Evidence map›Paper›PMID 25810494›Full record

ReviewJournal of the American Society of Nephrology : JASN2015

Failed Tubule Recovery, AKI-CKD Transition, and Kidney Disease Progression.

Manjeri A Venkatachalam, Joel M Weinberg, Wilhelm Kriz, Anil K Bidani

Open access · bronzeAbstract readReview
In one paragraph

Review 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 416 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
416citing papers in PubMed, 1 pooled it
30.1field-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

416 citing papers in PubMed, 1 synthesis or guideline pooled it, 737 citations in OpenAlex.

  1. Pooled it
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  16. The Aging Kidney and Acute Kidney Injury.Journal of the American Society of Nephrology : JASN · 2026
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356 more citing papers are in PubMed but not listed here.

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

4 authors at 4 institutions in 2 countries.

Manjeri A VenkatachalamDepartment of Pathology, University of Texas Health Science Center, San Antonio, Texas; venkatachal@uthscsa.edu.
Joel M WeinbergDepartment of Medicine, Veterans Affairs Ann Arbor Healthcare System and University of Michigan Medical Center, Ann Arbor, Michigan;
Wilhelm KrizMedical Fakultät Mannheim, Abteilung Anatomie und Entwicklungsbiologie Mannheim, University of Heidelberg, Baden-Wuerttemberg, Germany; and.
Anil K BidaniDepartment of Medicine, Loyola University and Hines Veterans Affairs Hospital, Maywood, Illinois.
Edward Hines, Jr. VA Hospital · USHeidelberg University · DEThe University of Texas Health Science Center at San Antonio · USVA Ann Arbor Healthcare System · US

Funding

Novel Forms of Cell Death During Acute Kidney InjuryI01BX002367 · VA · VETERANS HEALTH ADMINISTRATION · PI WEINBERG, JOEL M. · 2015 to 2019
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BLRD VA I01 BX002367
6 · The paper itself

Abstract

The transition of AKI to CKD has major clinical significance. As reviewed here, recent studies show that a subpopulation of dedifferentiated, proliferating tubules recovering from AKI undergo pathologic growth arrest, fail to redifferentiate, and become atrophic. These abnormal tubules exhibit persistent, unregulated, and progressively increasing profibrotic signaling along multiple pathways. Paracrine products derived therefrom perturb normal interactions between peritubular capillary endothelium and pericyte-like fibroblasts, leading to myofibroblast transformation, proliferation, and fibrosis as well as capillary disintegration and rarefaction. Although signals from injured endothelium and inflammatory/immune cells also contribute, tubule injury alone is sufficient to produce the interstitial pathology required for fibrosis. Localized hypoxia produced by microvascular pathology may also prevent tubule recovery. However, fibrosis is not intrinsically progressive, and microvascular pathology develops strictly around damaged tubules; thus, additional deterioration of kidney structure after the transition of AKI to CKD requires new acute injury or other mechanisms of progression. Indeed, experiments using an acute-on-chronic injury model suggest that additional loss of parenchyma caused by failed repair of AKI in kidneys with prior renal mass reduction triggers hemodynamically mediated processes that damage glomeruli to cause progression. Continued investigation of these pathologic mechanisms should reveal options for preventing renal disease progression after AKI.

Indexed as

Acute Kidney InjuryCapillariesDisease ProgressionHumansHypoxiaKidney TubulesNephrosclerosisRenal CirculationRenal Insufficiency, ChronicVasoconstrictionacute renal failureCKDfibrosishypertensionhypoxiatubular epithelium

Identifiers

PMID25810494
PMCPMC4520181
OpenAlexW2147375079

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.