Evidence map›Paper›PMID 41426862›Full record

ReviewCureus2025

Effects of Fibroblast Growth Factor 23 (FGF23) on the Cardiovascular System: A Review of Literature.

Diego Ivan Diaz-Haaz, Eleasib Alejandro Espinoza-Pérez, Jesús Armando Aguilar-Alonso, Mauricio Megchún-Hernández, Fernando Gonzalez-Diaz, Néstor Rodolfo García-Chong

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. 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

6 authors.

Diego Ivan Diaz-HaazFaculty of Human Medicine "Dr. Manuel Velasco Suárez" Campus II, Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, MEX.
Eleasib Alejandro Espinoza-PérezFaculty of Human Medicine "Dr. Manuel Velasco Suárez" Campus II, Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, MEX.
Jesús Armando Aguilar-AlonsoDepartment of Nephrology, Instituto Mexicano del Seguro Social, Hospital General de Zona No. 2, Tuxtla Gutiérrez, MEX.
Mauricio Megchún-HernándezPediatrics, Hospital de Especialidades Pediátricas, Tuxtla Gutiérrez, MEX.
Fernando Gonzalez-DiazFaculty of Medicine, Benemérita Universidad Autónoma de Puebla, Puebla, MEX.
Néstor Rodolfo García-ChongPediatrics, Hospital de Especialidades Pediátricas, Tuxtla Gutiérrez, MEX.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fibroblast growth factor 23 (FGF23) is a hormone that plays a crucial role in phosphate metabolism; its synthesis increases with phosphate intake. The effect of FGF23 is reduced by the decrease in Klotho protein in patients with chronic kidney disease (CKD). As a result, there is less phosphate excretion and, consequently, an increase in serum FGF23 levels. Several studies have shown that elevated FGF23 levels are associated with an increased risk of cardiovascular events. This is a consequence of the various alterations it causes at this level, including arterial stiffness, increased pulse wave velocity, left ventricular hypertrophy, cardiac tissue fibrosis, atrial fibrillation, and atherosclerosis, resulting in increased cardiovascular mortality and all-cause mortality. The pathophysiological mechanisms by which FGF23 generates all these alterations are novel and will be discussed in this review. Therapeutic strategies to reduce FGF23 levels include low-phosphate diets, some intestinal phosphate binders, calcimimetics, dialysis therapies, and some other medications that require further research to evaluate their effectiveness.

Indexed as

cardiovascular diseasechronic kidney diseasefgf23hypertensionleft ventricular hypertrophymyocardial infarctionphosphate

Identifiers

PMID41426862
PMCPMC12713327

What Socratic 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 Socratic graph.