Evidence map›Paper›PMID 22294776›Full record

ArticleNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2012

One dose of cyclosporine A is protective at initiation of folic acid-induced acute kidney injury in mice.

Xiaoyan Wen, Zhiyong Peng, Yingjian Li, Hongzhi Wang, Jeffrey V Bishop, Lisa R Chedwick, Kai Singbartl, John A Kellum

Open access · bronzeAbstract read
In one paragraph

Article in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Propionate and butyrate counteract renal damage and progression to chronic kidney disease.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Folic acid-induced animal model of kidney disease.Animal models and experimental medicine · 2021
    Review
  9. Targeting acute kidney injury in COVID-19.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2020
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Renoprotective approaches and strategies in acute kidney injury.Pharmacology & therapeutics · 2016 · on this map
    Review
  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 1 institution in 1 country.

Xiaoyan WenThe Clinical Research, Investigation and Systems Modeling of Acute illness Center, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Zhiyong Peng
Yingjian Li
Hongzhi Wang
Jeffrey V Bishop
Lisa R Chedwick
Kai Singbartl
John A Kellum
University of Pittsburgh · US

Funding

Systems Engineering of Pheresis Intervention for SepsisR01HL080926 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KELLUM, JOHN A · 2005 to 2009
$6.8M
Biological Markers of Recovery for the KidneyR01DK070910 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KELLUM, JOHN A · 2006 to 2010
$1.8M
Bacterial Pneumonia and Neutrophil Recruitment During Acute Renal FailureK08GM081459 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SINGBARTL, KAI · 2007 to 2011
$604k
NHLBI NIH HHS R01 HL080926NHLBI NIH HHS R01HL080926NIDDK NIH HHS R01 DK070910NIDDK NIH HHS R01DK070910NIGMS NIH HHS K08 GM081459NIGMS NIH HHS K08GM081459
6 · The paper itself

Abstract

backgroundIn most patients, acute kidney injury (AKI) represents the combined effects of ischemic, toxic and inflammatory insults. No effective pharmacologic interventions have been developed to prevent AKI or to improve outcomes to date. Cyclosporine A (CsA) is a calcineurin inhibitor that mediates T-cell receptor signaling, suppresses inflammatory cytokine expression and inhibits leukocyte migration. It is also a potent inhibitor of mitochondrial permeability, protecting cells from death. These properties make it a potentially valuable drug to prevent or treat AKI. It does, however, carry a significant risk of nephrotoxicity, especially with chronic use. By contrast, a single dose of CsA may be protective while limiting the risk of nephrotoxicity.

methodsWe conducted a controlled animal experiment in male CD-1 mice. Specifically, mice were subjected to folic acid (FA)-induced AKI and then randomly assigned to sham operation or one of three dosage of CsA treatment groups. Results Intraperitoneal injection of FA consistently induced AKI. Serum interleukin (IL)-6 and urinary neutrophil gelatinase-associated lipocalin (NGAL) rose 1 day after FA injection. Compared to sham treatment, one dose (1 and 5 mg/kg body weight) of CsA significantly reduced kidney tubular cell apoptosis, serum creatinine, blood urea, serum IL-6 and urinary NGAL 2 days after FA injection. It was also shown to block the inflammatory mediator tumor necrosis factor (TNF)-like weak inducer of apoptosis (TWEAK) expression, nuclear factor kappa-B (NFκB) activation, inflammatory cell infiltration and interstitial fibrosis 14 days after treatment in a dose-dependent fashion. By contrast, a dose of 10 mg/kg body weight CsA resulted in nephrotoxicity in the setting of FA-induced AKI.

conclusionsA single dose of CsA, currently used for organ transplant, significantly protects mice from FA-induced AKI, presumably through inhibition of cell death, inflammatory reaction, interstitial cell infiltration and fibrosis. The protective effects have the potential to open a completely new line of investigation in the prevention and treatment of AKI.

Indexed as

Acute Kidney InjuryAcute-Phase ProteinsAnimalsBlood Urea NitrogenCreatinineCyclosporineCytokine TWEAKDisease Models, AnimalFibrosisFolic AcidImmunosuppressive AgentsInterleukin-6Lipocalin-2LipocalinsMaleMiceAcute-Phase ProteinsCreatinineCyclosporineCytokine TWEAKFolic AcidImmunosuppressive AgentsInterleukin-6Lcn2 protein, mouseLipocalin-2LipocalinsNF-kappa BOncogene ProteinsTnfsf12 protein, mouseTumor Necrosis Factors

Identifiers

PMID22294776
PMCPMC3408935
OpenAlexW2119651403

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.