Evidence map›Paper›PMID 25361818›Full record

ArticleJournal of the American Society of Nephrology : JASN2015

Scattered Deletion of PKD1 in Kidneys Causes a Cystic Snowball Effect and Recapitulates Polycystic Kidney Disease.

Wouter N Leonhard, Malu Zandbergen, Kimberley Veraar, Susan van den Berg, Louise van der Weerd, Martijn Breuning, Emile de Heer, Dorien J M Peters

Open access · greenAbstract readComparative Study
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. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

47 citing papers in PubMed, 84 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Wouter N LeonhardDepartments of Human Genetics.
Malu ZandbergenPathology, and.
Kimberley VeraarPathology, and.
Susan van den BergDepartments of Human Genetics.
Louise van der WeerdDepartments of Human Genetics, Radiology, Leiden University Medical Center, Leiden, The Netherlands.
Martijn BreuningDepartments of Human Genetics.
Emile de HeerPathology, and.
Dorien J M PetersDepartments of Human Genetics, d.j.m.peters@lumc.nl.
Leiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In total, 1 in 1000 individuals carries a germline mutation in the PKD1 or PKD2 gene, which leads to autosomal dominant polycystic kidney disease (ADPKD). Cysts can form early in life and progressively increase in number and size during adulthood. Extensive research has led to the presumption that somatic inactivation of the remaining allele initiates the formation of cysts, and the progression is further accelerated by renal injury. However, this hypothesis is primarily on the basis of animal studies, in which the gene is inactivated simultaneously in large percentages of kidney cells. To mimic human ADPKD in mice more precisely, we reduced the percentage of Pkd1-deficient kidney cells to 8%. Notably, no pathologic changes occurred for 6 months after Pkd1 deletion, and additional renal injury increased the likelihood of cyst formation but never triggered rapid PKD. In mildly affected mice, cysts were not randomly distributed throughout the kidney but formed in clusters, which could be explained by increased PKD-related signaling in not only cystic epithelial cells but also, healthy-appearing tubules near cysts. In the majority of mice, these changes preceded a rapid and massive onset of severe PKD that was remarkably similar to human ADPKD. Our data suggest that initial cysts are the principal trigger for a snowball effect driving the formation of new cysts, leading to the progression of severe PKD. In addition, this approach is a suitable model for mimicking human ADPKD and can be used for preclinical testing.

Indexed as

Gene DeletionGerm-Line MutationAnimalsCell ProliferationDisease Models, AnimalDisease ProgressionDose-Response Relationship, DrugGene Expression RegulationHumansImmunohistochemistryMagnetic Resonance ImagingMicePhenotypePolycystic Kidney, Autosomal DominantPolycystic Kidney DiseasesRandom AllocationTamoxifenTRPP Cation Channelsautosomal dominant polycystic kidney diseasegenetic renal diseasepolycystic kidney diseaserenal injurysignaling

Identifiers

PMID25361818
PMCPMC4446864
OpenAlexW2054328754

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.