Evidence map›Paper›PMID 26019016›Full record

ArticleMolecular neurobiology2016

Factors Responsible for Plasma β-Amyloid Accumulation in Chronic Kidney Disease.

Janine Gronewold, Hans-Wolfgang Klafki, Enrico Baldelli, Britta Kaltwasser, Ulla K Seidel, Olga Todica, Michaela Volsek, Ute Haußmann, Jens Wiltfang, Andreas Kribben and 2 more

Abstract read
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In one paragraph

Article in Molecular neurobiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 13% 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

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

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Cognitive impairment in chronic kidney disease: role of brain imaging, functional imaging, electroencephalography, cerebrospinal fluid biomarkers and sensors.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Association of Kidney Function With Dementia and Structural Brain Differences: A Large Population-Based Cohort Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Diabetes, Albuminuria and the Kidney-Brain Axis.Journal of clinical medicine · 2021
    Review
  20. 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.

Janine GronewoldDepartment of Neurology, University Hospital Essen, Hufelandstraße 55, 45122, Essen, Germany.
Hans-Wolfgang KlafkiDepartment of Psychiatry and Psychotherapy, LVR-Hospital Essen, Faculty of Medicine, University of Duisburg-Essen, Virchowstraße 174, 45147, Essen, Germany.
Enrico BaldelliDepartment of Neurology, University Hospital Essen, Hufelandstraße 55, 45122, Essen, Germany.
Britta KaltwasserDepartment of Neurology, University Hospital Essen, Hufelandstraße 55, 45122, Essen, Germany.
Ulla K SeidelDepartment of Neurology, University Hospital Essen, Hufelandstraße 55, 45122, Essen, Germany.
Olga TodicaDepartment of Neurology, University Hospital Essen, Hufelandstraße 55, 45122, Essen, Germany.
Michaela VolsekDepartment of Nephrology, University Hospital Essen, Hufelandstraße 55, 45122, Essen, Germany.
Ute HaußmannDepartment of Psychiatry and Psychotherapy, LVR-Hospital Essen, Faculty of Medicine, University of Duisburg-Essen, Virchowstraße 174, 45147, Essen, Germany.
Jens WiltfangDepartment of Psychiatry and Psychotherapy, University Medical Center Goettingen, von-Siebold-Straße 5, Goettingen, Germany.
Andreas KribbenDepartment of Nephrology, University Hospital Essen, Hufelandstraße 55, 45122, Essen, Germany.
Heike BruckDepartment of Nephrology, University Hospital Essen, Hufelandstraße 55, 45122, Essen, Germany.
Dirk M HermannDepartment of Neurology, University Hospital Essen, Hufelandstraße 55, 45122, Essen, Germany. dirk.hermann@uk-essen.de.
Essen University Hospital · DEUniversity of Duisburg-Essen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Disturbed brain-to-blood elimination of β-amyloid (Aβ) promotes cerebral Aβ accumulation in Alzheimer's disease. Considering that the kidneys are involved in Aβ elimination from the blood, we evaluated how chronic kidney disease (CKD) affects plasma Aβ. In 106 CKD patients stages 3-5 (including 19 patients on hemodialysis and 15 kidney recipients), 53 control subjects with comparable vascular risk profile and 10 kidney donors, plasma Aβ was determined using electrochemiluminescence immunoassay and gel electrophoresis followed by Western blotting. Plasma Aβ increased with CKD stage (control = 182.98 ± 76.73 pg/ml; CKD3A = 248.34 ± 103.77 pg/ml; CKD3B = 259.25 ± 97.74 pg/ml; CKD4 = 489.16 ± 154.16 pg/ml; CKD5 = 721.19 ± 291.69 pg/ml) and was not influenced by hemodialysis (CKD5D = 697.97 ± 265.91 pg/ml). Renal transplantation reduced plasma Aβ (332.57 ± 162.82 pg/ml), whereas kidney donation increased it (251.51 ± 34.34 pg/ml). Gel electrophoresis confirmed stage-dependent elevation namely of Aβ1-40, the most abundant Aβ peptide. In a multivariable regression including age, sex, estimated glomerular filtration rate (eGFR), potassium, hemoglobin, urine urea, and urine total protein, the factors eGFR (β = -0.42, p < 0.001), hemoglobin (β = -0.17, p = 0.020), and urine protein (β = 0.26, p = 0.008) were associated with plasma Aβ. In a regression including age, sex, eGFR, potassium, hemoglobin and the vascular risk factors systolic blood pressure, smoking, LDL, HDL, HbA1c, body mass index, brain-derived natriuretic peptide and fibrinogen, the factors eGFR (β = -0.53, p < 0.001), body mass index (β = -0.17, p = 0.022), and fibrinogen (β = 0.18, p = 0.024) were associated with plasma Aβ. Our results demonstrate a stage-dependent plasma Aβ increase that is augmented by loss of glomerulotubular integrity, low body weight, and inflammation, demonstrating a multifaceted role of renal dysfunction in Aβ retention.

Indexed as

AgedAmyloid beta-PeptidesCase-Control StudiesCohort StudiesFemaleHumansKidneyMaleMiddle AgedRenal Insufficiency, ChronicRisk FactorsTissue DonorsAmyloid beta-PeptidesAlzheimer’s diseaseChronic kidney diseaseNeurovascular hypothesisPeripheral sink hypothesisPlasma β-amyloidVascular risk factor

Identifiers

PMID26019016
OpenAlexW403438432

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.