Evidence map›Paper›PMID 26379248›Full record

ArticlePloS one2015

Two Distinct Isoforms of Matrix Metalloproteinase-2 Are Associated with Human Delayed Kidney Graft Function.

Shaynah Wanga, Carla S Ceron, Cynthia Delgado, Sunil K Joshi, Kimberly Spaulding, Joy P Walker, Sangheon Song, Jean L Olson, David H Lovett

Open access · goldAbstract read
In one paragraph

Article in PloS one, 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
1.9field-weighted citation impact, top 16% 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, 16 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Shaynah WangaDepartment of Medicine, San Francisco Department of Veterans Affairs Medical Center/University of California San Francisco, San Francisco, California, United States of America.
Carla S CeronDepartment of Medicine, San Francisco Department of Veterans Affairs Medical Center/University of California San Francisco, San Francisco, California, United States of America.
Cynthia DelgadoDepartment of Medicine, San Francisco Department of Veterans Affairs Medical Center/University of California San Francisco, San Francisco, California, United States of America.
Sunil K JoshiDepartment of Medicine, San Francisco Department of Veterans Affairs Medical Center/University of California San Francisco, San Francisco, California, United States of America.
Kimberly SpauldingDepartment of Surgery, San Francisco Department of Veterans Affairs Medical Center/University of California San Francisco, San Francisco, California, United States of America.
Joy P WalkerDepartment of Surgery, San Francisco Department of Veterans Affairs Medical Center/University of California San Francisco, San Francisco, California, United States of America.
Sangheon SongDepartment of Medicine, San Francisco Department of Veterans Affairs Medical Center/University of California San Francisco, San Francisco, California, United States of America.
Jean L OlsonDepartment of Pathology, University of California San Francisco, San Francisco, California, United States of America.
David H LovettDepartment of Medicine, San Francisco Department of Veterans Affairs Medical Center/University of California San Francisco, San Francisco, California, United States of America.
San Francisco VA Medical Center · USUniversity of California, San Francisco · US

Funding

Academic Training Program in NephrologyT32DK007219 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HSU, CHI-YUAN · 1986 to 2022
$7.3M
Pathology of Renal Matrix MetabolismR01DK039776 · NIDDK · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI LOVETT, DAVID H · 1987 to 2009
$3.0M
The Effects of Frailty on Chronic Kidney DiseaseIK2CX000527 · VA · VETERANS AFFAIRS MED CTR SAN FRANCISCO · PI DELGADO, CYNTHIA · 2012 to 2016
–
BLRD VA I01 BX000593CSRD VA IK2 CX000527NIDDK NIH HHS DK007219NIDDK NIH HHS R01 DK039776NIDDK NIH HHS R01DK39776NIDDK NIH HHS T32 DK007219
6 · The paper itself

Abstract

Delayed graft function (DGF) is a frequent complication of renal transplantation, particularly in the setting of transplantation of kidneys derived from deceased donors and expanded-criteria donors. DGF results from tubular epithelial cell injury and has immediate and long term consequences. These include requirement for post-transplantation dialysis, increased incidence of acute rejection, and poorer long-term outcomes. DGF represents one of the clearest clinical examples of renal acute ischemia/reperfusion injury. Experimental studies have demonstrated that ischemia/reperfusion injury induces the synthesis of the full length secreted isoform of matrix metalloproteinase-2 (FL-MMP-2), as well as an intracellular N-terminal truncated MMP-2 isoform (NTT-MMP-2) that initiates an innate immune response. We hypothesized that the two MMP-2 isoforms mediate tubular epithelial cell injury in DGF. Archival renal biopsy sections from 10 protocol biopsy controls and 41 cases with a clinical diagnosis of DGF were analyzed for the extent of tubular injury, expression of the FL-MMP-2 and NTT-MMP-2 isoforms by immunohistochemistry (IHC), in situ hybridization, and qPCR to determine isoform abundance. Differences in transcript abundance were related to tubular injury score. Markers of MMP-2-mediated injury included TUNEL staining and assessment of peritubular capillary density. There was a clear relationship between tubular epithelial cell expression of both FL-MMP-2 and NTT-MMP-2 IHC with the extent of tubular injury. The MMP-2 isoforms were detected in the same tubular segments and were present at sites of tubular injury. qPCR demonstrated highly significant increases in both the FL-MMP-2 and NTT-MMP-2 transcripts. Statistical analysis revealed highly significant associations between FL-MMP-2 and NTT-MMP-2 transcript abundance and the extent of tubular injury, with NTT-MMP-2 having the strongest association. We conclude that two distinct MMP-2 isoforms are associated with tubular injury in DGF and offer novel therapeutic targets for the prevention of this disorder.

Indexed as

Kidney TransplantationCapillariesDelayed Graft FunctionEpithelial CellsFemaleGene Expression Regulation, EnzymologicHumansKidney TubulesMaleMatrix Metalloproteinase 2Middle AgedProtein IsoformsRNA, MessengerUp-RegulationMatrix Metalloproteinase 2Protein IsoformsRNA, Messenger

Identifiers

PMID26379248
PMCPMC4574928
OpenAlexW2096358760

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.