Evidence map›Paper›PMID 25855781›Full record

ArticleJournal of the American Society of Nephrology : JASN2015

Reduction of Tubular Flow Rate as a Mechanism of Oliguria in the Early Phase of Endotoxemia Revealed by Intravital Imaging.

Daisuke Nakano, Kent Doi, Hiroaki Kitamura, Takashige Kuwabara, Kiyoshi Mori, Masashi Mukoyama, Akira Nishiyama

Open 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. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

33 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Toll-Like Receptors in Acute Kidney Injury.International journal of molecular sciences · 2021
    Review
  14. Article
  15. Septic acute kidney injury: a review of basic research.Clinical and experimental nephrology · 2020
    Review
  16. Spatiotemporal ATP Dynamics during AKI Predict Renal Prognosis.Journal of the American Society of Nephrology : JASN · 2020
    Article
  17. The need for disruptive innovation in acute kidney injury.Clinical and experimental nephrology · 2020
    Review
  18. Review
  19. Role of endotoxemia in causing renal dysfunction in cirrhosis.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2020
    Review
  20. 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

7 authors at 3 institutions in 1 country.

Daisuke NakanoDepartments of Pharmacology and dnakano@med.kagawa-u.ac.jp.
Kent DoiDepartment of Emergency and Critical Care Medicine, University Hospital, University of Tokyo, Tokyo; and.
Hiroaki KitamuraAnesthesiology, Kagawa University, Kagawa;
Takashige KuwabaraDepartment of Nephrology and.
Kiyoshi MoriMedical Innovation Center, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Masashi MukoyamaDepartment of Nephrology and.
Akira NishiyamaDepartments of Pharmacology and.
Kagawa University · JPKyoto University · JPUniversity of Tokyo Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Urine output is widely used as a criterion for the diagnosis of AKI. Although several potential mechanisms of septic AKI have been identified, regulation of urine flow after glomerular filtration has not been evaluated. This study evaluated changes in urine flow in mice with septic AKI. The intratubular urine flow rate was monitored in real time by intravital imaging using two-photon laser microscopy. The tubular flow rate, as measured by freely filtered dye (FITC-inulin or Lucifer yellow), time-dependently declined after LPS injection. At 2 hours, the tubular flow rate was slower in mice injected with LPS than in mice injected with saline, whereas BP and GFR were similar in the two groups. Importantly, fluorophore-conjugated LPS selectively accumulated in the proximal tubules that showed reduced tubular flow at 2 hours and luminal obstruction with cell swelling at 24 hours. Delipidation of LPS or deletion of Toll-like receptor 4 in mice abolished these effects, whereas neutralization of TNF-α had little effect on LPS-induced tubular flow retention. Rapid intravenous fluid resuscitation within 6 hours improved the tubular flow rate only when accompanied by the dilation of obstructed proximal tubules with accumulated LPS. These findings suggest that LPS reduces the intratubular urine flow rate during early phases of endotoxemia through a Toll-like receptor 4-dependent mechanism, and that the efficacy of fluid resuscitation may depend on the response of tubules with LPS accumulation.

Indexed as

Acute Kidney InjuryAnimalsAntibodiesBlood PressureEndotoxemiaFluid TherapyGlomerular Filtration RateKidney Tubules, ProximalLipopolysaccharidesMaleMiceMice, Inbred C57BLMice, KnockoutOliguriaSignal TransductionToll-Like Receptor 4AntibodiesLipopolysaccharidesTlr4 protein, mouseToll-Like Receptor 4Tumor Necrosis Factor-alphaARFLPSoliguriarenal tubular epithelial cells

Identifiers

PMID25855781
PMCPMC4657826
OpenAlexW2099737010

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.