Evidence map›Paper›PMID 21865266›Full record

ArticleAmerican journal of physiology. Renal physiology2011

Urinary C-type natriuretic peptide excretion: a potential novel biomarker for renal fibrosis during aging.

S Jeson Sangaralingham, Denise M Heublein, Joseph P Grande, Alessandro Cataliotti, Andrew D Rule, Paul M McKie, Fernando L Martin, John C Burnett

Open access · greenAbstract read
In one paragraph

Article in American journal of physiology. Renal physiology, 2011. 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
1.6field-weighted citation impact, top 18% 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, 35 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Hormonal Regulation of Renal Fibrosis.Life (Basel, Switzerland) · 2022
    Review
  5. Article
  6. Article
  7. CRRL269.Circulation research · 2019
    Article
  8. Article
  9. Article
  10. Impairment of PPARJournal of the American Society of Nephrology : JASN · 2018
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Urinary C-type natriuretic peptide: an emerging biomarker for heart failure and renal remodeling.Clinica chimica acta; international journal of clinical chemistry · 2015
    Review
  16. Article
  17. Review
  18. 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

8 authors at 2 institutions in 1 country.

S Jeson SangaralinghamCardiorenal Research Laboratory, Div. of Cardiovascular Diseases, Mayo Clinic, 200 First St. SW, Rochester, MN 55905, USA. sangaralingham.jeson@mayo.edu
Denise M Heublein
Joseph P Grande
Alessandro Cataliotti
Andrew D Rule
Paul M McKie
Fernando L Martin
John C Burnett
Hypertension Institute · USMayo Clinic · US

Funding

Recruitment and Phenotyping CoreP01HL076611 · NHLBI · MAYO CLINIC ROCHESTER · PI BURNETT, JOHN C · 2005 to 2015
$19.6M
The macro- and micro- anatomy and pathology of the aging kidneyR01DK090358 · NIDDK · MAYO CLINIC ROCHESTER · PI ANDREW David RULE · 2011 to 2026
$9.9M
INTRARENAL REGULATION OF SODIUM EXCRETIONR01HL036634 · NHLBI · MAYO CLINIC ROCHESTER · PI BURNETT, JOHN C · 1987 to 2019
$6.5M
Cardiovascular Peptides and Myocardial InfarctionR01HL083231 · NHLBI · MAYO CLINIC ROCHESTER · PI BURNETT, JOHN C, CHEN, HORNG H · 2006 to 2016
$4.6M
NHLBI NIH HHS P01 HL76611NHLBI NIH HHS R01 HL36634NHLBI NIH HHS R01 HL83231NIDDK NIH HHS R01 DK090358NIDDK NIH HHS R01 DK90358
6 · The paper itself

Abstract

Renal aging is characterized by structural changes in the kidney including fibrosis, which contributes to the increased risk of kidney and cardiac failure in the elderly. Studies involving healthy kidney donors demonstrated subclinical age-related nephropathy on renal biopsy that was not detected by standard diagnostic tests. Thus there is a high-priority need for novel noninvasive biomarkers to detect the presence of preclinical age-associated renal structural and functional changes. C-type natriuretic peptide (CNP) possesses renoprotective properties and is present in the kidney; however, its modulation during aging remains undefined. We assessed circulating and urinary CNP in a Fischer rat model of experimental aging and also determined renal structural and functional adaptations to the aging process. Histological and electron microscopic analysis demonstrated significant renal fibrosis, glomerular basement membrane thickening, and mesangial matrix expansion with aging. While plasma CNP levels progressively declined with aging, urinary CNP excretion increased, along with the ratio of urinary to plasma CNP, which preceded significant elevations in proteinuria and blood pressure. Also, CNP immunoreactivity was increased in the distal and proximal tubules in both the aging rat and aging human kidneys. Our findings provide evidence that urinary CNP and its ratio to plasma CNP may represent a novel biomarker for early age-mediated renal structural alterations, particularly fibrosis. Thus urinary CNP could potentially aid in identifying subjects with preclinical structural changes before the onset of symptoms and disease, allowing for the initiation of strategies designed to prevent the progression of chronic kidney disease particularly in the aging population.

Indexed as

AgingAnimalsAnthropometryBasement MembraneBiomarkersBiopsyBlood PressureBody WeightFibrosisGlomerular Filtration BarrierImmunohistochemistryKidneyKidney CortexKidney DiseasesKidney Function TestsKidney MedullaBiomarkersNatriuretic Peptide, C-Type

Identifiers

PMID21865266
PMCPMC3213903
OpenAlexW2041581897

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.