Evidence map›Paper›PMID 19710627›Full record

ArticleKidney international2009

Biomechanical strain causes maladaptive gene regulation, contributing to Alport glomerular disease.

Daniel T Meehan, Duane Delimont, Linda Cheung, Marisa Zallocchi, Steven C Sansom, J David Holzclaw, Velidi Rao, Dominic Cosgrove

Open access · bronzeAbstract read
In one paragraph

Article in Kidney international, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

40 citing papers in PubMed, 70 citations in OpenAlex.

  1. Treatment Approaches for Alport Syndrome.Journal of the American Society of Nephrology : JASN · 2026
    Review
  2. Article
  3. Collagen IV in Gould syndrome and Alport syndrome.Nature reviews. Nephrology · 2025
    Review
  4. Pathological diagnosis of Alport syndrome.Kidney research and clinical practice · 2025
    Article
  5. Matrix metalloproteinases in kidney homeostasis and diseases: an update.American journal of physiology. Renal physiology · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Matrix Metalloproteinase-10 in Kidney Injury Repair and Disease.International journal of molecular sciences · 2022
    Review
  12. Review
  13. Article
  14. Multidisciplinary Management of Alport Syndrome: Current Perspectives.Journal of multidisciplinary healthcare · 2021
    Review
  15. Article
  16. Alport syndrome and Pierson syndrome: Diseases of the glomerular basement membrane.Matrix biology : journal of the International Society for Matrix Biology · 2018
    Review
  17. Review
  18. Article
  19. Article
  20. Collagen IV diseases: A focus on the glomerular basement membrane in Alport syndrome.Matrix biology : journal of the International Society for Matrix Biology · 2017
    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

8 authors at 2 institutions in 1 country.

Daniel T MeehanBoys Town National Research Hospital, Omaha, Nebraska 68131, USA.
Duane Delimont
Linda Cheung
Marisa Zallocchi
Steven C Sansom
J David Holzclaw
Velidi Rao
Dominic Cosgrove
Boys Town National Research Hospital · USUniversity of Nebraska Medical Center · US

Funding

MOLECULAR ASPECTS OF ALPORT RENAL DISEASE PROGRESSIONR01DK055000 · NIDDK · FATHER FLANAGAN'S BOYS'HOME · PI COSGROVE, DOMINIC E. · 1999 to 2013
$3.0M
CONSTRUCTION OF RESEARCH FACILITYC06RR017417 · NCRR · CREIGHTON UNIVERSITY · PI WILSON, M. ROY · 2002 to 2002
$2.0M
TRP channels in statin reversal of diabetic nephropathyR01DK073070 · NIDDK · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI SANSOM, STEVEN · 2006 to 2009
$1.2M
MECHANISM OF REGULATION OF A GLOMERULAR K CHANNELR01DK049561 · NIDDK · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI SANSOM, STEVEN · 1997 to 2005
$1.1M
NCRR NIH HHS C06 RR017417NCRR NIH HHS C06 RR17417-01NIDDK NIH HHS R01 DK049561NIDDK NIH HHS R01 DK055000NIDDK NIH HHS R01 DK55000NIDDK NIH HHS R01 DK73070
6 · The paper itself

Abstract

Patients with Alport's syndrome develop a number of pro-inflammatory cytokine and matrix metalloproteinase (MMP) abnormalities that contribute to progressive renal failure. Changes in the composition and structure of the glomerular basement membranes likely alter the biomechanics of cell adhesion and signaling in these patients. To test if enhanced strain on the capillary tuft due to these structural changes contributes to altered gene regulation, we subjected cultured podocytes to cyclic biomechanical strain. There was robust induction of interleukin (IL)-6, along with MMP-3, -9, -10, and -14, but not MMP-2 or -12 by increased strain. Neutralizing antibodies against IL-6 attenuated the strain-mediated induction of MMP-3 and -10. Alport mice treated with a general inhibitor of nitric oxide synthase (L-NAME) developed significant hypertension and increased IL-6 and MMP-3 and -10 in their glomeruli relative to those of normotensive Alport mice. These hypertensive Alport mice also had elevated proteinuria along with more advanced histological and ultrastructural glomerular basement membrane damage. We suggest that MMP and cytokine dysregulation may constitute a maladaptive response to biomechanical strain in the podocytes of Alport patients, thus contributing to glomerular disease initiation and progression.

Indexed as

Adaptation, PhysiologicalAnimalsBlood PressureCells, CulturedCytoskeletonDisease Models, AnimalGene Expression RegulationGlomerular Basement MembraneHypertensionInterleukin-6Kidney GlomerulusMatrix Metalloproteinase 10Matrix Metalloproteinase 14Matrix Metalloproteinase 3Matrix Metalloproteinase 9Matrix MetalloproteinasesInterleukin-6Matrix Metalloproteinase 10Matrix Metalloproteinase 14Matrix Metalloproteinase 3Matrix Metalloproteinase 9Matrix MetalloproteinasesMmp14 protein, mouseMmp3 protein, mouseMmp9 protein, mouseNG-Nitroarginine Methyl EsterRNA, MessengerSodium Chloride, Dietary

Identifiers

PMID19710627
PMCPMC2780007
OpenAlexW2074207450

What OpenQuestion holds

Textmetadata
LicenceTDM
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.