Evidence map›Paper›PMID 25908473›Full record

ReviewAdvances in chronic kidney disease2015

Endogenous cardiotonic steroids in kidney failure: a review and an hypothesis.

John M Hamlyn, Paolo Manunta

Abstract readReview
In one paragraph

Review in Advances in chronic kidney disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

28 citing papers in PubMed, 39 citations in OpenAlex.

  1. Sensational site: the sodium pump ouabain-binding site and its ligands.American journal of physiology. Cell physiology · 2024
    Review
  2. Review
  3. Article
  4. Article
  5. Safranal Induces Vasorelaxation by Inhibiting CaMolecules (Basel, Switzerland) · 2022
    Article
  6. Review
  7. Article
  8. Article
  9. Skeletal Muscle Na,K-ATPase as a Target for Circulating Ouabain.International journal of molecular sciences · 2020
    Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Na⁺, K⁺-ATPase Signaling and Bipolar Disorder.International journal of molecular sciences · 2018
    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

2 authors at 1 institution in 2 countries.

John M HamlynDepartment of Physiology, University of Maryland Baltimore, Baltimore, MD; and Nephrology, Dialysis and Hypertension Division, Scientific Institute San Raffaele, Università "Vita-Salute" San Raffaele, Milan, Italy. Electronic address: jhamlyn@umaryland.edu.
Paolo ManuntaDepartment of Physiology, University of Maryland Baltimore, Baltimore, MD; and Nephrology, Dialysis and Hypertension Division, Scientific Institute San Raffaele, Università "Vita-Salute" San Raffaele, Milan, Italy.
University of Maryland, Baltimore · US

Funding

Alpha-2 Na+ Pumps, [Ca2+], Arterial Contraction & HypertensionR01HL107555 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI BLAUSTEIN, MORDECAI P · 2012 to 2015
$1.5M
NHLBI NIH HHS HL107555NHLBI NIH HHS R01 HL107555
6 · The paper itself

Abstract

In response to progressive nephron loss, volume and humoral signals in the circulation have increasing relevance. These signals, including plasma sodium, angiotensin II, and those related to volume status, activate a slow neuromodulatory pathway within the central nervous system (CNS). The slow CNS pathway includes specific receptors for angiotensin II, mineralocorticoids, and endogenous ouabain (EO). Stimulation of the pathway leads to elevated sympathetic nervous system activity (SNA) and increased circulating EO. The sustained elevation of circulating EO (or ouabain) stimulates central and peripheral mechanisms that amplify the impact of SNA on vascular tone. These include changes in synaptic plasticity in the brain and sympathetic ganglia that increase preganglionic tone and amplify ganglionic transmission, amplification of the impact of SNA on arterial tone in the vascular wall, and the reprogramming of calcium signaling proteins in arterial myocytes. These increase SNA, raise basal and evoked arterial tone, and elevate blood pressure (BP). In the setting of CKD, we suggest that sustained activation/elevation of the slow CNS pathway, plasma EO, and the cardiotonic steroid marinobufagenin, comprises a feed-forward system that raises BP and accelerates kidney and cardiac damage. Block of the slow CNS pathway and/or circulating EO and marinobufagenin may reduce BP and slow the progression to ESRD.

Indexed as

BufanolidesCardiac GlycosidesDisease ProgressionGanglia, SympatheticHumansHypertensionKidney Failure, ChronicNeuronal PlasticityOuabainRenal Insufficiency, ChronicSympathetic Nervous SystemBufanolidesCardiac GlycosidesmarinobufageninOuabainBrainDialysisHypertensionMarinobufageninOuabain

Identifiers

PMID25908473
PMCPMC4410676
OpenAlexW2092518307

What OpenQuestion holds

Textmetadata
LicenceTDM
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.