz-HurtadoCardiorenal Translational Laboratory, Imas12 Research Institute, Hospital Universitario 12 de Octubre, Madrid, Spain.ORCID https://orcid.org/0000-0003-3482-0915
Mirko BaruscottiThe Cell Physiology MiLab, Department of Biosciences, Università Degli Studi di Milano, Milan, Italy.
Annalisa BucchiThe Cell Physiology MiLab, Department of Biosciences, Università Degli Studi di Milano, Milan, Italy.ORCID https://orcid.org/0000-0002-5303-4242

Funding

Biomedicine Network Comunidad de Madrid P2022/BMD-7223 CIFRA_COR-CMInstituto de Salud Carlos III IFEQ21/00012, PI23/00182Linea 2 -University of MilanMinistry of Science and Innovation and European Union CNS2023-144891Spanish Society of Cardiology(SEC)/Spanish Foundation of Heart SEC/FEC-INV-BAS 23
6 · The paper itself

Abstract

aimThis study aims to investigate whether the Fibroblast Growth Factor 23 (FGF23) modulates the electrical activity of sinoatrial (SAN) cells. The canonical function of FGF23 is to regulate body phosphorus and calcium homeostasis by activating the FGF1 receptors (FGFR1)/α-Klotho complex in the kidney and parathyroid glands. High levels of FGF23 can induce cardiac arrhythmias by affecting cardiomyocyte's function in an α-Klotho independent manner. Although SAN cells are not traditionally considered targets of FGF23, the presence of α-Klotho in pacemaker and not in ventricular cells has raised this possibility.

methodsThe effect of FGF23 was evaluated by patch-clamp experiments on mouse SAN and on human-induced pluripotent stem cells-derived pacemaker-like cardiomyocytes (hiPSC-derived pCMs).

resultsOur data reveal that mouse SAN cells express both membrane α-Klotho and FGF23 receptors (FGFR) and that 48 h tissue incubation with FGF23 (10 ng/mL) increases the spontaneous action potential (AP) frequency of these cells through an increase in the funny I

conclusionsThis study represents the first evidence that FGF23 directly regulates the SAN electrical activity.

Indexed as

Action PotentialsFibroblast Growth FactorsGlucuronidaseMyocytes, CardiacReceptors, Fibroblast Growth FactorSinoatrial NodeAnimalsCells, CulturedFibroblast Growth Factor-23HumansKlotho ProteinsMicePatch-Clamp TechniquesFGF23 protein, humanFgf23 protein, mouseFibroblast Growth Factor-23Fibroblast Growth FactorsGlucuronidaseKlotho ProteinsKL protein, humanReceptors, Fibroblast Growth FactorFGF23pacemaker currentsinoatrial nodeα‐Klotho

Identifiers

PMID42677728
PMCPMC13531400

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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.