Evidence map›Paper›PMID 26061548›Full record

ArticleKidney international2015

Macrophage-derived tumor necrosis factor-α mediates diabetic renal injury.

Alaa S Awad, Hanning You, Ting Gao, Timothy K Cooper, Sergei A Nedospasov, Jean Vacher, Patrick F Wilkinson, Francis X Farrell, W Brian Reeves

Open access · bronzeAbstract read
In one paragraph

Article in Kidney international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 117 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
117citing papers in PubMed, 2 pooled it
8.4field-weighted citation impact, top 2% 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

117 citing papers in PubMed, 2 syntheses or guidelines pooled it, 190 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Dysregulated Bone Marrow Contributes to Glomerular Injury through Soluble Factors.Journal of the American Society of Nephrology : JASN · 2026
    Article
  5. Inflammation and Diabetic Kidney Disease.International journal of molecular sciences · 2026
    Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Mechanisms underlying atrial fibrillation in chronic kidney disease.Journal of molecular and cellular cardiology · 2025
    Review
  11. Article
  12. Review
  13. Review
  14. Review
  15. Role of miRNAs in macrophage-mediated kidney injury.Pediatric nephrology (Berlin, Germany) · 2024
    Review
  16. Article
  17. Review
  18. Esm-1 mediates transcriptional polarization associated with diabetic kidney disease.American journal of physiology. Renal physiology · 2024
    Article
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

Alaa S AwadDepartment of Medicine, Penn State University College of Medicine, Hershey, Pennsylvania, USA.
Hanning YouDepartment of Medicine, Penn State University College of Medicine, Hershey, Pennsylvania, USA.
Ting GaoDepartment of Medicine, Penn State University College of Medicine, Hershey, Pennsylvania, USA.
Timothy K CooperDepartment of Comparative Medicine, Penn State University College of Medicine, Hershey, Pennsylvania, USA.
Sergei A NedospasovEngelhardt Institute of Molecular Biology and Lomonosov Moscow State University, Moscow, Russia.
Jean VacherClinical Research Institute of Montreal, Départment de Médecine, Université de Montréal, Montreal, Quebec, Canada.
Patrick F WilkinsonDepartment of Immunology Research, Janssen R&D, Spring House, Pennsylvania, USA.
Francis X FarrellDepartment of Immunology Research, Janssen R&D, Spring House, Pennsylvania, USA.
W Brian ReevesDepartment of Medicine, Penn State University College of Medicine, Hershey, Pennsylvania, USA.
Penn State Milton S. Hershey Medical Center · USJanssen (United States) · USEngelhardt Institute of Molecular Biology · RUMontreal Clinical Research Institute · CA

Funding

Epithelial/Dendritic Cell Cross-Talk in Acute Kidney InjuryR01DK081876 · NIDDK · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI REEVES, WILLIAM BRIAN · 2009 to 2015
$2.4M
Role of Arginase in Diabetic NephropathyR01DK094930 · NIDDK · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI AWAD, ALAA S · 2012 to 2016
$1.9M
SIGNAL TRANSDUCTION--HEPATIC SINUSOIDAL XANTHINE OXIDASEF32DK009493 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI BASS, KIRSTEN N · 1996 to 1997
–
NIDDK NIH HHS DK081876NIDDK NIH HHS DK094930NIDDK NIH HHS DK094930S1NIDDK NIH HHS R01 DK081876NIDDK NIH HHS R01 DK094930
6 · The paper itself

Abstract

Monocyte/macrophage recruitment correlates strongly with the progression of diabetic nephropathy. Tumor necrosis factor-α (TNF-α) is produced by monocytes/macrophages but the direct role of TNF-α and/or macrophage-derived TNF-α in the progression of diabetic nephropathy remains unclear. Here we tested whether inhibition of TNF-α confers kidney protection in diabetic nephropathy via a macrophage-derived TNF-α-dependent pathway. Compared to vehicle-treated mice, blockade of TNF-α with a murine anti-TNF-α antibody conferred kidney protection in Ins2(Akita) mice as indicated by reductions in albuminuria, plasma creatinine, histopathologic changes, kidney macrophage recruitment, and plasma inflammatory cytokine levels at 18 weeks of age. To assess the direct role of macrophage-derived TNF-α in diabetic nephropathy, we generated macrophage-specific TNF-α-deficient mice (CD11b(Cre)/TNF-α(Flox/Flox)). Conditional ablation of TNF-α in macrophages significantly reduced albuminuria, the increase in plasma creatinine and blood urea nitrogen, histopathologic changes, and kidney macrophage recruitment compared to diabetic TNF-α(Flox/Flox) control mice after 12 weeks of streptozotocin-induced diabetes. Thus, production of TNF-α by macrophages plays a major role in diabetic renal injury. Hence, blocking TNF-α could be a novel therapeutic approach for treatment of diabetic nephropathy.

Indexed as

AlbuminuriaAnimalsAntibodies, NeutralizingBiomarkersBlood Urea NitrogenCD11b AntigenChemotaxisCreatinineDiabetes Mellitus, ExperimentalDiabetic NephropathiesGenetic Predisposition to DiseaseInflammation MediatorsKidneyMacrophages, PeritonealMaleMice, Inbred C57BLAntibodies, NeutralizingBiomarkersCD11b AntigenCreatinineInflammation MediatorsReceptors, Tumor Necrosis Factor, Type IReceptors, Tumor Necrosis Factor, Type IITnfrsf1a protein, mouseTumor Necrosis Factor-alpha

Identifiers

PMID26061548
PMCPMC4589442
OpenAlexW2216845378

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.