Evidence map›Paper›PMID 24039826›Full record

ArticlePloS one2013

Metabolic changes in summer active and anuric hibernating free-ranging brown bears (Ursus arctos).

Peter Stenvinkel, Ole Fröbert, Björn Anderstam, Fredrik Palm, Monica Eriksson, Ann-Christin Bragfors-Helin, Abdul Rashid Qureshi, Tobias Larsson, Andrea Friebe, Andreas Zedrosser and 5 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

33 citing papers in PubMed, 65 citations in OpenAlex.

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  8. Harnessing Evolution and Biomimetics to Enhance Planetary Health: Kidney Insights.Journal of the American Society of Nephrology : JASN · 2025
    Review
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  16. Changing lanes: seasonal differences in cellular metabolism of adipocytes in grizzly bears (Ursus arctos horribilis).Journal of comparative physiology. B, Biochemical, systemic, and environmental physiology · 2022
    Article
  17. Review
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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

15 authors at 9 institutions in 7 countries.

Peter StenvinkelDivision of Renal Medicine, Department of Clinical Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
Ole Fröbert
Björn Anderstam
Fredrik Palm
Monica Eriksson
Ann-Christin Bragfors-Helin
Abdul Rashid Qureshi
Tobias Larsson
Andrea Friebe
Andreas Zedrosser
Johan Josefsson
My Svensson
Berolla Sahdo
Lise Bankir
Richard J Johnson
Karolinska Institutet · SEÖrebro University Hospital · SEAarhus University Hospital · DKBOKU University · ATCentre de Recherche des Cordeliers · FRGoethe University Frankfurt · DELinköping University · SEÖrebro University · SEUniversity of Colorado Denver · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The brown bear (Ursus arctos) hibernates for 5 to 6 months each winter and during this time ingests no food or water and remains anuric and inactive. Despite these extreme conditions, bears do not develop azotemia and preserve their muscle and bone strength. To date most renal studies have been limited to small numbers of bears, often in captive environments. Sixteen free-ranging bears were darted and had blood drawn both during hibernation in winter and summer. Samples were collected for measurement of creatinine and urea, markers of inflammation, the calcium-phosphate axis, and nutritional parameters including amino acids. In winter the bear serum creatinine increased 2.5 fold despite a 2-fold decrease in urea, indicating a remarkable ability to recycle urea nitrogen during hibernation. During hibernation serum calcium remained constant despite a decrease in serum phosphate and a rise in FGF23 levels. Despite prolonged inactivity and reduced renal function, inflammation does not ensue and bears seem to have enhanced antioxidant defense mechanisms during hibernation. Nutrition parameters showed high fat stores, preserved amino acids and mild hyperglycemia during hibernation. While total, essential, non-essential and branched chain amino acids concentrations do not change during hibernation anorexia, changes in individual amino acids ornithine, citrulline and arginine indicate an active, although reduced urea cycle and nitrogen recycling to proteins. Serum uric acid and serum fructose levels were elevated in summer and changes between seasons were positively correlated. Further studies to understand how bears can prevent the development of uremia despite minimal renal function during hibernation could provide new therapeutic avenues for the treatment of human kidney disease.

Indexed as

SeasonsAdaptation, BiologicalAdultAgedAged, 80 and overAmino AcidsAnimalsCreatinineFemaleFibroblast Growth Factor-23FructoseHibernationHumansMaleMetabolomeMiddle AgedAmino AcidsCreatinineFGF23 protein, humanFibroblast Growth Factor-23FructoseUreaUric Acid

Identifiers

PMID24039826
PMCPMC3767665
OpenAlexW2165113402

What OpenQuestion holds

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LicenceCC BY
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.