Evidence map›Paper›PMID 17418688›Full record

ReviewSeminars in nephrology2007

Histopathology of diabetic nephropathy.

Paola Fioretto, Michael Mauer

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Seminars in nephrology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05021705 (Non Diabetic Causes of Chronic Kidney Disease in Type 2 Diabetic Patients), which is not on this map. Cited by 193 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
193citing papers in PubMed, 2 pooled it
7.1field-weighted citation impact, top 2% 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.

NCT05021705 completednot on this mapstarted 2016, after this paper: background citation

Non Diabetic Causes of Chronic Kidney Disease in Type 2 Diabetic Patients

Typeobservational_patient_registrySponsorAssiut UniversityRan2016 to 2020Enrolled60ConditionsDiabetic Kidney Disease
3 · Its place in the literature

Who cites it

193 citing papers in PubMed, 2 syntheses or guidelines pooled it, 462 citations in OpenAlex.

  1. American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2022
    Guideline
  2. Pooled it
  3. Trial
  4. Trial
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  6. Short-term changes after a weight reduction intervention in advanced diabetic nephropathy.Clinical journal of the American Society of Nephrology : CJASN · 2013
    Trial
  7. Trial
  8. Review
  9. Article
  10. Effects ofMolecules (Basel, Switzerland) · 2026
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Inflammation and Diabetic Kidney Disease.International journal of molecular sciences · 2026
    Review

133 more citing papers are in PubMed but not listed here.

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 2 institutions in 2 countries.

Paola FiorettoDepartment of Medical and Surgical Sciences, University of Padova Medical School, Via Giustiniana 2, 35128 Padua, Italy. paolo.fioretto@unipd.it
Michael Mauer
University of Minnesota Medical Center · USUniversity of Padua · IT

Funding

Viral Infections and Posttransplant MorbidityP01DK013083 · NIDDK · UNIVERSITY OF MINNESOTA TWIN CITIES · PI MATAS, ARTHUR J · 1986 to 2013
$14.9M
Renin Angiotensin System Blockage-DN (RASS)R01DK051975 · NIDDK · UNIVERSITY OF MINNESOTA TWIN CITIES · PI MAUER, S MICHAEL · 1997 to 2007
$7.0M
Renal &Cellular Studies in Type 1 Diabetic PatientsR01DK054638 · NIDDK · UNIVERSITY OF MINNESOTA TWIN CITIES · PI MAUER, S MICHAEL · 1998 to 2007
$3.5M
NIDDK NIH HHS P01 DK013083NIDDK NIH HHS P01 DK 13083NIDDK NIH HHS R01 DK051975NIDDK NIH HHS R01 DK 054638NIDDK NIH HHS R01 DK054638NIDDK NIH HHS R01 DK 51975
6 · The paper itself

Abstract

The clinical manifestations of diabetic nephropathy, proteinuria, increased blood pressure, and decreased glomerular filtration rate, are similar in type 1 and type 2 diabetes; however, the renal lesions underlying renal dysfunction in the 2 conditions may differ. Indeed, although tubular, interstitial, and arteriolar lesions are ultimately present in type 1 diabetes, as the disease progresses, the most important structural changes involve the glomerulus. In contrast, a substantial subset of type 2 diabetic patients, despite the presence of microalbuminuria or proteinuria, have normal glomerular structure with or without tubulointerstitial and/or arteriolar abnormalities. The clinical manifestations of diabetic nephropathy are strongly related with the structural changes, especially with the degree of mesangial expansion in both type 1 and type 2 diabetes. However, several other important structural changes are involved. Previous studies, using light and electron microscopic morphometric analysis, have described the renal structural changes and the structural-functional relationships of diabetic nephropathy. This review focuses on these topics, emphasizing the contribution of research kidney biopsy studies to the understanding of the pathogenesis of diabetic nephropathy and the identification of patients with a higher risk of progression to end-stage renal disease. Finally, evidence is presented that the reversal of established lesions of diabetic nephropathy is possible.

Indexed as

AnimalsBiopsyDiabetic NephropathiesDisease ProgressionHumansKidney GlomerulusSeverity of Illness Index

Identifiers

PMID17418688
PMCPMC2746982
OpenAlexW2143580981

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.