Evidence map›Paper›PMID 22993073›Full record

ArticleAmerican journal of physiology. Renal physiology2012

Increased production of superoxide anion contributes to dysfunction of the arteriovenous fistula.

Mykola V Tsapenko, Livius V d'Uscio, Joseph P Grande, Anthony J Croatt, Melissa C Hernandez, Allan W Ackerman, Zvonimir S Katusic, Karl A Nath

Abstract readEditorial
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 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
6.4field-weighted citation impact, top 4% 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, 29 citations in OpenAlex.

  1. A Vein Attempt? Experimental Models for Arteriovenous Fistula Research.Cardiovascular engineering and technology · 2026
    Review
  2. Review
  3. The rodent models of arteriovenous fistula.Frontiers in cardiovascular medicine · 2024
    Review
  4. Article
  5. Review
  6. Article
  7. Stimulation of Caveolin-1 Signaling Improves Arteriovenous Fistula Patency.Arteriosclerosis, thrombosis, and vascular biology · 2019
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Vein graft failure.Journal of vascular surgery · 2015
    Review
  14. Article
  15. Review
  16. Blocking Notch in endothelial cells prevents arteriovenous fistula failure despite CKD.Journal of the American Society of Nephrology : JASN · 2014
    Article
  17. Article
  18. Objectives and design of the hemodialysis fistula maturation study.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2014
    Article
  19. Review
  20. Functioning of an arteriovenous fistula requires heme oxygenase-2.American journal of physiology. Renal physiology · 2013
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Mykola V Tsapenko
Livius V d'Uscio
Joseph P Grande
Anthony J Croatt
Melissa C Hernandez
Allan W Ackerman
Zvonimir S Katusic
Karl A Nath
Mayo Clinic · US

Funding

Renal Injury and Adaptation to Heme ProteinsR37DK047060 · NIDDK · MAYO CLINIC ROCHESTER · PI NATH, KARL A. · 2002 to 2011
$3.6M
Mechanism of Dialysis Arteriovenous Fistula DysfunctionR01DK070124 · NIDDK · MAYO CLINIC ROCHESTER · PI NATH, KARL A. · 2005 to 2015
$3.4M
RENAL INJURY AND ADAPTATION TO HEME PROTEINSR01DK047060 · NIDDK · UNIVERSITY OF MINNESOTA TWIN CITIES · PI NATH, KARL A. · 1993 to 2018
$2.2M
NIDDK NIH HHS DK-47060NIDDK NIH HHS DK-70124NIDDK NIH HHS R01 DK070124
6 · The paper itself

Abstract

Vascular access dysfunction causes morbidity in hemodialysis patients. This study examined the generation and pathobiological significance of superoxide anion in a rat femoral arteriovenous fistula (AVF). One week after AVF creation, there was increased production of superoxide anion accompanied by decreased total superoxide dismutase (SOD) and Cu/Zn SOD activities and induction of the redox-sensitive gene heme oxygenase-1. Immunohistochemical studies of nitrotyrosine formation demonstrated that peroxynitrite, a product of superoxide anion and nitric oxide, was present in increased amounts in endothelial and smooth muscle cells in the AVF. Because uncoupled NOS isoforms generate superoxide anion, and NOS coupling requires tetrahydrobiopterin (BH(4)) as a cofactor, we assessed NOS uncoupling by determining the ratio of BH(4) to dihydrobiopterin (BH(2)); the BH(4)-to-BH(2) ratio was markedly attenuated in the AVF. Because Src is a vasculopathic signaling species upstream and downstream of superoxide anion, such expression was evaluated; expression of Src and phosphorylated Src was both markedly increased in the AVF. Expression of NADPH oxidase (NOX) 1, NOX2, NOX4, cyclooxygenase (COX) 1, COX2, p47(phox), and p67(phox) was all unchanged, as assessed by Western analyses, thereby suggesting that these proteins may not be involved in increased production of superoxide anion. Finally, administration of tempol, a superoxide anion scavenger, decreased neointima formation in the juxta-anastomotic venous segment and improved AVF blood flow. We conclude that the AVF exhibits increased superoxide anion generation that may reflect the combined effects of decreased scavenging by SOD and increased generation by uncoupled NOS, and that enhanced superoxide anion production promotes juxta-anastomotic stenosis and impairs AVF function.

Indexed as

AnimalsArteriovenous Shunt, SurgicalBiopterinsFemoral VeinFemurModels, AnimalOxidation-ReductionOxidative StressRatsRats, Sprague-DawleySignal Transductionsrc-Family KinasesSuperoxides7,8-dihydrobiopterinBiopterinssapropterinsrc-Family KinasesSuperoxides

Identifiers

PMID22993073
PMCPMC3532470
OpenAlexW2105798538

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.