Evidence map›Paper›PMID 22993068›Full record

ArticleAmerican journal of physiology. Renal physiology2012

Renal cortical hemopexin accumulation in response to acute kidney injury.

Richard A Zager, Ali C M Johnson, Kirsten Becker

Abstract read
In one paragraph

Article in American journal of physiology. Renal physiology, 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
1.6field-weighted citation impact, top 17% 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. CD47 peptide-cloaked lipid nanoparticles promote cell-specific mRNA delivery.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
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  5. Article
  6. Article
  7. The Macrophage Iron Signature in Health and Disease.International journal of molecular sciences · 2021
    Review
  8. Review
  9. Article
  10. Article
  11. Mechanisms of haemolysis-induced kidney injury.Nature reviews. Nephrology · 2019
    Review
  12. Article
  13. Role of TLR4 signaling in the nephrotoxicity of heme and heme proteins.American journal of physiology. Renal physiology · 2018
    Article
  14. Observational
  15. Article
  16. Review
  17. Article
  18. Marked protection against acute renal and hepatic injury after nitrited myoglobin + tin protoporphyrin administration.Translational research : the journal of laboratory and clinical medicine · 2015
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Richard A ZagerFred Hutchinson Cancer Research Center, Seattle, WA 98109, USA. dzager@fhcrc.org
Ali C M Johnson
Kirsten Becker
University of Washington · USFred Hutch Cancer Center · US

Funding

Acute Renal Failure: Mechanisms and Adaptive ResponsesR37DK038432 · NIDDK · FRED HUTCHINSON CANCER RESEARCH CENTER · PI ZAGER, RICHARD A. · 2002 to 2011
$3.9M
SEPSIS INDUCED ACUTE RENAL FAILURER01DK038432 · NIDDK · UNIVERSITY OF WASHINGTON · PI ZAGER, RICHARD A. · 1988 to 2015
$2.1M
Acute Renal Failure: An Endotoxin Hyper-Responsive StateR01DK083310 · NIDDK · UNIVERSITY OF WASHINGTON · PI BOMSZTYK, KAROL, ZAGER, RICHARD A. · 2010 to 2013
$1.5M
NIDDK NIH HHS DK-083310NIDDK NIH HHS DK-38432NIDDK NIH HHS R01 DK038432
6 · The paper itself

Abstract

Hemopexin (Hpx) is a liver-generated acute phase reactant that binds and neutralizes prooxidant free heme. This study tested whether acute kidney injury (AKI) triggers renal Hpx accumulation, potentially impacting heme Fe-mediated tubular injury. Mice were subjected to glycerol, cisplatin, ischemia-reperfusion (I/R), or endotoxemic [lipopolysaccharide (LPS)] AKI. In each instance, 3- to 30-fold renal cortical and isolated proximal tubule segment (PTS) Hpx increases resulted. Although renal cortex and PTS showed variable Hpx mRNA increases, due, in part, to increased mRNA stability, mRNA levels did not correlate with renal Hpx protein accumulation. Conversely, AKI evoked three- to fourfold increases in hepatic Hpx gene induction, which corresponded with three- to fourfold plasma Hpx increases. Renal immunohistochemistry, and increased urinary Hpx excretion, indicated that circulating Hpx gains tubule luminal/urinary access, followed by proximal tubule endocytic uptake. Paradoxically, in cultured renal cells (HK-2, HEK-293), Fe depletion, and not free heme excess, increased Hpx mRNA. LPS acutely increased HK-2 cell Hpx mRNA. This finding, coupled with observations that LPS evoked ∼30-fold greater renal Hpx mRNA increases than any other AKI model, suggests that inflammation, not heme exposure, activates the renal Hpx gene. Each form of AKI evoked early increases in circulating free heme, which subsequently fell to subnormal levels as plasma Hpx rose. In addition, purified Hpx blunted free Fe-mediated HK-2 cell death. In sum, these data indicated that AKI-associated hepatic stress generates Hpx, which gains renal tubule access. Given its ability to bind free heme and mitigate free Fe toxicity, Hpx loading can potentially confer cytoprotective effects.

Indexed as

Acute Kidney InjuryAnimalsDisease Models, AnimalEndotoxemiaHEK293 CellsHemopexinHumansKidney CortexKidney Tubules, ProximalLipopolysaccharidesMaleMiceOxidative StressHemopexinLipopolysaccharides

Identifiers

PMID22993068
PMCPMC3517628
OpenAlexW2076144892

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.