Evidence map›Paper›PMID 25698969›Full record

ArticleFrontiers in pharmacology2015

Kinin B1 receptor antagonism is equally efficient as angiotensin receptor 1 antagonism in reducing renal fibrosis in experimental obstructive nephropathy, but is not additive.

Antoine Huart, Julie Klein, Julien Gonzalez, Bénédicte Buffin-Meyer, Eric Neau, Christine Delage, Denis Calise, David Ribes, Joost P Schanstra, Jean-Loup Bascands

Open access · goldAbstract read
In one paragraph

Article in Frontiers in pharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

10 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Kinins: Locally formed peptides during inflammation with potential use in tissue regeneration.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2023
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Kidney tubules: intertubular, vascular, and glomerular cross-talk.Current opinion in nephrology and hypertension · 2016
    Review
  10. Hypoxia: The Force that Drives Chronic Kidney Disease.Clinical medicine & research · 2016
    Review
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

10 authors at 3 institutions in 1 country.

Antoine HuartInstitut National de la Santé et de la Recherche Médicale U1048, Institute of Cardiovascular and Metabolic Disease Toulouse, France ; Department of Nephrology, CHU-Rangueil Toulouse, France.
Julie KleinInstitut National de la Santé et de la Recherche Médicale U1048, Institute of Cardiovascular and Metabolic Disease Toulouse, France ; Université Toulouse III Paul-Sabatier Toulouse, France.
Julien GonzalezInstitut National de la Santé et de la Recherche Médicale U1048, Institute of Cardiovascular and Metabolic Disease Toulouse, France ; Université Toulouse III Paul-Sabatier Toulouse, France.
Bénédicte Buffin-MeyerInstitut National de la Santé et de la Recherche Médicale U1048, Institute of Cardiovascular and Metabolic Disease Toulouse, France ; Université Toulouse III Paul-Sabatier Toulouse, France.
Eric NeauInstitut National de la Santé et de la Recherche Médicale U1048, Institute of Cardiovascular and Metabolic Disease Toulouse, France ; Université Toulouse III Paul-Sabatier Toulouse, France.
Christine DelageInstitut National de la Santé et de la Recherche Médicale U1048, Institute of Cardiovascular and Metabolic Disease Toulouse, France ; Université Toulouse III Paul-Sabatier Toulouse, France.
Denis CaliseUniversité Toulouse III Paul-Sabatier Toulouse, France ; Unité mixte de Service US006, CHU-Rangueil Toulouse, France.
David RibesInstitut National de la Santé et de la Recherche Médicale U1048, Institute of Cardiovascular and Metabolic Disease Toulouse, France ; Department of Nephrology, CHU-Rangueil Toulouse, France.
Joost P SchanstraInstitut National de la Santé et de la Recherche Médicale U1048, Institute of Cardiovascular and Metabolic Disease Toulouse, France ; Université Toulouse III Paul-Sabatier Toulouse, France.
Jean-Loup BascandsInstitut National de la Santé et de la Recherche Médicale U1048, Institute of Cardiovascular and Metabolic Disease Toulouse, France ; Université Toulouse III Paul-Sabatier Toulouse, France.
Institut des Maladies Métaboliques et Cardiovasculaires · FRInserm · FRUniversité Toulouse III - Paul Sabatier · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRenal tubulointerstitial fibrosis is the pathological hallmark of chronic kidney disease (CKD). Currently, inhibitors of the renin-angiotensin system (RAS) remain the sole therapy in human displaying antifibrotic properties. Further antifibrotic molecules are needed. We have recently reported that the delayed blockade of the bradykinin B1 receptor (B1R) reduced the development of fibrosis in two animal models of renal fibrosis. The usefulness of new drugs also resides in outperforming the gold standards and eventually being additive or complementary to existing therapies.

methodsIn this study we compared the efficacy of a B1R antagonist (B1Ra) with that of an angiotensin type 1 receptor antagonist (AT1a) in the unilateral ureteral obstruction (UUO) model of renal fibrosis and determined whether bi-therapy presented higher efficacy than any of the drugs alone.

resultsB1R antagonism was as efficient as the gold-standard AT1a treatment. However, bitherapy did not improve the antifibrotic effects at the protein level. We sought for the reason of the absence of this additive effect by studying the expression of a panel of genes involved in the fibrotic process. Interestingly, at the molecular level the different drugs targeted different players of fibrosis that, however, in this severe model did not result in improved reduction of fibrosis at the protein level.

conclusionsAs the B1R is induced specifically in the diseased organ and thus potentially displays low side effects it might be an interesting alternative in cases of poor tolerability to RAS inhibitors.

Indexed as

angiotensin receptor inhibitionbradykinin B1 receptorcombined therapylow density arrayrenal fibrosis

Identifiers

PMID25698969
PMCPMC4313587
OpenAlexW2050229451

What OpenQuestion holds

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Registered trials

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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.