Evidence map›Paper›PMID 25971850›Full record

ArticleJournal of nephrology2016

Role of tubulointerstitial plasmin in the progression of IgA nephropathy.

Takahiro Uchida, Takashi Oda, Hanako Takechi, Hidehito Matsubara, Atsushi Watanabe, Kojiro Yamamoto, Naoki Oshima, Yutaka Sakurai, Takako Kono, Hideyuki Shimazaki and 2 more

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of nephrology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 45% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Review
  3. 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

12 authors at 2 institutions in 1 country.

Takahiro UchidaDepartment of Nephrology and Endocrinology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan. dri1905@ndmc.ac.jp.
Takashi OdaDepartment of Nephrology, Tokyo Medical University Hachioji Medical Center, Hachioji, Tokyo, Japan.
Hanako TakechiDepartment of Nephrology and Endocrinology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan.
Hidehito MatsubaraDepartment of Nephrology and Endocrinology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan.
Atsushi WatanabeDepartment of Nephrology and Endocrinology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan.
Kojiro YamamotoDepartment of Nephrology and Endocrinology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan.
Naoki OshimaDepartment of Nephrology and Endocrinology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan.
Yutaka SakuraiDepartment of Preventive Medicine and Public Health, National Defense Medical College, Tokorozawa, Saitama, Japan.
Takako KonoDepartment of Laboratory Medicine, National Defense Medical College, Tokorozawa, Saitama, Japan.
Hideyuki ShimazakiDepartment of Laboratory Medicine, National Defense Medical College, Tokorozawa, Saitama, Japan.
Seiichi TamaiDepartment of Laboratory Medicine, National Defense Medical College, Tokorozawa, Saitama, Japan.
Hiroo KumagaiDepartment of Nephrology and Endocrinology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan.
National Defense Medical College · JPTokyo Medical University Hachioji Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPlasmin has recently been reported to be associated with renal fibrosis in experimental models, but its role in human renal diseases is unclear.

methodsFifty-seven patients with IgA nephropathy (IgAN) were evaluated retrospectively. Plasmin in their renal biopsy tissues was assessed by in situ zymography using a plasmin-sensitive synthetic peptide, and the relationships between patients' histologic or clinical parameters and their renal plasmin activity [assessed semiquantitatively by calculating the positively stained percentage of the total tubulointerstitial (TI) area] were evaluated.

resultsPlasmin activity was observed almost exclusively in the TI space (mainly in the interstitium and partly in the tubular epithelial cells) and was significantly stronger in patients with TI lesion (tubular atrophy/interstitial fibrosis and tubulointerstitial inflammation) than in those without TI lesion. It was significantly and positively correlated with the global glomerulosclerosis rate and significantly and negatively correlated with estimated glomerular filtration rate not only at the time of renal biopsy but also at the end of the follow-up period. Double stainings for plasmin activity and inflammatory cells, cytokeratin, or α-smooth muscle actin (α-SMA) in selected patients revealed TI infiltration of inflammatory cells, attenuated tubular epithelial expression of cytokeratin, and augmented interstitial expression of α-SMA close to upregulated plasmin activity in the TI space.

conclusionsThese data suggest that TI plasmin is associated with TI inflammation leading to renal fibrosis, and can cause the decline in renal function seen in patients with IgAN. Reducing plasmin in situ may therefore be a promising therapeutic approach slowing renal fibrogenesis and improving renal function.

Indexed as

ActinsAdolescentAdultAgedBiomarkersBiopsyDisease ProgressionEpithelial CellsFemaleFibrinolysinFibrosisFluorescent Antibody TechniqueGlomerular Filtration RateGlomerulonephritis, IGAHumansKeratinsACTA2 protein, humanActinsBiomarkersFibrinolysinKeratinsEpithelial-to-mesenchymal transitionFibrosisIgA nephropathyPlasmin

Identifiers

PMID25971850
OpenAlexW315537139

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.