Evidence map›Paper›PMID 23345622›Full record

ArticleNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2013

A hepcidin lowering agent mobilizes iron for incorporation into red blood cells in an adenine-induced kidney disease model of anemia in rats.

Chia Chi Sun, Valentina Vaja, Shanzhuo Chen, Igor Theurl, Aaron Stepanek, Diane E Brown, Maria D Cappellini, Guenter Weiss, Charles C Hong, Herbert Y Lin and 1 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03001687 (Impact of Vitamin D Enteral Supplementation on Hepcidin Serum Levels and Transfusion Requirements in Surgical and Critically Ill Patients), which is not on this map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
4.9field-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.

NCT03001687 naunknown statusnot on this mapstarted 2017, after this paper: background citation

Impact of Vitamin D Enteral Supplementation on Hepcidin Serum Levels and Transfusion Requirements in Surgical and Critically Ill Patients

TypeinterventionalSponsorIuliu Hatieganu University of Medicine and PharmacyRan2017 to 2017Enrolled40ConditionsSystemic Inflammatory Response Syndrome, Sepsis, Surgical InjuriesArmsenteral supplementation with vitamin D, blood collection 3mL
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Review
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  4. Anemia of Inflammation.Advances in experimental medicine and biology · 2025
    Review
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  20. Role of hepcidin-ferroportin axis in the pathophysiology, diagnosis, and treatment of anemia of chronic inflammation.Hemodialysis international. International Symposium on Home Hemodialysis · 2017
    Review
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

11 authors at 4 institutions in 3 countries.

Chia Chi SunProgram in Anemia Signaling Research, Division of Nephrology, Center for Systems Biology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Valentina Vaja
Shanzhuo Chen
Igor Theurl
Aaron Stepanek
Diane E Brown
Maria D Cappellini
Guenter Weiss
Charles C Hong
Herbert Y Lin
Jodie L Babitt
Massachusetts General Hospital · USInnsbruck Medical University · ATHarvard University · USUniversity of Milan · IT

Funding

TRAINING IN CELL STRUCTURE AND FUNCTION IN NEPHROLOGYT32DK007540 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI BROWN, DENNIS, SOBERMAN, ROY · 1986 to 2021
$7.2M
Regulation of Iron Homeostasis by BMP SignalingR01DK087727 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI BABITT, JODIE L · 2010 to 2024
$6.0M
Regulation of BMP Signaling in the KidneyR01DK069533 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI LIN, HERBERT Y · 2005 to 2014
$3.3M
Mechanisms of Action of HemojuvelinR01DK071837 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI LIN, HERBERT Y · 2005 to 2014
$3.3M
Cardiac Induction by Small Molecule BMP InhibitorsR01HL104040 · NHLBI · VANDERBILT UNIVERSITY · PI HONG, CHARLES C · 2010 to 2014
$2.0M
NHLBI NIH HHS R01 HL104040NIDDK NIH HHS R01 DK-069533NIDDK NIH HHS R01 DK069533NIDDK NIH HHS R01 DK-071837NIDDK NIH HHS R01 DK071837NIDDK NIH HHS R01 DK087727NIDDK NIH HHS R01-DK087727NIDDK NIH HHS T32 DK007540NIDDK NIH HHS T32 DK 7540-27
6 · The paper itself

Abstract

backgroundAnemia is a common complication of chronic kidney disease (CKD) that negatively impacts the quality of life and is associated with numerous adverse outcomes. Excess levels of the iron regulatory hormone hepcidin are thought to contribute to anemia in CKD patients by decreasing iron availability from the diet and from body stores. Adenine treatment in rats has been proposed as an animal model of anemia of CKD with high hepcidin levels that mirrors the condition in human patients.

methodsWe developed a modified adenine-induced kidney disease model with a higher survival rate than previously reported models, while maintaining persistent kidney disease and anemia. We then tested whether the small molecule bone morphogenetic protein (BMP) inhibitor LDN-193189, which was previously shown to lower hepcidin levels in rodents, mobilized iron into the plasma and improved iron-restricted erythropoiesis in this model.

resultsAdenine-treated rats exhibited increased hepatic hepcidin mRNA, decreased serum iron, increased spleen iron content, low hemoglobin (Hb) and inappropriately low erythropoietin (EPO) levels relative to the degree of anemia. LDN-193189 administration to adenine-treated rats lowered hepatic hepcidin mRNA, mobilized stored iron into plasma and increased Hb content of reticulocytes.

conclusionsOur data suggest that hepcidin lowering agents may provide a new therapeutic strategy to improve iron availability for erythropoiesis in CKD.

Indexed as

Disease Models, AnimalAdenineAnemia, Iron-DeficiencyAnimalsAnti-Infective AgentsBlotting, WesternBone Morphogenetic ProteinsEnzyme-Linked Immunosorbent AssayErythrocytesErythropoiesisHepcidinsHumansIronKidney DiseasesMalePyrazolesAdenineAnti-Infective AgentsBone Morphogenetic ProteinsHepcidinsIronLDN 193189PyrazolesPyrimidinesRNA, Messengeranemiachronic kidney diseasehepcidinironmouse model

Identifiers

PMID23345622
PMCPMC3707526
OpenAlexW2169853931

What OpenQuestion holds

Textmetadata
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.