Evidence map›Paper›PMID 26258413›Full record

ArticleThe Journal of clinical investigation2015

Restoration of Na+/H+ exchanger NHE3-containing macrocomplexes ameliorates diabetes-associated fluid loss.

Peijian He, Luqing Zhao, Lixin Zhu, Edward J Weinman, Roberto De Giorgio, Michael Koval, Shanthi Srinivasan, C Chris Yun

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 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.8field-weighted citation impact, top 7% 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

31 citing papers in PubMed, 48 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Regulation of the intestinal NaAmerican journal of physiology. Cell physiology · 2024
    Article
  8. Article
  9. Review
  10. Inhibition of protein kinase C-α and activation of ezrin byAmerican journal of physiology. Endocrinology and metabolism · 2023
    Article
  11. Empagliflozin and Renal Sodium-Hydrogen Exchange in Healthy Subjects.The Journal of clinical endocrinology and metabolism · 2023
    Article
  12. Article
  13. Article
  14. Review
  15. Metformin Inhibits NaFrontiers in physiology · 2022
    Article
  16. Review
  17. Article
  18. Article
  19. 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

8 authors at 4 institutions in 3 countries.

Peijian He
Luqing Zhao
Lixin Zhu
Edward J Weinman
Roberto De Giorgio
Michael Koval
Shanthi Srinivasan
C Chris Yun
Emory University · USIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITUniversity at Buffalo, State University of New York · USUniversity of Maryland, Baltimore · US

Funding

Mechanism of Enteric NeuropathyR01DK080684 · NIDDK · EMORY UNIVERSITY · PI Shanthi K Srinivasan · 2009 to 2026
$6.1M
Emory Epithelial Pathobiology Research Development CenterR24DK064399 · NIDDK · EMORY UNIVERSITY · PI PARKOS, CHARLES A · 2003 to 2012
$5.3M
Regulation of NHE3 by glucocorticoids, SGK1 and NHERF2R01DK061418 · NIDDK · EMORY UNIVERSITY · PI YUN, CHANGHYON CHRIS · 2003 to 2015
$4.0M
Role of GDNF in the regulation of pancreatic beta cell massI01BX000136 · VA · VETERANS HEALTH ADMINISTRATION · PI Shanthi K Srinivasan · 2009 to 2026
–
Regulation of intestinal homeostasis and epithelial barrier by LPAI01BX002540 · VA · VETERANS HEALTH ADMINISTRATION · PI YUN, CHANGHYON CHRIS · 2015 to 2018
–
BLRD VA I01 BX000136BLRD VA I01 BX002540NIDDK NIH HHS DK061418NIDDK NIH HHS DK080684NIDDK NIH HHS R01 DK061418NIDDK NIH HHS R01 DK080684NIDDK NIH HHS R24 DK064399NIDDK NIH HHS R24DK064399
6 · The paper itself

Abstract

Diarrhea is one of the troublesome complications of diabetes, and the underlying causes of this problem are complex. Here, we investigated whether altered electrolyte transport contributes to diabetic diarrhea. We found that the expression of Na+/H+ exchanger NHE3 and several scaffold proteins, including NHE3 regulatory factors (NHERFs), inositol trisphosphate (IP₃) receptor-binding protein released with IP₃ (IRBIT), and ezrin, was decreased in the intestinal brush border membrane (BBM) of mice with streptozotocin-induced diabetes. Treatment of diabetic mice with insulin restored intestinal NHE3 activity and fluid absorption. Molecular analysis revealed that NHE3, NHERF1, IRBIT, and ezrin form macrocomplexes, which are perturbed under diabetic conditions, and insulin administration reconstituted these macrocomplexes and restored NHE3 expression in the BBM. Silencing of NHERF1 or IRBIT prevented NHE3 trafficking to the BBM and insulin-dependent NHE3 activation. IRBIT facilitated the interaction of NHE3 with NHERF1 via protein kinase D2-dependent phosphorylation. Insulin stimulated ezrin phosphorylation, which enhanced the interaction of ezrin with NHERF1, IRBIT, and NHE3. Additionally, oral administration of lysophosphatidic acid (LPA) increased NHE3 activity and fluid absorption in diabetic mice via an insulin-independent pathway. Together, these findings indicate the importance of NHE3 in diabetic diarrhea and suggest LPA administration as a potential therapeutic strategy for management of diabetic diarrhea.

Indexed as

AdenosylhomocysteinaseAnimalsCaco-2 CellsDiabetes ComplicationsDiabetes Mellitus, ExperimentalDiarrheaHumansIntestinal MucosaIntestinesLectins, C-TypeLysophospholipidsMembrane ProteinsMiceMice, KnockoutMicrovilliPhosphoproteinsAdenosylhomocysteinaseCLECL1 protein, humanIRBIT protein, mouseLectins, C-Typelysophosphatidic acidLysophospholipidsMembrane ProteinsPhosphoproteinsSLC9A3 protein, humanSlc9a3 protein, mouseSodium-Hydrogen Exchanger 3sodium-hydrogen exchanger regulatory factorSodium-Hydrogen Exchangers

Identifiers

PMID26258413
PMCPMC4588303
OpenAlexW2159334407

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.