Evidence map›Paper›PMID 25060057›Full record

ArticleJournal of the American Society of Nephrology : JASN2015

The epithelial sodium channel γ-subunit is processed proteolytically in human kidney.

Rikke M Zachar, Karsten Skjødt, Niels Marcussen, Steen Walter, Anja Toft, Maria R Nielsen, Boye L Jensen, Per Svenningsen

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02823613 (The Influence of High and Low Salt on Exosomes in the Urine), which is not on this map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
2.7field-weighted citation impact, top 9% 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.

NCT02823613 nacompletednot on this mapstarted 2016, after this paper: background citation

The Influence of High and Low Salt on Exosomes in the Urine

TypeinterventionalSponsorUniversity of Southern DenmarkRan2016 to 2019Enrolled10ConditionsHealthyArmsHigh salt diet followed by low salt diet, Low salt diet followed by high salt diet
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 61 citations in OpenAlex.

  1. Trial
  2. Article
  3. Urinary Plasminogen as a Marker of Disease Progression in Human Glomerular Disease.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2024
    Article
  4. Influence of proteolytic cleavage of ENaC's γ subunit upon NaAmerican journal of physiology. Renal physiology · 2024
    Article
  5. Review
  6. Activation of renal epithelial NaFrontiers in pediatrics · 2024
    Article
  7. Review
  8. Article
  9. Article
  10. Role of ion channels in the mechanism of proteinuria (Review).Experimental and therapeutic medicine · 2023
    Review
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Review
  16. Review
  17. Regulating ENaC's gate.American journal of physiology. Cell physiology · 2020
    Review
  18. The epithelial NaPflugers Archiv : European journal of physiology · 2019
    Article
  19. Observational
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Rikke M ZacharDepartments of Cardiovascular and Renal Research and.
Karsten SkjødtCancer and Inflammation, Institute of Molecular Medicine, University of Southern Denmark, Odense, Denmark; and.
Niels MarcussenDepartments of Clinical Pathology and.
Steen WalterUrology, Odense University Hospital, Odense, Denmark.
Anja ToftUrology, Odense University Hospital, Odense, Denmark.
Maria R NielsenDepartments of Cardiovascular and Renal Research and.
Boye L JensenDepartments of Cardiovascular and Renal Research and.
Per SvenningsenDepartments of Cardiovascular and Renal Research and psvenningsen@health.sdu.dk.
Odense University Hospital · DKUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The epithelial sodium channel (ENaC) of the kidney is necessary for extracellular volume homeostasis and normal arterial BP. Activity of ENaC is enhanced by proteolytic cleavage of the γ-subunit and putative release of a 43-amino acid inhibitory tract from the γ-subunit ectodomain. We hypothesized that proteolytic processing of γENaC occurs in the human kidney under physiologic conditions and that proteinuria contributes to aberrant proteolytic activation. Here, we used monoclonal antibodies (mAbs) with specificity to the human 43-mer inhibitory tract (N and C termini, mAbinhibit, and mAb4C11) and the neoepitope generated after proteolytic cleavage at the prostasin/kallikrein cleavage site (K181-V182 and mAbprostasin) to examine human nephrectomy specimens. By immunoblotting, kidney cortex homogenate from patients treated with angiotensin II type 1 receptor antagonists (n=6) or angiotensin-converting enzyme inhibitors (n=6) exhibited no significant difference in the amount of full-length or furin-cleaved γENaC or the furin-cleaved-to-full-length ratio of γENaC compared with homogenate from patients on no medication (n=5). Patients treated with diuretics (n=4) displayed higher abundance of full-length and furin-cleaved γENaC, with no significant change in the furin-cleaved-to-full-length γENaC ratio. In patients with proteinuria (n=6), the inhibitory tract was detected only in full-length γENaC by mAbinhibit. Prostasin/kallikrein-cleaved γENaC was detected consistently only in tissue from patients with proteinuria and observed in collecting ducts. In conclusion, human kidney γENaC is subject to proteolytic cleavage, yielding fragments compatible with furin cleavage, and proteinuria is associated with cleavage at the putative prostasin/kallikrein site and removal of the inhibitory tract within γENaC.

Indexed as

AdultAgedAged, 80 and overAngiotensin-Converting Enzyme InhibitorsAntibodiesAntibodies, MonoclonalDiureticsEpithelial Sodium ChannelsExosomesFemaleFurinHEK293 CellsHomeostasisHumansKallikreinsKidneyAngiotensin-Converting Enzyme InhibitorsAntibodiesAntibodies, MonoclonalDiureticsEpithelial Sodium ChannelsFurinKallikreinsProstasinSCNN1G protein, humanSerine Endopeptidasescell and transport physiologyepithelial sodium channelion channelkidneyproteinuria

Identifiers

PMID25060057
PMCPMC4279735
OpenAlexW2041640014

What OpenQuestion holds

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Registered trials

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.