Evidence map›Paper›PMID 26412030›Full record

ArticleJournal of diabetes and its complications

Urine matrix metalloproteinase-7 and risk of kidney disease progression and mortality in type 2 diabetes.

Maryam Afkarian, Leila R Zelnick, John Ruzinski, Bryan Kestenbaum, Jonathan Himmelfarb, Ian H de Boer, Rajnish Mehrotra

Open access · greenAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Journal of diabetes and its complications. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.0field-weighted citation impact, top 26% 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

19 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Urine MMP7 as a kidney injury biomarker.Clinical kidney journal · 2024
    Article
  6. Serum matrix metalloproteinase 7 and accelerated glomerular filtration rate decline in a general non-diabetic population.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2022
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Matrix Metalloproteinases in Diabetic Kidney Disease.Journal of clinical medicine · 2020
    Review
  14. Review
  15. Article
  16. The Promise of Systems Biology for Diabetic Kidney Disease.Advances in chronic kidney disease · 2018
    Review
  17. Review
  18. Urine biomarkers in renal allograft.Journal of translational internal medicine · 2016
    Article
  19. Review
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

7 authors at 1 institution in 1 country.

Maryam AfkarianKidney Research Institute and Division of Nephrology, Department of Medicine, University of Washington, Seattle, WA. Electronic address: afkarian@u.washington.ed.
Leila R ZelnickKidney Research Institute and Division of Nephrology, Department of Medicine, University of Washington, Seattle, WA; Department of Biostatistics, University of Washington.
John RuzinskiKidney Research Institute and Division of Nephrology, Department of Medicine, University of Washington, Seattle, WA.
Bryan KestenbaumKidney Research Institute and Division of Nephrology, Department of Medicine, University of Washington, Seattle, WA.
Jonathan HimmelfarbKidney Research Institute and Division of Nephrology, Department of Medicine, University of Washington, Seattle, WA.
Ian H de BoerKidney Research Institute and Division of Nephrology, Department of Medicine, University of Washington, Seattle, WA.
Rajnish MehrotraKidney Research Institute and Division of Nephrology, Department of Medicine, University of Washington, Seattle, WA.
University of Washington · US

Funding

Randomized trial of vitamin D and omega-3 fatty acids for diabetic kidney diseaseR01DK088762 · NIDDK · UNIVERSITY OF WASHINGTON · PI DE BOER, IAN H · 2010 to 2019
$4.7M
Biological Determinants of Peritoneal Dialysis OutcomesR01DK099165 · NIDDK · UNIVERSITY OF WASHINGTON · PI MEHROTRA, RAJNISH · 2014 to 2018
$3.2M
Insulin Resistance in Chronic Kidney DiseaseR01DK087726 · NIDDK · UNIVERSITY OF WASHINGTON · PI DE BOER, IAN H · 2010 to 2013
$1.9M
Molecular signatures of diabetic kidney diseaseR01DK104706 · NIDDK · UNIVERSITY OF WASHINGTON · PI AFKARIAN, MARYAM · 2015 to 2017
$1.3M
Comparative Effectiveness of Dialysis ModalitiesR01DK095668 · NIDDK · UNIVERSITY OF WASHINGTON · PI KALANTAR-ZADEH, KAMYAR, MEHROTRA, RAJNISH · 2012 to 2014
$1.0M
Identifying urinary biomarkers for early type 2 diabetic nephropathyK23DK089017 · NIDDK · UNIVERSITY OF WASHINGTON · PI AFKARIAN, MARYAM · 2010 to 2014
$745k
NIDDK NIH HHS K23 DK089017NIDDK NIH HHS K23DK089017NIDDK NIH HHS R01 DK087726NIDDK NIH HHS R01DK087726NIDDK NIH HHS R01DK087726-S1NIDDK NIH HHS R01 DK088762NIDDK NIH HHS R01DK088762NIDDK NIH HHS R01 DK095668NIDDK NIH HHS R01 DK099165NIDDK NIH HHS R01 DK104706NIDDK NIH HHS R01DK95668NIDDK NIH HHS R01DK99165
6 · The paper itself

Abstract

aimsThe renin-angiotensin-aldosterone system (RAAS), bone morphogenetic protein (BMP) and WNT pathways are dysregulated in diabetic kidney disease (DKD). Urine excretion of angiotensinogen, gremlin-1 and matrix metalloproteinase-7 (MMP-7), components of the RAAS, BMP and WNT pathways, respectively, is increased in DKD. We asked if this increase is associated with subsequent progression to end-stage renal disease (ESRD) or death.

methodsUsing time-to-event analyses, we examined the association of baseline urine concentration of these proteins with progression to ESRD or death in a predominantly Mexican-American cohort with type 2 diabetes and proteinuric DKD (n=141).

resultsProgression to ESRD occurred for 38 participants over a median follow-up of 3.0years; 39 participants died over a median follow-up of 3.6years. Urine MMP-7 and gremlin-1 were associated with increased risk of ESRD after adjustment for demographic and clinical covariates. Angiotensinogen showed a U-shaped relationship with ESRD, with the middle tertile associated with lowest risk of ESRD. After additional adjustment for glomerular filtration rate and albuminuria, all associations with ESRD lost significance. Only urine MMP-7 was associated with mortality, and this association remained robust in the fully adjusted model with a Hazard ratio of 3.59 (95% confidence interval 1.31 to 9.85) for highest vs. lowest tertile. Serum MMP-7 was not associated with mortality and did not attenuate the association of urine MMP-7 with mortality (HR 4.03 for highest vs. lowest urine MMP-7 tertile).

conclusionsAmong people with type 2 diabetes and proteinuric DKD, urine MMP-7 concentration was strongly associated with subsequent mortality.

Indexed as

Up-RegulationAgedCohort StudiesDiabetes Mellitus, Type 2Diabetic NephropathiesDisease ProgressionFemaleFollow-Up StudiesGlomerular Filtration RateHospitals, PublicHospitals, UrbanHumansKidneyKidney Failure, ChronicLos AngelesMaleMatrix Metalloproteinase 7MMP7 protein, humanAngiotensinogenDiabetic kidney diseaseGremlin-1MMP-7MortalityType 2 diabetes

Identifiers

PMID26412030
PMCPMC5389898
OpenAlexW1275222645

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.