Evidence map›Paper›PMID 26672617›Full record

ArticleAmerican journal of physiology. Renal physiology2016

A new model of an arteriovenous fistula in chronic kidney disease in the mouse: beneficial effects of upregulated heme oxygenase-1.

Lu Kang, Joseph P Grande, Matthew L Hillestad, Anthony J Croatt, Michael A Barry, Zvonimir S Katusic, Karl A Nath

Open access · greenAbstract readEvaluation Study
In one paragraph

Article in American journal of physiology. Renal physiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
6.4field-weighted citation impact, top 3% 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

27 citing papers in PubMed, 36 citations in OpenAlex.

  1. Review
  2. A Vein Attempt? Experimental Models for Arteriovenous Fistula Research.Cardiovascular engineering and technology · 2026
    Review
  3. Article
  4. Article
  5. The rodent models of arteriovenous fistula.Frontiers in cardiovascular medicine · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Antithrombotic effects of heme-degrading and heme-binding proteins.American journal of physiology. Heart and circulatory physiology · 2020
    Article
  18. Review
  19. Article
  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

7 authors at 3 institutions in 1 country.

Lu KangDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota;
Joseph P GrandeDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota;
Matthew L HillestadDivision of Cardiovascular Disease, Mayo Clinic, Rochester, Minnesota;
Anthony J CroattDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota;
Michael A BarryDivision of Infectious Diseases, Mayo Clinic, Rochester, Minnesota; and.
Zvonimir S KatusicDepartments of Anesthesiology and Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic, Rochester, Minnesota.
Karl A NathDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota; nath.karl@mayo.edu.
Mayo Clinic · USMayo Clinic in Florida · USWinnMed · US

Funding

Renal Injury and Adaptation to Heme ProteinsR37DK047060 · NIDDK · MAYO CLINIC ROCHESTER · PI NATH, KARL A. · 2002 to 2011
$3.6M
Mechanism of Dialysis Arteriovenous Fistula DysfunctionR01DK070124 · NIDDK · MAYO CLINIC ROCHESTER · PI NATH, KARL A. · 2005 to 2015
$3.4M
RENAL INJURY AND ADAPTATION TO HEME PROTEINSR01DK047060 · NIDDK · UNIVERSITY OF MINNESOTA TWIN CITIES · PI NATH, KARL A. · 1993 to 2018
$2.2M
NIDDK NIH HHS DK-47060NIDDK NIH HHS DK-70124NIDDK NIH HHS R01 DK047060NIDDK NIH HHS R01 DK070124
6 · The paper itself

Abstract

The arteriovenous fistula (AVF) is the preferred hemodialysis vascular access, but it is complicated by high failure rates and attendant morbidity. This study provides the first description of a murine AVF model that recapitulates two salient features of hemodialysis AVFs, namely, anastomosis of end-vein to side-artery to create the AVF and the presence of chronic kidney disease (CKD). CKD reduced AVF blood flow, observed as early as 3 days after AVF creation, and increased neointimal hyperplasia, venous wall thickness, thrombus formation, and vasculopathic gene expression in the AVF. These adverse effects of CKD could not be ascribed to preexisting alterations in blood pressure or vascular reactivity in this CKD model. In addition to vasculopathic genes, CKD induced potentially vasoprotective genes in the AVF such as heme oxygenase-1 (HO-1) and HO-2. To determine whether prior HO-1 upregulation may protect in this model, we upregulated HO-1 by adeno-associated viral gene delivery, achieving marked venous induction of the HO-1 protein and HO activity. Such HO-1 upregulation improved AVF blood flow and decreased venous wall thickness in the AVF. Finally, we demonstrate that the administration of carbon monoxide, a product of HO, acutely increased AVF blood flow. This study thus demonstrates: 1) the feasibility of a clinically relevant murine AVF model created in the presence of CKD and involving an end-vein to side-artery anastomosis; 2) the exacerbatory effect of CKD on clinically relevant features of this model; and 3) the beneficial effects in this model conferred by HO-1 upregulation by adeno-associated viral gene delivery.

Indexed as

Arteriovenous Shunt, SurgicalGenetic TherapyAnemia, HemolyticAnimalsDependovirusFeasibility StudiesGrowth DisordersHeme Oxygenase-1Iron Metabolism DisordersMaleMice, Inbred C57BLModels, AnimalOrganometallic CompoundsPostoperative ComplicationsUp-RegulationHeme Oxygenase-1Organometallic Compoundstricarbonylchloro(glycinato)ruthenium(II)arteriovenous fistulachronic kidney diseaseheme oxygenase-1murine model

Identifiers

PMID26672617
PMCPMC4796269
OpenAlexW2264968477

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.