Evidence map›Paper›PMID 22359618›Full record

ArticlePloS one2012

Human alpha defensin 5 expression in the human kidney and urinary tract.

John David Spencer, David S Hains, Edith Porter, Charles L Bevins, Julianne DiRosario, Brian Becknell, Huanyu Wang, Andrew L Schwaderer

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03163394 (HD5 Levels in Catheter Versus Bag Urine Specimens in Young Children for the Diagnosis of UTI), which is not on this map. Cited by 56 papers.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed
6.5field-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.

NCT03163394 terminatednot on this mapstarted 2017, after this paper: background citation

HD5 Levels in Catheter Versus Bag Urine Specimens in Young Children for the Diagnosis of UTI

TypeobservationalSponsorLe Bonheur Children's HospitalRan2017 to 2019Enrolled5ConditionsUrinary Tract Infections
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 89 citations in OpenAlex.

  1. Innate immunity · 2020
    Trial
  2. Article
  3. Article
  4. Review
  5. Extended-Spectrum β-Lactamase-ProducingAntibiotics (Basel, Switzerland) · 2025
    Review
  6. Article
  7. Antimicrobial Peptide Signaling in Skin Diseases.JID innovations : skin science from molecules to population health · 2025
    Review
  8. Article
  9. Article
  10. Review
  11. Establishment of Baseline Urinary Antimicrobial Peptide Levels by Age: A Prospective Observational Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Observational
  12. Intercalated cell function, kidney innate immunity, and urinary tract infections.Pflugers Archiv : European journal of physiology · 2024
    Review
  13. Peptidome Profiling ofAntibiotics (Basel, Switzerland) · 2024
    Article
  14. Article
  15. Generation ofAmerican journal of physiology. Renal physiology · 2023
    Article
  16. Article
  17. Review
  18. Article
  19. Human neutrophil peptides 1-3 protect the murine urinary tract from uropathogenicProceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  20. Expression and function of human ribonuclease 4 in the kidney and urinary tract.American journal of physiology. Renal physiology · 2021
    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 3 institutions in 1 country.

John David SpencerPediatric Nephrology Fellowship Program, Nationwide Children's Hospital, Columbus, Ohio, United States of America.
David S Hains
Edith Porter
Charles L Bevins
Julianne DiRosario
Brian Becknell
Huanyu Wang
Andrew L Schwaderer
Nationwide Children's Hospital · USCalifornia State University Los Angeles · USUniversity of California, Davis · US

Funding

Novel Defensins in Human Epithelial TissuesR37AI032738 · NIAID · UNIVERSITY OF CALIFORNIA AT DAVIS · PI BEVINS, CHARLES L · 2015 to 2022
$3.1M
6 · The paper itself

Abstract

backgroundThe mechanisms that maintain sterility in the urinary tract are incompletely understood. Recent studies have implicated the importance of antimicrobial peptides (AMP) in protecting the urinary tract from infection. Here, we characterize the expression and relevance of the AMP human alpha-defensin 5 (HD5) in the human kidney and urinary tract in normal and infected subjects. METHODOLOGY/PRINCIPAL

findingsUsing RNA isolated from human kidney, ureter, and bladder tissue, we performed quantitative real-time PCR to show that DEFA5, the gene encoding HD5, is constitutively expressed throughout the urinary tract. With pyelonephritis, DEFA5 expression significantly increased in the kidney. Using immunoblot analysis, HD5 production also increased with pyelonephritis. Immunostaining localized HD5 to the urothelium of the bladder and ureter. In the kidney, HD5 was primarily produced in the distal nephron and collecting tubules. Using immunoblot and ELISA assays, HD5 was not routinely detected in non-infected human urine samples while mean urinary HD5 production increased with E.coli urinary tract infection. CONCLUSIONS/SIGNIFICANCE: DEFA5 is expressed throughout the urinary tract in non-infected subjects. Specifically, HD5 is expressed throughout the urothelium of the lower urinary tract and in the collecting tubules of the kidney. With infection, HD5 expression increases in the kidney and levels become detectable in the urine. To our knowledge, our findings represent the first to quantitate HD5 expression and production in the human kidney. Moreover, this is the first report to detect the presence of HD5 in infected urine samples. Our results suggest that HD5 may have an important role in maintaining urinary tract sterility.

Indexed as

alpha-DefensinsEscherichia coli InfectionsHumansKidneyKidney Tubules, CollectingPolymerase Chain ReactionPyelonephritisUrinary TractUrinary Tract InfectionsUrotheliumalpha-DefensinsDEFA5 protein, human

Identifiers

PMID22359618
PMCPMC3281003
OpenAlexW2087899417

What OpenQuestion holds

Textmetadata
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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.