Evidence map›Paper›PMID 23641056›Full record

ArticleJournal of the American Society of Nephrology : JASN2013

Reversibility of structural and functional damage in a model of advanced diabetic nephropathy.

Warangkana Pichaiwong, Kelly L Hudkins, Tomasz Wietecha, Tri Q Nguyen, Chiraporn Tachaudomdach, Wei Li, Bardia Askari, Takahisa Kobayashi, Kevin D O'Brien, Jeffrey W Pippin and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed, 1 pooled it
10.2field-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.

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

94 citing papers in PubMed, 1 synthesis or guideline pooled it, 157 citations in OpenAlex.

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  18. Mechanisms of podocyte injury and implications for diabetic nephropathy.Clinical science (London, England : 1979) · 2022
    Article
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  20. Article

34 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

12 authors at 3 institutions in 2 countries.

Warangkana PichaiwongDepartment of Pathology, University of Washington, Seattle, Washington 98195, USA.
Kelly L Hudkins
Tomasz Wietecha
Tri Q Nguyen
Chiraporn Tachaudomdach
Wei Li
Bardia Askari
Takahisa Kobayashi
Kevin D O'Brien
Jeffrey W Pippin
Stuart J Shankland
Charles E Alpers
University of Washington · USJilin University · CNUniversity of Washington Medical Center · US

Funding

MMPC: Diabetes and Diabectic ComplicationsU24DK076126 · NIDDK · UNIVERSITY OF WASHINGTON · PI LEBOEUF, RENEE C · 2006 to 2010
$4.8M
CELL CYCLE PROTEINS AND GLOMERULAR APOPTOSISR01DK056799 · NIDDK · UNIVERSITY OF WASHINGTON · PI SHANKLAND, STUART JAMES · 2000 to 2014
$3.6M
Podocyte depletion/ regeneration in evolution & reversal of diabetic nephropathyR01DK083391 · NIDDK · UNIVERSITY OF WASHINGTON · PI ALPERS, CHARLES E · 2011 to 2014
$1.7M
NIDDK NIH HHS DK083391NIDDK NIH HHS DK76126NIDDK NIH HHS R01 DK056799NIDDK NIH HHS R01 DK083391NIDDK NIH HHS U24 DK076126
6 · The paper itself

Abstract

The reversibility of diabetic nephropathy remains controversial. Here, we tested whether replacing leptin could reverse the advanced diabetic nephropathy modeled by the leptin-deficient BTBR ob/ob mouse. Leptin replacement, but not inhibition of the renin-angiotensin-aldosterone system (RAAS), resulted in near-complete reversal of both structural (mesangial matrix expansion, mesangiolysis, basement membrane thickening, podocyte loss) and functional (proteinuria, accumulation of reactive oxygen species) measures of advanced diabetic nephropathy. Immunohistochemical labeling with the podocyte markers Wilms tumor 1 and p57 identified parietal epithelial cells as a possible source of regenerating podocytes. Thus, the leptin-deficient BTBR ob/ob mouse provides a model of advanced but reversible diabetic nephropathy for further study. These results also suggest that restoration of lost podocytes is possible but is not induced by RAAS inhibition, possibly explaining the limited efficacy of RAAS inhibitors in promoting repair of diabetic nephropathy.

Indexed as

AnimalsDiabetic NephropathiesDisease Models, AnimalImmunohistochemistryLeptinMiceMice, Inbred StrainsPodocytesRenin-Angiotensin SystemLeptin

Identifiers

PMID23641056
PMCPMC3699819
OpenAlexW2162196137

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.