Evidence map›Paper›PMID 24429397›Full record

ArticleKidney international2014

Uremic solutes and risk of end-stage renal disease in type 2 diabetes: metabolomic study.

Monika A Niewczas, Tammy L Sirich, Anna V Mathew, Jan Skupien, Robert P Mohney, James H Warram, Adam Smiles, Xiaoping Huang, Walker Walker, Jaeman Byun and 7 more

Open access · greenAbstract read
In one paragraph

Article in Kidney international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 131 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
131citing papers in PubMed, 1 pooled it
11.4field-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

131 citing papers in PubMed, 1 synthesis or guideline pooled it, 220 citations in OpenAlex.

  1. Pooled it
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  8. Article
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  10. Urinary biomarkers of diabetic kidney disease.World journal of diabetes · 2026
    Review
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  20. Integrated multiomic analyses: An approach to improve understanding of diabetic kidney disease.Diabetic medicine : a journal of the British Diabetic Association · 2025
    Review

71 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 6 institutions in 2 countries.

Monika A Niewczas1] Section on Genetics and Epidemiology, Research Division, Joslin Diabetes Center, Boston, Massachussetts, USA [2] Department of Medicine, Harvard Medical School, Boston, Massachussetts, USA.
Tammy L SirichRenal Division, Department of Medicine, Stanford School of Medicine, Stanford, California, USA.
Anna V MathewDivision of Nephrology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Jan Skupien1] Section on Genetics and Epidemiology, Research Division, Joslin Diabetes Center, Boston, Massachussetts, USA [2] Department of Medicine, Harvard Medical School, Boston, Massachussetts, USA [3] Department of Metabolic Diseases, Jagiellonian University, Krakow, Poland.
Robert P MohneyMetabolon Inc, Durham, North Carolina, USA.
James H Warram1] Section on Genetics and Epidemiology, Research Division, Joslin Diabetes Center, Boston, Massachussetts, USA [2] Department of Medicine, Harvard Medical School, Boston, Massachussetts, USA.
Adam SmilesSection on Genetics and Epidemiology, Research Division, Joslin Diabetes Center, Boston, Massachussetts, USA.
Xiaoping HuangMetabolism Program, Boston Childrens Hospital, Boston, Massachussetts, USA.
Walker WalkerSection on Genetics and Epidemiology, Research Division, Joslin Diabetes Center, Boston, Massachussetts, USA.
Jaeman ByunDivision of Nephrology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Edward D KarolyMetabolon Inc, Durham, North Carolina, USA.
Elizabeth M KensickiMetabolon Inc, Durham, North Carolina, USA.
Gerard T Berry1] Department of Medicine, Harvard Medical School, Boston, Massachussetts, USA [2] Metabolism Program, Boston Childrens Hospital, Boston, Massachussetts, USA.
Joseph V Bonventre1] Department of Medicine, Harvard Medical School, Boston, Massachussetts, USA [2] Renal Division, Brigham and Women's Hospital, Boston, Massachussetts, USA.
Subramaniam PennathurDivision of Nephrology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Timothy W MeyerRenal Division, Department of Medicine, Stanford School of Medicine, Stanford, California, USA.
Andrzej S Krolewski1] Section on Genetics and Epidemiology, Research Division, Joslin Diabetes Center, Boston, Massachussetts, USA [2] Department of Medicine, Harvard Medical School, Boston, Massachussetts, USA.
Joslin Diabetes Center · USMetabolon (United States) · USUniversity of Michigan–Ann Arbor · USBoston Children's Hospital · USHarvard University · USStanford Medicine · US

Funding

SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI JEAN E. SCHAFFER · 1986 to 2026
$50.5M
Regional Pilot And Feasibility Study Grants ProgramP30DK020572 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Mehboob A Hussain · 2013 to 2026
$24.3M
Pilot and Feasibility (P and F) ProgramP30DK089503 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Joyce Lee · 2010 to 2026
$20.3M
University of Michigan O'Brien Kidney Translational Core CenterP30DK081943 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PENNATHUR, SUBRAMANIAM · 2008 to 2022
$12.9M
Statistics and Bioinformatics Core - WangU24DK097153 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BURANT, CHARLES F · 2012 to 2017
$10.1M
KIDNEY INJURY MOLECULE-1 IN EPITHELIAL REPAIRR01DK072381 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI BONVENTRE, JOSEPH VINCENT · 2005 to 2025
$8.6M
Tumor necrosis factor superfamily of ligands and receptors in progressive renal decline in diabetesR01DK041526 · NIDDK · JOSLIN DIABETES CENTER · PI KROLEWSKI, ANDRZEJ S · 1990 to 2018
$7.8M
Mechanisms of Ischemic Kidney Injury and RepairR01DK039773 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI JOSEPH VINCENT BONVENTRE · 1987 to 2026
$6.2M
Tissue-Specific Metabolic Reprogramming in Diabetic ComplicationsDP3DK094292 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BROSIUS, FRANK C, BURANT, CHARLES F · 2011 to 2011
$5.5M
Mechanisms of Ischemic Kidney Injury and RepairR37DK039773 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI BONVENTRE, JOSEPH VINCENT · 1993 to 2021
$5.2M
TRAINING PROGRAM IN ACADEMIC NEPHROLOGYT32DK007357 · NIDDK · STANFORD UNIVERSITY · PI CHERTOW, GLENN MATTHEW · 1986 to 2022
$4.8M
Retained Organic Solutes and Clinical Outcomes in HemodialysisR01DK080123 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI POWE, NEIL R. · 2008 to 2012
$3.2M
NIDDK NIH HHS DK097153NIDDK NIH HHS DK39773NIDDK NIH HHS DK41526NIDDK NIH HHS DK67638NIDDK NIH HHS DK 72381NIDDK NIH HHS DK80123NIDDK NIH HHS DK84439NIDDK NIH HHS DK89503NIDDK NIH HHS DK94292NIDDK NIH HHS DP3 DK094292NIDDK NIH HHS P30 DK020572NIDDK NIH HHS P30 DK036836NIDDK NIH HHS P30DK036836NIDDK NIH HHS P30 DK081943NIDDK NIH HHS P30 DK089503NIDDK NIH HHS R01 DK039773NIDDK NIH HHS R01 DK041526NIDDK NIH HHS R01 DK067638NIDDK NIH HHS R01 DK072381NIDDK NIH HHS R01 DK080123NIDDK NIH HHS R21 DK084439NIDDK NIH HHS R37 DK039773NIDDK NIH HHS T32 DK007357NIDDK NIH HHS U24 DK097153
6 · The paper itself

Abstract

Here we studied plasma metabolomic profiles as determinants of progression to end-stage renal disease (ESRD) in patients with type 2 diabetes (T2D). This nested case-control study evaluated 40 cases who progressed to ESRD during 8-12 years of follow-up and 40 controls who remained alive without ESRD from the Joslin Kidney Study cohort. Controls were matched with cases for baseline clinical characteristics, although controls had slightly higher eGFR and lower levels of urinary albumin excretion than cases. Plasma metabolites at baseline were measured by mass spectrometry-based global metabolomic profiling. Of the named metabolites in the library, 262 were detected in at least 80% of the study patients. The metabolomic platform recognized 78 metabolites previously reported to be elevated in ESRD (uremic solutes). Sixteen were already elevated in the baseline plasma of our cases years before ESRD developed. Other uremic solutes were either not different or not commonly detectable. Essential amino acids and their derivatives were significantly depleted in the cases, whereas certain amino acid-derived acylcarnitines were increased. All findings remained statistically significant after adjustment for differences between study groups in albumin excretion rate, eGFR, or HbA1c. Uremic solute differences were confirmed by quantitative measurements. Thus, abnormal plasma concentrations of putative uremic solutes and essential amino acids either contribute to progression to ESRD or are a manifestation of an early stage(s) of the disease process that leads to ESRD in T2D.

Indexed as

MetabolomicsAgedAmino Acids, EssentialBiomarkersBostonCase-Control StudiesDiabetes Mellitus, Type 2Diabetic NephropathiesDisease ProgressionFemaleGlomerular Filtration RateGlycated HemoglobinHumansKidneyKidney Failure, ChronicMaleAmino Acids, EssentialBiomarkersGlycated Hemoglobinhemoglobin A1c protein, human

Identifiers

PMID24429397
PMCPMC4072128
OpenAlexW2027852347

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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.