Evidence map›Paper›PMID 22573529›Full record

ReviewJournal of nephrology

Pathogenesis of calcineurin inhibitor-induced hypertension.

Ewout J Hoorn, Stephen B Walsh, James A McCormick, Robert Zietse, Robert J Unwin, David H Ellison

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Journal of nephrology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04469842 (A Prospective, Randomized, Controlled Pilot Study of Early-Use Long Acting Tacrolimus), which is not on this map. Cited by 95 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 1 pooled it
7.6field-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.

NCT04469842 early_phase1recruitingnot on this map

A Prospective, Randomized, Controlled Pilot Study of Early-Use Long Acting Tacrolimus (Envarsus XR) in Lung Transplant Recipients

TypeinterventionalSponsorVanderbilt University Medical CenterRan2023 to 2027Enrolled48ConditionsLung Transplant, ComplicationsArmsTacrolimus Extended Release Oral Tablet [Envarsus], Tacrolimus, Mycophenolate Mofetil Hydrochloride, Prednisone, Azathioprine
3 · Its place in the literature

Who cites it

95 citing papers in PubMed, 1 synthesis or guideline pooled it, 210 citations in OpenAlex.

  1. Pooled it
  2. Steroid-sparing drugs in children and young adults with nephrotic syndrome: a target trial emulation.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
    Trial
  3. Trial
  4. Trial
  5. Evaluation of molecular profiles in calcineurin inhibitor toxicity post-kidney transplant: input to chronic allograft dysfunction.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2014
    Trial
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Cardiovascular Disease and Psoriasis.Dermatology and therapy · 2026
    Review
  18. Article
  19. Review
  20. Review

35 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

6 authors at 4 institutions in 3 countries.

Ewout J HoornDepartment of Internal Medicine-Nephrology, Erasmus Medical Center, Rotterdam, The Netherlands. ejhoorn@gmail.com
Stephen B Walsh
James A McCormick
Robert Zietse
Robert J Unwin
David H Ellison
Hypertension Institute · USUCL Australia · AUErasmus MC · NLErasmus University Rotterdam · NL

Funding

WNK Kinase Regulation of Thiazide-sensitive NaCl TransportR01DK051496 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI David Hoadley Ellison, CHAO-LING YANG · 1998 to 2026
$8.4M
Molecular pathogenesis of calcineurin inhibitor-induced hypertensionR01DK095841 · NIDDK · OREGON HEALTH & SCIENCE UNIVERSITY · PI ELLISON, DAVID H, YANG, CHAO-LING · 2012 to 2015
$1.5M
Analysis of distal conboluted tubule function in vivoK01DK076617 · NIDDK · OREGON HEALTH & SCIENCE UNIVERSITY · PI MCCORMICK, JAMES A · 2008 to 2012
$708k
NIDDK NIH HHS K01 DK076617NIDDK NIH HHS R01 DK051496NIDDK NIH HHS R01 DK095841
6 · The paper itself

Abstract

This article reviews the current understanding of the mechanisms of calcineurin inhibitor-induced hypertension. Already early after the introduction of cyclosporine in the 1980s, vasoconstriction, sympathetic excitation and sodium retention by the kidney had been shown to play a role in this form of hypertension. The vasoconstrictive effects of calcineurin inhibitors are related to interference with the balance of vasoactive substances, including endothelin and nitric oxide. Until recently, the renal site of the sodium-retaining effect of calcineurin inhibitors was unknown. We and others have shown that calcineurin inhibitors increase the activity of the thiazide-sensitive sodium chloride cotransporter through an effect on the kinases WNK and SPAK. Here, we review the pertinent literature on the hypertensinogenic effects of calcineurin inhibitors, including neural, vascular and renal effects, and we propose an integrated model of calcineurin inhibitor-induced hypertension.

Indexed as

Calcineurin InhibitorsAnimalsBlood PressureHumansHypertensionImmunosuppressive AgentsKidney TubulesRenin-Angiotensin SystemSodiumSodium Chloride SymportersSympathetic Nervous SystemVasoconstrictionVasodilationCalcineurin InhibitorsImmunosuppressive AgentsSodiumSodium Chloride Symporters

Identifiers

PMID22573529
PMCPMC4048819
OpenAlexW2063430855

What OpenQuestion holds

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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.