Evidence map›Paper›PMID 26538634›Full record

ReviewJournal of the American Society of Nephrology : JASN2015

Bridging Translation by Improving Preclinical Study Design in AKI.

Mark de Caestecker, Ben D Humphreys, Kathleen D Liu, William H Fissell, Jorge Cerda, Thomas D Nolin, David Askenazi, Girish Mour, Frank E Harrell, Nick Pullen and 3 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of the American Society of Nephrology : JASN, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 2 pooled it
7.4field-weighted citation impact, top 2% 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

60 citing papers in PubMed, 2 syntheses or guidelines pooled it, 97 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Nanotherapeutics in Kidney Disease: Innovations, Challenges, and Future Directions.Journal of the American Society of Nephrology : JASN · 2025
    Review
  6. Review
  7. Assessment of Acute Kidney Injury using MRI.Journal of magnetic resonance imaging : JMRI · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Single-cell RNA sequencing and kidney organoid differentiation.Clinical and experimental nephrology · 2023
    Review
  13. Article
  14. Review
  15. Metabolic mechanisms of acute proximal tubular injury.Pflugers Archiv : European journal of physiology · 2022
    Review
  16. Review
  17. Review
  18. Review
  19. Human reconstructed kidney models.In vitro cellular & developmental biology. Animal · 2021
    Review
  20. MicroRNA in Human Acute Kidney Injury: A Systematic Review Protocol.Canadian journal of kidney health and disease · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 9 institutions in 1 country.

Mark de CaesteckerDivision of Nephology and Hypertension, Vanderbilt University Medical Center, Nashville, Tennessee; mark.de.caestecker@vanderbilt.edu sarah.faubel@ucdenver.edu.
Ben D HumphreysDivision of Renal Diseases, Washington University School of Medicine, St. Louis, Missouri;
Kathleen D LiuDivision of Nephrology, Department of Medicine, University of California, San Francisco, California;
William H FissellDivision of Nephology and Hypertension, Vanderbilt University Medical Center, Nashville, Tennessee;
Jorge CerdaDivision of Nephrology and Hypertension, Albany Medical College, Albany, New York;
Thomas D NolinRenal-Electrolyte Division, Department of Medicine and Center for Critical Care Nephrology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania;
David AskenaziDepartment of Pediatrics, Division of Nephrology, University of Alabama, Birmingham, Alabama;
Girish MourRenal-Electrolyte Division, Department of Medicine and Center for Critical Care Nephrology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania;
Frank E HarrellDepartment of Biostatistics, Vanderbilt University School of Medicine, Nashville, Tennessee;
Nick PullenPfizer Global Research and Development, Inflammation & Immunology Research Unit, Cambridge, Massachusetts;
Mark D OkusaDivision of Nephrology, Department of Medicine, University of California, San Francisco, California; Division of Nephrology, Department of Medicine, University of California, San Francisco, California;
Sarah FaubelRenal Division, University of Colorado Denver and Denver Veterans Affairs Medical Center, Aurora, Colorado mark.de.caestecker@vanderbilt.edu sarah.faubel@ucdenver.edu.
ASN AKI Advisory Group
University of California, San Francisco · USUniversity of Pittsburgh · USVanderbilt University Medical Center · USAlbany Medical Center Hospital · USPediatric Nephrology of Alabama · USPfizer (United States) · USUniversity of Colorado Denver · USVanderbilt University · USWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite extensive research, no therapeutic interventions have been shown to prevent AKI, accelerate recovery of AKI, or reduce progression of AKI to CKD in patients. This failure in translation has led investigators to speculate that the animal models being used do not predict therapeutic responses in humans. Although this issue continues to be debated, an important concern that has not been addressed is whether improvements in preclinical study design can be identified that might also increase the likelihood of translating basic AKI research into clinical practice using the current models. In this review, we have taken an evidence-based approach to identify common weaknesses in study design and reporting in preclinical AKI research that may contribute to the poor translatability of the findings. We focused on use of N-acetylcysteine or sodium bicarbonate for the prevention of contrast-induced AKI and use of erythropoietin for the prevention of AKI, two therapeutic approaches that have been extensively studied in clinical trials. On the basis of our findings, we identified five areas for improvement in preclinical study design and reporting. These suggested and preliminary guidelines may help improve the quality of preclinical research for AKI drug development.

Indexed as

AcetylcysteineAcute Kidney InjuryAnimalsContrast MediaDisease Models, AnimalErythropoietinFree Radical ScavengersHumansResearch DesignSodium BicarbonateTranslational Research, BiomedicalAcetylcysteineContrast MediaErythropoietinFree Radical ScavengersSodium Bicarbonateacute kidney injurypreclinical researchreproducibility

Identifiers

PMID26538634
PMCPMC4657852
OpenAlexW2195071417

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.