Evidence map›Paper›PMID 23720285›Full record

ReviewComprehensive Physiology2013

Renal ammonia metabolism and transport.

I David Weiner, Jill W Verlander

Open access · greenAbstract readReview
In one paragraph

Review in Comprehensive Physiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed
–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

95 citing papers in PubMed, 187 citations in OpenAlex.

  1. Trial
  2. Sex differences in renal acid-base regulation.Current opinion in nephrology and hypertension · 2026
    Review
  3. Article
  4. Article
  5. Chronic NHScientific reports · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Lack of a role of NHE4 in renal ammonia metabolism.American journal of physiology. Renal physiology · 2025
    Article
  11. Article
  12. Review
  13. Role of KThe American journal of pathology · 2025
    Article
  14. Article
  15. A Urine pH-Ammonium Acid/Base Score and CKD Progression.Journal of the American Society of Nephrology : JASN · 2024
    Article
  16. Future Therapies of Hepatic Encephalopathy.Clinics in liver disease · 2024
    Review
  17. Article
  18. The role of NaPflugers Archiv : European journal of physiology · 2024
    Review
  19. Article
  20. Review

35 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

2 authors at 2 institutions in 1 country.

I David WeinerNephrology and Hypertension Section, NF/SGVHS, Gainesville, Florida, USA. weineid@ufl.edu
Jill W Verlander
Florida College · USUniversity of Florida · US

Funding

H/HCO3 transport in the collecting ductR01DK045788 · NIDDK · UNIVERSITY OF FLORIDA · PI WEINER, I. DAVID · 2000 to 2017
$4.4M
Molecular mechanisms of ammonia metabolismI01BX000818 · VA · VETERANS HEALTH ADMINISTRATION · PI WEINER, I. DAVID · 2011 to 2014
–
BLRD VA I01 BX000818NIDDK NIH HHS R01 DK045788NIDDK NIH HHS R01-DK045788
6 · The paper itself

Abstract

Renal ammonia metabolism and transport mediates a central role in acid-base homeostasis. In contrast to most renal solutes, the majority of renal ammonia excretion derives from intrarenal production, not from glomerular filtration. Renal ammoniagenesis predominantly results from glutamine metabolism, which produces 2 NH4(+) and 2 HCO3(-) for each glutamine metabolized. The proximal tubule is the primary site for ammoniagenesis, but there is evidence for ammoniagenesis by most renal epithelial cells. Ammonia produced in the kidney is either excreted into the urine or returned to the systemic circulation through the renal veins. Ammonia excreted in the urine promotes acid excretion; ammonia returned to the systemic circulation is metabolized in the liver in a HCO3(-)-consuming process, resulting in no net benefit to acid-base homeostasis. Highly regulated ammonia transport by renal epithelial cells determines the proportion of ammonia excreted in the urine versus returned to the systemic circulation. The traditional paradigm of ammonia transport involving passive NH3 diffusion, protonation in the lumen and NH4(+) trapping due to an inability to cross plasma membranes is being replaced by the recognition of limited plasma membrane NH3 permeability in combination with the presence of specific NH3-transporting and NH4(+)-transporting proteins in specific renal epithelial cells. Ammonia production and transport are regulated by a variety of factors, including extracellular pH and K(+), and by several hormones, such as mineralocorticoids, glucocorticoids and angiotensin II. This coordinated process of regulated ammonia production and transport is critical for the effective maintenance of acid-base homeostasis.

Indexed as

Acid-Base EquilibriumAmmoniaAnimalsBiological TransportGlutamineHumansKidneyAmmoniaGlutamine

Identifiers

PMID23720285
PMCPMC4319187
OpenAlexW1524398186

What OpenQuestion holds

Textmetadata
LicenceTDM
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.