Evidence map›Paper›PMID 15010020›Full record

ReviewCurrent hypertension reports2004

Hypertensive renal damage: insights from animal models and clinical relevance.

Karen A Griffin, Anil K Bidani

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current hypertension reports, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

21 citing papers in PubMed, 45 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Failed Tubule Recovery, AKI-CKD Transition, and Kidney Disease Progression.Journal of the American Society of Nephrology : JASN · 2015
    Review
  8. Renal autoregulation in health and disease.Physiological reviews · 2015
    Review
  9. P2 receptors in renal autoregulation.Current vascular pharmacology · 2014
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Acute kidney injury: a springboard for progression in chronic kidney disease.American journal of physiology. Renal physiology · 2010
    Review
  17. Article
  18. Angiotensin II regulation of renal vascular ENaC proteins.American journal of hypertension · 2009
    Article
  19. Article
  20. 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

2 authors at 1 institution in 1 country.

Karen A GriffinLoyola University Medical Center, 2160 South First Avenue, Maywood, IL 60153, USA.
Anil K Bidani
Loyola University Medical Center · US

Funding

PATHOLOGY OF HYPERTENSIVE INJURY IN REMNANT KIDNEYSR01DK040426 · NIDDK · RUSH UNIVERSITY MEDICAL CENTER · PI BIDANI, ANIL K · 1990 to 2011
$2.8M
Dynamic BP load and diabetic nephropathy phenotype.R01DK061653 · NIDDK · LOYOLA UNIVERSITY CHICAGO · PI GRIFFIN, KAREN A. · 2002 to 2014
$2.1M
SUSCEPTIBILITY TO HYPERTENSIVE TARGET ORGAN DAMAGER01HL064807 · NHLBI · LOYOLA UNIVERSITY CHICAGO · PI BIDANI, ANIL K · 2000 to 2003
$1.6M
NHLBI NIH HHS HL64807NIDDK NIH HHS DK-40426NIDDK NIH HHS DK-61653
6 · The paper itself

Abstract

Investigations using chronic blood pressure (BP) radiotelemetry in conscious animals have provided substantial insights into the pathophysiology of hypertensive renal damage. Normal renal autoregulation protects the renal microvasculature from significant injury in most patients with primary hypertension, unless BP exceeds a certain threshold, when malignant nephrosclerosis develops. However, if autoregulation is impaired, as in chronic renal disease and/or diabetes models, the threshold for renal damage is lowered and glomerulosclerosis (GS) increases linearly with increasing BP. Modest BP reductions are predicted to prevent malignant nephrosclerosis, but prevention of GS in patients with diabetes and chronic renal disease requires that BP be lowered well into the normotensive range, as recognized in the currently recommended BP goals. When BP load is accurately assessed in these experimental models, renal protection is proportional to the achieved BP reductions, and there is little evidence of BP-independent protection, even with agents that block the renin-angiotensin system (RAS). Recent clinical data also suggest that achieving lower BP targets might be vastly more important than the choice of therapeutic regimens. Nevertheless, because aggressive diuretic use is usually necessary to achieve such BP goals, RAS blockade should be included as initial therapy both for antihypertensive synergy and to minimize the potassium and magnesium depletion associated with diuretics.

Indexed as

AnimalsAntihypertensive AgentsHomeostasisHumansHypertensionKidneyModels, AnimalNephrosclerosisAntihypertensive Agents

Identifiers

PMID15010020
OpenAlexW2035416354

What OpenQuestion holds

Textmetadata
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.