Evidence map›Paper›PMID 23557706›Full record

ArticleDiabetes2013

Mammalian target of rapamycin regulates Nox4-mediated podocyte depletion in diabetic renal injury.

Assaad A Eid, Bridget M Ford, Basant Bhandary, Rita de Cassia Cavaglieri, Karen Block, Jeffrey L Barnes, Yves Gorin, Goutam Ghosh Choudhury, Hanna E Abboud

Abstract read
In one paragraph

Article in Diabetes, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

72 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  17. COVID-19 and diabetes mellitus: how one pandemic worsens the other.Reviews in endocrine & metabolic disorders · 2020
    Review
  18. Article
  19. NOX4/HHypertension (Dallas, Tex. : 1979) · 2020
    Article
  20. Article

12 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

9 authors.

Assaad A EidDepartment of Medicine, South Texas Veterans Healthcare System and the University of Texas Health Science Center, San Antonio, Texas, USA. ae49@aub.edu.lb
Bridget M Ford
Basant Bhandary
Rita de Cassia Cavaglieri
Karen Block
Jeffrey L Barnes
Yves Gorin
Goutam Ghosh Choudhury
Hanna E Abboud

Funding

Mechanism of Renal Cell Injury in DiabetesR01DK050190 · NIDDK · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI GHOSH CHOUDHURY, GOUTAM · 2004 to 2013
$2.3M
Mechanism of eNOS Uncoupling in the Renal MicrovasculatureR01DK079996 · NIDDK · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI GORIN, YVES CLAUDE · 2010 to 2014
$1.5M
Tubular epithelial cell injuryR01DK033665 · NIDDK · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI GORIN, YVES CLAUDE · 1986 to 2015
$1.3M
Renal Cell Response in DiabetesR01DK078971 · NIDDK · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI ABBOUD, HANNA E · 2008 to 2012
$1.2M
NIDDK NIH HHS DK-R01-078971NIDDK NIH HHS R01 DK033665NIDDK NIH HHS R01 DK050190NIDDK NIH HHS R01 DK079996NIDDK NIH HHS R01-DK-50190
6 · The paper itself

Abstract

Podocyte apoptosis is a critical mechanism for excessive loss of urinary albumin that eventuates in kidney fibrosis. Pharmacological doses of the mammalian target of rapamycin (mTOR) inhibitor rapamycin reduce albuminuria in diabetes. We explored the hypothesis that mTOR mediates podocyte injury in diabetes. High glucose (HG) induces apoptosis of podocytes, inhibits AMP-activated protein kinase (AMPK) activation, inactivates tuberin, and activates mTOR. HG also increases the levels of Nox4 and Nox1 and NADPH oxidase activity. Inhibition of mTOR by low-dose rapamycin decreases HG-induced Nox4 and Nox1, NADPH oxidase activity, and podocyte apoptosis. Inhibition of mTOR had no effect on AMPK or tuberin phosphorylation, indicating that mTOR is downstream of these signaling molecules. In isolated glomeruli of OVE26 mice, there is a similar decrease in the activation of AMPK and tuberin and activation of mTOR with increase in Nox4 and NADPH oxidase activity. Inhibition of mTOR by a small dose of rapamycin reduces podocyte apoptosis and attenuates glomerular injury and albuminuria. Our data provide evidence for a novel function of mTOR in Nox4-derived reactive oxygen species generation and podocyte apoptosis that contributes to urinary albumin excretion in type 1 diabetes. Thus, mTOR and/or NADPH oxidase inhibition may represent a therapeutic modality of diabetic kidney disease.

Indexed as

Adenylate KinaseAminoimidazole CarboxamideAnimalsApoptosisCell LineDiabetic NephropathiesGlucoseHypoglycemic AgentsMiceNADPH Oxidase 4NADPH OxidasesPhosphorylationPodocytesReactive Oxygen SpeciesRibonucleotidesSirolimusAdenylate KinaseAICA ribonucleotideAminoimidazole CarboxamideGlucoseHypoglycemic AgentsmTOR protein, mouseNADPH Oxidase 4NADPH OxidasesNox4 protein, mouseReactive Oxygen SpeciesRibonucleotidesSirolimusTOR Serine-Threonine Kinases

Identifiers

PMID23557706
PMCPMC3717863

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.