Evidence map›Paper›PMID 27026415›Full record

ArticleJournal of nephrology2016

Everolimus-induced epithelial to mesenchymal transition (EMT) in bronchial/pulmonary cells: when the dosage does matter in transplantation.

Paola Tomei, Valentina Masola, Simona Granata, Gloria Bellin, Pierluigi Carratù, Miriam Ficial, Valentina Anna Ventura, Maurizio Onisto, Onofrio Resta, Giovanni Gambaro and 3 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of nephrology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

16 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. When kidneys and lungs suffer together.Journal of nephrology · 2019
    Review
  11. Do drugs that target mTOR generate CCN2-mediated fibrogenic side effects?Journal of cell communication and signaling · 2019
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Targeting the Mammalian Target of Rapamycin in Lung Cancer.The American journal of the medical sciences · 2016
    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

13 authors at 4 institutions in 1 country.

Paola TomeiDepartment of Medicine, Renal Unit, University of Verona, Piazzale A. Stefani 1, 37126, Verona, VR, Italy.
Valentina MasolaDepartment of Medicine, Renal Unit, University of Verona, Piazzale A. Stefani 1, 37126, Verona, VR, Italy.
Simona GranataDepartment of Medicine, Renal Unit, University of Verona, Piazzale A. Stefani 1, 37126, Verona, VR, Italy.
Gloria BellinDepartment of Medicine, Renal Unit, University of Verona, Piazzale A. Stefani 1, 37126, Verona, VR, Italy.
Pierluigi CarratùInstitute of Pulmonary Disease, University of Bari, Bari, Italy.
Miriam FicialDepartment of Pathology and Diagnostic, Anatomic Pathology Section, University of Verona, Verona, Italy.
Valentina Anna VenturaInstitute of Pulmonary Disease, University of Bari, Bari, Italy.
Maurizio OnistoDepartment of Biomedical Sciences, University of Padova, Padua, Italy.
Onofrio RestaInstitute of Pulmonary Disease, University of Bari, Bari, Italy.
Giovanni GambaroDivision of Nephrology and Dialysis, School of Medicine Rome, Columbus-Gemelli Hospital Catholic University, Rome, Italy.
Marco ChilosiDepartment of Pathology and Diagnostic, Anatomic Pathology Section, University of Verona, Verona, Italy.
Antonio LupoDepartment of Medicine, Renal Unit, University of Verona, Piazzale A. Stefani 1, 37126, Verona, VR, Italy.
Gianluigi ZazaDepartment of Medicine, Renal Unit, University of Verona, Piazzale A. Stefani 1, 37126, Verona, VR, Italy. gianluigi.zaza@univr.it.
University of Verona · ITUniversity of Bari Aldo Moro · ITAgostino Gemelli University Polyclinic · ITUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEverolimus (EVE) is a mammalian target of rapamycin inhibitor (mTOR-I) widely used in transplantation that may determine some severe adverse events, including pulmonary fibrosis. The pathogenic mechanism of mTOR-I-associated pulmonary toxicity is still unclear, but epithelial to mesenchymal transition (EMT) of bronchial/pulmonary cells may play a role.

methodsThree cell lines-human type II pneumocyte-derived A549, normal bronchial epithelial, and bronchial epithelial homozygous for the delta F508 cystic fibrosis-causing mutation-were treated with EVE or tacrolimus at different concentrations. Real-time polymerase chain reaction and immunofluorescence were used to evaluate mRNA and protein levels of EMT markers (alpha-SMA, vimentin, fibronectin). Subsequently, in 13 EVE- and 13 tacrolimus-treated patients we compared the rate of lung fibrosis, estimated by an arbitrary pulmonary fibrosis index score (PFIS).

resultsBiomolecular experiments demonstrated that high doses of EVE (100 nM) up-regulated EMT markers in all cell lines at both gene- and protein level. High concentrations of EVE were also able to reduce the mRNA levels of epithelial markers (E-cadherin and ZO-1) and to induce the phosphorylation of AKT. In the in vivo part of the study, PFIS was significantly higher in the EVE-group than the tacrolimus-group (p = 0.03) and correlated with trough levels (R

conclusionsOur data reveal, for the first time, a dose-dependent EVE-induced EMT in airway cells. They suggest that clinicians should employ, wherever possible, low dosages of mTOR-Is in transplant recipients, assessing periodically their pulmonary function.

Indexed as

A549 CellsActinsAdultAgedAlveolar Epithelial CellsBronchiDose-Response Relationship, DrugEpithelial-Mesenchymal TransitionEverolimusFemaleFibronectinsGene Expression RegulationHumansImmunosuppressive AgentsMaleMiddle AgedACTA2 protein, humanActinsEverolimusFibronectinsImmunosuppressive AgentsMTOR protein, humanProtein Kinase InhibitorsProto-Oncogene Proteins c-aktRNA, MessengerTacrolimusTOR Serine-Threonine KinasesVimentinCystic fibrosisEpithelial-mesenchymal transitionEverolimusFibrosisLungmTOR inhibitorPulmonary cells

Identifiers

PMID27026415
OpenAlexW2330622603

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.