Evidence map›Paper›PMID 25961457›Full record

ArticleThe Journal of clinical investigation2015

KANK deficiency leads to podocyte dysfunction and nephrotic syndrome.

Heon Yung Gee, Fujian Zhang, Shazia Ashraf, Stefan Kohl, Carolin E Sadowski, Virginia Vega-Warner, Weibin Zhou, Svjetlana Lovric, Humphrey Fang, Margaret Nettleton and 13 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 126 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
126citing papers in PubMed, 1 pooled it
16.0field-weighted citation impact, top 1% 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

126 citing papers in PubMed, 1 synthesis or guideline pooled it, 196 citations in OpenAlex.

  1. Pooled it
  2. Article
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  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. A Drug Screening Platform for Podocytopathies in Drosophila Nephrocytes.Journal of the American Society of Nephrology : JASN · 2025
    Article
  12. Nucleoporin-associated steroid-resistant nephrotic syndrome.Pediatric nephrology (Berlin, Germany) · 2025
    Review
  13. Review
  14. Article
  15. Case Report: a novel variant inFrontiers in nephrology · 2025
    Article
  16. Article
  17. Article
  18. Review
  19. The Protective Role of KANK1 in Podocyte Injury.International journal of molecular sciences · 2024
    Article
  20. Article

66 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 11 institutions in 6 countries.

Heon Yung Gee
Fujian Zhang
Shazia Ashraf
Stefan Kohl
Carolin E Sadowski
Virginia Vega-Warner
Weibin Zhou
Svjetlana Lovric
Humphrey Fang
Margaret Nettleton
Jun-yi Zhu
Julia Hoefele
Lutz T Weber
Ludmila Podracka
Andrej Boor
Henry Fehrenbach
Jeffrey W Innis
Joseph Washburn
Shawn Levy
Richard P Lifton
Edgar A Otto
Zhe Han
Friedhelm Hildebrandt
Boston Children's Hospital · USChildren's National · USUniversity of Michigan–Ann Arbor · USHarvard University Press · USCenter for Human Genetics · USChildren's Hospital · TNHarvard University · USHudsonAlpha Institute for Biotechnology · USInstitute of Human Genetics · PLUniversity Hospital Cologne · DEUniversity of Pavol Jozef Šafárik · SK

Funding

Renal Physiology and Phenotyping CoreP30DK079310 · NIDDK · YALE UNIVERSITY · PI PREISIG, PATRICIA A · 2008 to 2022
$16.8M
Identification and function of new genes causing childhood nephrotic syndromeR01DK076683 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HILDEBRANDT, FRIEDHELM · 2007 to 2021
$5.3M
Modeling Nephrotic Syndrome in Drosophila NephrocytesR01DK098410 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI HAN, ZHE · 2014 to 2022
$3.3M
A novel G protein signaling pathway controlling Drosophila cardiac morphogenesisR01HL090801 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HAN, ZHE · 2008 to 2012
$2.0M
Exon capture and large-scale sequencing for disease-cause identification, early dRC1DK086542 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HILDEBRANDT, FRIEDHELM · 2009 to 2010
$981k
Mesonephric Model of Podocyte Injury and RegenerationR00DK091405 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ZHOU, WEIBIN · 2013 to 2015
$730k
Mesonephric Model of Podocyte Injury and RegenerationK99DK091405 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ZHOU, WEIBIN · 2011 to 2012
$178k
Howard Hughes Medical InstituteNHLBI NIH HHS HL090801NHLBI NIH HHS R01 HL090801NIDDK NIH HHS DK076683NIDDK NIH HHS DK086542NIDDK NIH HHS DK091405NIDDK NIH HHS DK098410NIDDK NIH HHS K99 DK091405NIDDK NIH HHS P30 DK079310NIDDK NIH HHS R00 DK091405NIDDK NIH HHS R01 DK076683NIDDK NIH HHS R01 DK098410NIDDK NIH HHS RC1 DK086542
6 · The paper itself

Abstract

Steroid-resistant nephrotic syndrome (SRNS) is a frequent cause of progressive renal function decline and affects millions of people. In a recent study, 30% of SRNS cases evaluated were the result of monogenic mutations in 1 of 27 different genes. Here, using homozygosity mapping and whole-exome sequencing, we identified recessive mutations in kidney ankyrin repeat-containing protein 1 (KANK1), KANK2, and KANK4 in individuals with nephrotic syndrome. In an independent functional genetic screen of Drosophila cardiac nephrocytes, which are equivalents of mammalian podocytes, we determined that the Drosophila KANK homolog (dKank) is essential for nephrocyte function. RNAi-mediated knockdown of dKank in nephrocytes disrupted slit diaphragm filtration structures and lacuna channel structures. In rats, KANK1, KANK2, and KANK4 all localized to podocytes in glomeruli, and KANK1 partially colocalized with synaptopodin. Knockdown of kank2 in zebrafish recapitulated a nephrotic syndrome phenotype, resulting in proteinuria and podocyte foot process effacement. In rat glomeruli and cultured human podocytes, KANK2 interacted with ARHGDIA, a known regulator of RHO GTPases in podocytes that is dysfunctional in some types of nephrotic syndrome. Knockdown of KANK2 in cultured podocytes increased active GTP-bound RHOA and decreased migration. Together, these data suggest that KANK family genes play evolutionarily conserved roles in podocyte function, likely through regulating RHO GTPase signaling.

Indexed as

MutationNephrotic SyndromePodocytesProteinuriaTumor Suppressor ProteinsAdaptor Proteins, Signal TransducingAnimalsCell LineCytoskeletal ProteinsDrosophila melanogasterDrosophila ProteinsFemaleGene Knockdown TechniquesHumansMaleMicrofilament ProteinsAdaptor Proteins, Signal TransducingCytoskeletal ProteinsDrosophila ProteinsKANK1 protein, humanMicrofilament ProteinsSYNPO protein, humanSynpo protein, ratTumor Suppressor ProteinsZebrafish Proteins

Identifiers

PMID25961457
PMCPMC4497755
OpenAlexW1597344058

What OpenQuestion holds

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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.