Evidence map›Paper›PMID 26475848›Full record

ArticlePeritoneal dialysis international : journal of the International Society for Peritoneal Dialysis

Biocompatible Dialysis Solutions Preserve Peritoneal Mesothelial Cell and Vessel Wall Integrity. A Case-Control Study on Human Biopsies.

Gloria del Peso, José Antonio Jiménez-Heffernan, Rafael Selgas, César Remón, Marta Ossorio, Antonio Fernández-Perpén, José Antonio Sánchez-Tomero, Antonio Cirugeda, Erika de Sousa, Pilar Sandoval and 3 more

Open access · bronzeAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

23 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Proteomic Research in Peritoneal Dialysis.International journal of molecular sciences · 2020
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Complement Activation in Peritoneal Dialysis-Induced Arteriolopathy.Journal of the American Society of Nephrology : JASN · 2018
    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

13 authors at 6 institutions in 1 country.

Gloria del PesoServicio de Nefrología, Instituto de Investigación (IdiPAZ), Hospital Universitario La Paz, Madrid, Spain gloria.delpeso@salud.madrid.org.
José Antonio Jiménez-HeffernanServicio de Anatomía Patológica, Instituto de Investigación Sanitaria (IIS-IP), Hospital Universitario La Princesa, Madrid, Spain.
Rafael SelgasServicio de Nefrología, Instituto de Investigación (IdiPAZ), Hospital Universitario La Paz, Madrid, Spain.
César RemónServicio de Nefrología Hospital Puerto Real, Cádiz, Spain.
Marta OssorioServicio de Nefrología, Instituto de Investigación (IdiPAZ), Hospital Universitario La Paz, Madrid, Spain.
Antonio Fernández-PerpénServicio de Nefrología, Instituto de Investigación Sanitaria (IIS-IP), Hospital Universitario La Princesa, Madrid, Spain.
José Antonio Sánchez-TomeroServicio de Nefrología, Instituto de Investigación Sanitaria (IIS-IP), Hospital Universitario La Princesa, Madrid, Spain.
Antonio CirugedaServicio de Nefrología, Hospital Infanta Sofía, Madrid, Spain.
Erika de SousaServicio de Nefrología, Instituto de Investigación (IdiPAZ), Hospital Universitario La Paz, Madrid, Spain.
Pilar SandovalCentro de Biología Molecular Severo Ochoa, CSIC-UAM, Madrid, Spain.
Raquel DíazServicio de Nefrología, Instituto de Investigación (IdiPAZ), Hospital Universitario La Paz, Madrid, Spain.
Manuel López-CabreraCentro de Biología Molecular Severo Ochoa, CSIC-UAM, Madrid, Spain.
María Auxiliadora BajoServicio de Nefrología, Instituto de Investigación (IdiPAZ), Hospital Universitario La Paz, Madrid, Spain.
Hospital Universitario La Paz · ESHospital Universitario de La Princesa · ESCentro de Biología Molecular Severo Ochoa · ESHospital Universitario Infanta Sofía · ESHospital Universitario Puerto Real · ESUniversidad Autónoma de Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelled♦

introductionChronic exposure to conventional peritoneal dialysis (PD) solutions has been related to peritoneal function alterations in PD patients, and associated with mesothelial cell loss, submesothelial fibrosis, vasculopathy, and angiogenesis. In vitro and ex vivo analyses, as well as studies with animal models, have demonstrated that biocompatible PD solutions attenuate these morphological alterations. Our aim was to confirm the morphological benefits of biocompatible solutions in PD patients. ♦

methodsWe analyzed biopsies from 23 patients treated with biocompatible solutions (study group, SG), and compared them with a control group (n = 23) treated with conventional solutions (CG), matched for time on PD. ♦

resultsA total of 56.5% of SG patients showed total or partial preservation of mesothelial cells monolayer, in contrast with 26.1% of patients in CG (p = 0.036). Peritoneal fibrosis was not significantly less frequent in SG patients (47.8% SG vs 69.6% CG; p = 0.13). In patients without previous peritonitis, a significantly lower prevalence of fibrosis was present in SG patients (41.7% SG vs 77.8% CG; p = 0.04). Hyalinizing vasculopathy (HV) was significantly lower in SG (4.3% SG vs 30.4% CG; p = 0.02). Cytokeratin-positive fibroblast-like cells were detected in 10 patients (22%), but the prevalence was not significantly lower in SG. In the univariate regression analysis, the use of biocompatible solutions was associated with mesothelial monolayer integrity (p = 0.04) and an absence of vasculopathy (p = 0.04). ♦

conclusionThe present study demonstrates in vivo in human biopsies that biocompatible solutions are better tolerated by the peritoneum in the medium and long term than conventional solutions.

Indexed as

Peritoneal DialysisAdultBiocompatible MaterialsBiopsyBlood VesselsCase-Control StudiesDialysis SolutionsEpithelial CellsEpithelial-Mesenchymal TransitionFemaleHumansKeratinsLogistic ModelsMaleMiddle AgedPeritoneumBiocompatible MaterialsDialysis SolutionsKeratinsbiocompatible dialysis solutionshyalinizing vasculopathymesothelial cell integrityPeritoneal biopsysubmesothelial fibrosis

Identifiers

PMID26475848
PMCPMC4803356
OpenAlexW2189833388

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.