Evidence map›Paper›PMID 23325084›Full record

ReviewKidney international2013

Targeting the transcription factor Nrf2 to ameliorate oxidative stress and inflammation in chronic kidney disease.

Stacey Ruiz, Pablo E Pergola, Richard A Zager, Nosratola D Vaziri

2 registry-linked trialsOpen access · bronzeAbstract readReview
In one paragraph

Review in Kidney international, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 362 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
362citing papers in PubMed, 3 pooled it
21.4field-weighted citation impact, top 1% 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.

NCT03262363 phase2 / phase3unknown statusnot on this mapstarted 2018, after this paper: background citation

Interaction of Polymorphism rs35652124 With Curcumin Supplementation on NFE2L2 Gene Expression, Antioxidant Capacity and Renal Function in Patients With Early Diabetic Nephropathy

TypeinterventionalSponsorUnidad de Investigacion Medica en Enfermedades RenalesRan2018 to 2019Enrolled176ConditionsChronic Kidney Diseases, Diabetes Mellitus, Type 2, PolymorphismArmsCurcumin/NFE2L2 A>G, Placebo/NFE2L2 A>G
NCT05504850 nacompletednot on this mapstarted 2022, after this paper: background citation

The Feasibility and Acceptability of a Multicultural Healthy Diet (Anti-inflammatory Dietary Pattern) in Racial/Ethnic Minorities With Chronic Kidney Disease

TypeinterventionalSponsorMontefiore Medical CenterRan2022 to 2024Enrolled18ConditionsChronic Kidney DiseaseArmsMulticultural Health Diet
3 · Its place in the literature

Who cites it

362 citing papers in PubMed, 3 syntheses or guidelines pooled it, 698 citations in OpenAlex.

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302 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

4 authors at 4 institutions in 1 country.

Stacey RuizReata Pharmaceuticals, Irving, Texas, USA.
Pablo E Pergola
Richard A Zager
Nosratola D Vaziri
Fred Hutch Cancer Center · USReata Pharmaceuticals (United States) · USRenal Associates P. A. · USUniversity of California, Irvine · 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 DK38432NIDDK NIH HHS R01 DK038432NIDDK NIH HHS R01 DK083310NIDDK NIH HHS R37 DK038432
6 · The paper itself

Abstract

Oxidative stress and inflammation are mediators in the development and progression of chronic kidney disease (CKD) and its complications, and they are inseparably linked as each begets and amplifies the other. CKD-associated oxidative stress is due to increased production of reactive oxygen species (ROS) and diminished antioxidant capacity. The latter is largely caused by impaired activation of Nrf2, the transcription factor that regulates genes encoding antioxidant and detoxifying molecules. Protective effects of Nrf2 are evidenced by amelioration of oxidative stress, inflammation, and kidney disease in response to natural Nrf2 activators in animal models, while Nrf2 deletion amplifies these pathogenic pathways and leads to autoimmune nephritis. Given the role of impaired Nrf2 activity in CKD-induced oxidative stress and inflammation, interventions aimed at restoring Nrf2 may be effective in retarding CKD progression. Clinical trials of the potent Nrf2 activator bardoxolone methyl showed significant improvement in renal function in CKD patients with type 2 diabetes. However, due to unforeseen complications the BEACON trial, which was designed to investigate the effect of this drug on time to end-stage renal disease or cardiovascular death in patients with advanced CKD, was prematurely terminated. This article provides an overview of the role of impaired Nrf2 activity in the pathogenesis of CKD-associated oxidative stress and inflammation and the potential utility of targeting Nrf2 in the treatment of CKD.

Indexed as

Acute Kidney InjuryAnimalsAnti-Infective AgentsAntioxidantsDisease ProgressionHumansInflammationKidneyKidney Failure, ChronicNF-E2-Related Factor 2Oleanolic AcidOxidative StressRenal Insufficiency, ChronicTime FactorsTreatment OutcomeAnti-Infective AgentsAntioxidantsbardoxolone methylNFE2L2 protein, humanNF-E2-Related Factor 2Oleanolic Acid

Identifiers

PMID23325084
PMCPMC3633725
OpenAlexW2031004071

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.