Evidence map›Paper›PMID 25884946›Full record

ArticlePloS one2015

Renal denervation suppresses atrial fibrillation in a model of renal impairment.

Zhuo Liang, Xiang-min Shi, Li-feng Liu, Xin-pei Chen, Zhao-liang Shan, Kun Lin, Jian Li, Fu-kun Chen, Yan-guang Li, Hong-Yang Guo and 1 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.2field-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

14 citing papers in PubMed, 31 citations in OpenAlex.

  1. Review
  2. Mechanisms underlying atrial fibrillation in chronic kidney disease.Journal of molecular and cellular cardiology · 2025
    Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. Evidence for Inflammation as a Driver of Atrial Fibrillation.Frontiers in cardiovascular medicine · 2020
    Review
  8. Review
  9. Article
  10. Modulation of renal sympathetic innervation: recent insights beyond blood pressure control.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2018
    Review
  11. Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Zhuo LiangDepartment of Cardiology, Chinese PLA General Hospital, Beijing, China.
Xiang-min ShiDepartment of Cardiology, Chinese PLA General Hospital, Beijing, China.
Li-feng LiuDepartment of Cardiology, Chinese PLA General Hospital, Beijing, China.
Xin-pei ChenDepartment of Emergency, Beijing Tsinghua Changgeng Hospital Medical Center, Tsinghua University, Beijing, China.
Zhao-liang ShanDepartment of Cardiology, Chinese PLA General Hospital, Beijing, China.
Kun LinDepartment of Cardiology, Chinese PLA General Hospital, Beijing, China.
Jian LiDepartment of Geriatric Cardiology, Chinese PLA General Hospital, Beijing, China.
Fu-kun ChenDepartment of Cardiology, Chinese PLA General Hospital, Beijing, China.
Yan-guang LiDepartment of Cardiology, Chinese PLA General Hospital, Beijing, China.
Hong-Yang GuoDepartment of Cardiology, Chinese PLA General Hospital, Beijing, China.
Yu-tang WangDepartment of Geriatric Cardiology, Chinese PLA General Hospital, Beijing, China.
Chinese PLA General Hospital · CNBeijing Tsinghua Chang Gung Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA close association exists between renal impairment (RI) and atrial fibrillation (AF) occurrence. Increased activity of the sympathetic nervous system (SNS) may contribute to the development of AF associated with RI. Renal denervation (RDN) decreases central sympathetic activity.

objectiveThe main objective of the study was to explore the effects of RDN on AF occurrence and its possible mechanisms in beagles with RI.

methodsUnilateral RI was induced in beagles by embolization of small branches of the renal artery in the right kidney using gelatin sponge granules in Model (n = 6) and RDN group (n = 6). The Sham group (n = 6) underwent the same procedure, except for embolization. Then animals in RDN group underwent radiofrequency ablation of the renal sympathetic nerve. Cardiac electrophysiological parameters, blood pressure, left ventricular end-diastolic pressure, and AF inducibility were investigated. The activity of the SNS, renin-angiotensin-aldosterone system (RAAS), inflammation and atrial interstitial fibrosis were measured.

resultsEmbolization of small branches of the renal artery in the right kidney led to ischemic RI. Heart rate, P wave duration and BP were increased by RI, which were prevented or attenuated by RDN. Atrial effective refractory period was shortened and AF inducibility was increased by RI, which were prevented by RDN. Antegrade Wenckebach point was shortened, atrial and ventricular rates during AF were increased by RI, which were attenuated or prevented by RDN. Levels of norepinephrine, renin and aldosterone in plasma, norepinephrine, angiotensin II, aldosterone, interleukin-6 and high sensitivity C-reactive protein in atrial tissue were elevated, and atrial interstitial fibrosis was enhanced by RI, which were attenuated by RDN.

conclusionsRDN significantly reduced AF inducibility, prevented the atrial electrophysiological changes in a model of RI by combined reduction of sympathetic drive and RAAS activity, and inhibition of inflammation activity and fibrotic pathway in atrial tissue.

Indexed as

Autonomic DenervationAldosteroneAngiotensin IIAnimalsAtrial FibrillationCatheter AblationC-Reactive ProteinDisease Models, AnimalDogsFibrosisHeart AtriaHemodynamicsInterleukin-6IschemiaKidneyModels, CardiovascularAldosteroneAngiotensin IIC-Reactive ProteinInterleukin-6NorepinephrineRenin

Identifiers

PMID25884946
PMCPMC4401704
OpenAlexW1970390774

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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.