Evidence map›Paper›PMID 25950482›Full record

ArticleCell death & disease2015

Podocyte apoptosis is prevented by blocking the Toll-like receptor pathway.

P Saurus, S Kuusela, E Lehtonen, M E Hyvönen, M Ristola, C L Fogarty, J Tienari, M I Lassenius, C Forsblom, M Lehto and 4 more

Open access · goldAbstract read
In one paragraph

Article in Cell death & disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
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  14. Metformin increases glucose uptake and acts renoprotectively by reducing SHIP2 activity.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2019
    Article
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  17. Review
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  19. Review
  20. The promotion of nephropathy byDiabetology & metabolic syndrome · 2017
    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

14 authors at 4 institutions in 3 countries.

P SaurusDepartment of Pathology, University of Helsinki, Helsinki, Finland.
S KuuselaDepartment of Pathology, University of Helsinki, Helsinki, Finland.
E Lehtonen1] Department of Pathology, University of Helsinki, Helsinki, Finland [2] Laboratory Animal Centre, University of Helsinki, Helsinki, Finland.ORCID 0000000341892415
M E HyvönenDepartment of Pathology, University of Helsinki, Helsinki, Finland.
M RistolaDepartment of Pathology, University of Helsinki, Helsinki, Finland.
C L Fogarty1] Folkhälsan Research Center, Folkhälsan Institute of Genetics, Helsinki, Finland [2] Division of Nephrology, Helsinki University Central Hospital, Helsinki, Finland [3] Diabetes and Obesity Research Program, Research Program's Unit, University of Helsinki, Helsinki, Finland.
J TienariDepartment of Pathology, HUSLAB and Helsinki University Hospital, Helsinki and Hyvinkää, Finland.
M I Lassenius1] Folkhälsan Research Center, Folkhälsan Institute of Genetics, Helsinki, Finland [2] Division of Nephrology, Helsinki University Central Hospital, Helsinki, Finland [3] Diabetes and Obesity Research Program, Research Program's Unit, University of Helsinki, Helsinki, Finland.
C Forsblom1] Folkhälsan Research Center, Folkhälsan Institute of Genetics, Helsinki, Finland [2] Division of Nephrology, Helsinki University Central Hospital, Helsinki, Finland [3] Diabetes and Obesity Research Program, Research Program's Unit, University of Helsinki, Helsinki, Finland.
M Lehto1] Folkhälsan Research Center, Folkhälsan Institute of Genetics, Helsinki, Finland [2] Division of Nephrology, Helsinki University Central Hospital, Helsinki, Finland [3] Diabetes and Obesity Research Program, Research Program's Unit, University of Helsinki, Helsinki, Finland.
M A SaleemBristol Royal Hospital for Children, University of Bristol, Bristol, UK.
P-H Groop1] Folkhälsan Research Center, Folkhälsan Institute of Genetics, Helsinki, Finland [2] Division of Nephrology, Helsinki University Central Hospital, Helsinki, Finland [3] Diabetes and Obesity Research Program, Research Program's Unit, University of Helsinki, Helsinki, Finland [4] Baker IDI Heart and Diabetes Institute, Melbourne, Australia.
H HolthöferDepartment of Bacteriology and Immunology, University of Helsinki, Helsinki, Finland.
S LehtonenDepartment of Pathology, University of Helsinki, Helsinki, Finland.
University of Helsinki · FIFolkhälsans Forskningscentrum · FIHelsinki University Hospital · FIBristol Royal Hospital for Children · GB

Funding

European Research Council 242820
6 · The paper itself

Abstract

High serum lipopolysaccharide (LPS) activity in normoalbuminuric patients with type 1 diabetes (T1D) predicts the progression of diabetic nephropathy (DN), but the mechanisms behind this remain unclear. We observed that treatment of cultured human podocytes with sera from normoalbuminuric T1D patients with high LPS activity downregulated 3-phosphoinositide-dependent kinase-1 (PDK1), an activator of the Akt cell survival pathway, and induced apoptosis. Knockdown of PDK1 in cultured human podocytes inhibited antiapoptotic Akt pathway, stimulated proapoptotic p38 MAPK pathway, and increased apoptosis demonstrating an antiapoptotic role for PDK1 in podocytes. Interestingly, PDK1 was downregulated in the glomeruli of diabetic rats and patients with type 2 diabetes before the onset of proteinuria, further suggesting that reduced expression of PDK1 associates with podocyte injury and development of DN. Treatment of podocytes in vitro and mice in vivo with LPS reduced PDK1 expression and induced apoptosis, which were prevented by inhibiting the Toll-like receptor (TLR) signaling pathway with the immunomodulatory agent GIT27. Our data show that LPS downregulates the cell survival factor PDK1 and induces podocyte apoptosis, and that blocking the TLR pathway with GIT27 may provide a non-nephrotoxic means to prevent the progression of DN.

Indexed as

AcetatesAnimalsApoptosisDiabetes Mellitus, Type 1HumansLipopolysaccharidesMaleMiceMice, Inbred BALB COxazolesPodocytesProtein Serine-Threonine KinasesPyruvate Dehydrogenase Acetyl-Transferring KinaseRatsSignal TransductionToll-Like Receptors3-phenyl-4,5-dihydro-5-isoxazole acetic acidAcetatesLipopolysaccharidesOxazolesPDK1 protein, humanPdk1 protein, mousePdk1 protein, ratProtein Serine-Threonine KinasesPyruvate Dehydrogenase Acetyl-Transferring KinaseToll-Like Receptors

Identifiers

PMID25950482
PMCPMC4669704
OpenAlexW1606830023

What OpenQuestion holds

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LicenceCC BY
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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.