Evidence map›Paper›PMID 26185049›Full record

ArticleNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2015

Heterogeneous susceptibility for uraemic media calcification and concomitant inflammation within the arterial tree.

Alexander H Kirsch, Andrijana Kirsch, Katharina Artinger, Corinna Schabhüttl, Walter Goessler, Ingeborg Klymiuk, Christian Gülly, Gerald A Fritz, Saša Frank, Roxana Wimmer and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

12 citing papers in PubMed, 24 citations in OpenAlex.

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  8. Functional and structural changes in aorta of mice divergently selected for basal metabolic rate.Journal of comparative physiology. B, Biochemical, systemic, and environmental physiology · 2020
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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

16 authors at 4 institutions in 3 countries.

Alexander H KirschDepartment of Internal Medicine, Clinical Division of Nephrology, Medical University of Graz, Graz, Austria.
Andrijana KirschCenter of Molecular Medicine, Institute of Molecular Biology and Biochemistry, Medical University of Graz, Graz, Austria.
Katharina ArtingerDepartment of Internal Medicine, Clinical Division of Nephrology, Medical University of Graz, Graz, Austria.
Corinna SchabhüttlDepartment of Internal Medicine, Division of Angiology, Medical University of Graz, Graz, Austria.
Walter GoesslerInstitute of Chemistry-Analytical Chemistry, Karl-Franzens University of Graz, Graz, Austria.
Ingeborg KlymiukCenter for Medical Research, Core Facility Molecular Biology, Medical University of Graz, Graz, Austria.
Christian GüllyCenter for Medical Research, Core Facility Molecular Biology, Medical University of Graz, Graz, Austria.
Gerald A FritzDepartment of Radiology, Medical University of Graz, Graz, Austria.
Saša FrankCenter of Molecular Medicine, Institute of Molecular Biology and Biochemistry, Medical University of Graz, Graz, Austria.
Roxana WimmerDepartment of Internal Medicine, Clinical Division of Nephrology, Medical University of Graz, Graz, Austria.
Marianne BrodmannDepartment of Internal Medicine, Division of Angiology, Medical University of Graz, Graz, Austria.
Hans-Joachim AndersRenal Division, Medizinische Klinik und Poliklinik IV, Klinikum der Universität München-Innenstadt, Munich, Germany.
Peter P PramstallerCenter for Biomedicine, European Academy of Bolzano/Bozen, Bozen, Italy.
Alexander R RosenkranzDepartment of Internal Medicine, Clinical Division of Nephrology, Medical University of Graz, Graz, Austria.
Kathrin EllerDepartment of Internal Medicine, Clinical Division of Nephrology, Medical University of Graz, Graz, Austria.
Philipp EllerDepartment of Internal Medicine, Division of Angiology, Medical University of Graz, Graz, Austria Department of Internal Medicine, Intensive Care Unit, Medical University of Graz, Graz, Austria.
Medical University of Graz · ATEurac Research · ITLMU Klinikum · DEUniversity of Graz · AT

Funding

Austrian Science Fund FWF P 27537
6 · The paper itself

Abstract

backgroundEnd-stage renal disease (ESRD) is strongly associated with arterial calcification of the tunica media, decreased vascular compliance and sudden cardiac death. Here, we analysed the distribution pattern of uraemic media calcification and concomitant inflammation in mice and men.

methodsUraemia was induced in DBA/2 mice with high-phosphate diet. Subsequently, we analysed arterial medial calcification using histology, mass spectrometry, and wire myography. Gene expression was quantified using a whole transcriptome array and quantitative PCR. In a cohort of 36 consecutive patients with CKD stage 4-5, we measured the calcium score of the coronary arteries, the ascending thoracic aorta and the infrarenal abdominal aorta using computed tomography scans.

resultsUraemic DBA/2 mice showed only minor calcifications in thoracic aortas, whereas there was overt media calcification in abdominal aortas. The transcriptional profile and immunohistochemistry revealed induction of Vcam1 expression by vascular smooth muscle cells in uraemic abdominal aortas. Macrophages infiltrated the tunica media of the abdominal aorta. Anti-inflammatory treatment did not improve uraemic media calcification in our animal model. Arterial calcifications in ESRD patients showed a similar distribution pattern in computed tomography scans, with higher calcium scores of the abdominal aorta when compared with the thoracic aorta.

conclusionTaken together, there was a similar heterogeneous pattern of calcification in both mice and humans, where the abdominal aorta was more prone to media calcification when compared with the thoracic aorta. In uraemia, smooth muscle cells of the abdominal aorta showed a phenotypic switch to an inflammatory and osteoblastic phenotype.

Indexed as

AnimalsAorta, ThoracicCalciumDisease Models, AnimalDisease SusceptibilityFemaleHumansInflammationKidney Failure, ChronicMaleMiceMice, Inbred DBAMiddle AgedMuscle, Smooth, VascularRetrospective StudiesTomography, X-Ray ComputedCalciumatherosclerosiscoronary calcificationESRDinflammationvascular calcification

Identifiers

PMID26185049
PMCPMC4656037
OpenAlexW2137465087

What OpenQuestion holds

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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.