Evidence map›Paper›PMID 25833841›Full record

ArticleJournal of the American Society of Nephrology : JASN2015

Salt Accelerates Allograft Rejection through Serum- and Glucocorticoid-Regulated Kinase-1-Dependent Inhibition of Regulatory T Cells.

Kassem Safa, Shunsuke Ohori, Thiago J Borges, Mayuko Uehara, Ibrahim Batal, Tetsunosuke Shimizu, Ciara N Magee, Roger Belizaire, Reza Abdi, Chuan Wu and 2 more

Open access · bronzeAbstract 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. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

34 citing papers in PubMed, 49 citations in OpenAlex.

  1. Trial
  2. Review
  3. Nutritional strategies in kidney transplantation: optimising outcomes beyond surgery.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. Impact of the microbiota on solid organ transplant rejection.Current opinion in organ transplantation · 2019
    Review
  18. Review
  19. High Salt Activates CD11cHypertension (Dallas, Tex. : 1979) · 2019
    Article
  20. Exercise increases skin graft resistance to rejection.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2019
    Article
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

12 authors at 3 institutions in 2 countries.

Kassem SafaSchuster Family Transplantation Research Center, Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts; Transplant Center and Division of Nephrology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts;
Shunsuke OhoriSchuster Family Transplantation Research Center, Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts;
Thiago J BorgesSchuster Family Transplantation Research Center, Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts; School of Biosciences and Biomedical Research Institute, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil;
Mayuko UeharaSchuster Family Transplantation Research Center, Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts;
Ibrahim BatalDepartment of Pathology, Brigham and Women's Hospital, Boston, Massachusetts;
Tetsunosuke ShimizuSchuster Family Transplantation Research Center, Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts;
Ciara N MageeSchuster Family Transplantation Research Center, Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts; Department of Renal Medicine and Transplantation, Royal Free London, National Health Service Foundation Trust, London, United Kingdom; and.
Roger BelizaireDepartment of Pathology, Brigham and Women's Hospital, Boston, Massachusetts;
Reza AbdiSchuster Family Transplantation Research Center, Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts;
Chuan WuCenter for Neurologic Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Anil ChandrakerSchuster Family Transplantation Research Center, Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts;
Leonardo V RiellaSchuster Family Transplantation Research Center, Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts; lriella@rics.bwh.harvard.edu.
Harvard University · USBrigham and Women's Hospital · USPontifícia Universidade Católica do Rio Grande do Sul · BR

Funding

Molecular signatures of high salt induced pathogenic T cellsK99AI110649 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI WU, CHUAN · 2014 to 2014
$111k
NIAID NIH HHS K99 AI110649
6 · The paper itself

Abstract

A high-salt diet (HSD) in humans is linked to a number of complications, including hypertension and cardiovascular events. Whether a HSD affects the immune response in transplantation is unknown. Using a murine transplantation model, we investigated the effect of NaCl on the alloimmune response in vitro and in vivo. Incremental NaCl concentrations in vitro augmented T cell proliferation in the settings of both polyclonal and allospecific stimulation. Feeding a HSD to C57BL/6 wild-type recipients of bm12 allografts led to accelerated cardiac allograft rejection, despite similar mean BP and serum sodium levels in HSD and normal salt diet (NSD) groups. The accelerated rejection was associated with a reduction in the proportion of CD4(+)Foxp3(+) regulatory T cells (Tregs) and a significant decrease in Treg proliferation, leading to an increased ratio of antigen-experienced CD4(+) T cells to Tregs in mice recipients of a HSD compared with mice recipients of a NSD. Because serum- and glucocorticoid-regulated kinase-1 (SGK1) has been proposed as a potential target of salt in immune cells, we fed a HSD to CD4(Cre)SGK1(fl/fl) B6-transplanted recipients and observed abrogation of the deleterious effect of a HSD in the absence of SGK1 on CD4(+) cells. In summary, we show that NaCl negatively affects the regulatory balance of T cells in transplantation and precipitates rejection in an SGK1-dependent manner.

Indexed as

AnimalsGraft RejectionImmediate-Early ProteinsMiceMice, Inbred C57BLProtein Serine-Threonine KinasesSerum-Glucocorticoid Regulated KinasesSodium Chloride, DietaryTime FactorsT-Lymphocytes, RegulatoryImmediate-Early ProteinsProtein Serine-Threonine KinasesSerum-Glucocorticoid Regulated KinasesSodium Chloride, DietaryrejectionsaltTregs

Identifiers

PMID25833841
PMCPMC4587703
OpenAlexW2100605715

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.