Evidence map›Paper›PMID 27147669›Full record

ReviewAmerican journal of physiology. Renal physiology2016

Pathophysiology of gadolinium-associated systemic fibrosis.

Brent Wagner, Viktor Drel, Yves Gorin

Open access · greenAbstract readReview
In one paragraph

Review 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 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Gadolinium-Based Contrast Agents and the Theater of Safety.Clinical journal of the American Society of Nephrology : CJASN · 2026
    Article
  3. Response to Dr. Do.Magnetic resonance imaging · 2026
    Article
  4. Gadolinium Intermediate Elimination and Persistent Symptoms After Magnetic Resonance Imaging Contrast Agent Exposure.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025
    Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Gadolinium distribution in kidney tissue determined and quantified by micro synchrotron X-ray fluorescence.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2021
    Article
  18. Article
  19. Review
  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

3 authors at 1 institution in 1 country.

Brent WagnerSouth Texas Veterans Health Care System, San Antonio, Texas; and University of Texas Health Science Center at San Antonio, San Antonio, Texas wagnerb@uthscsa.edu.
Viktor DrelUniversity of Texas Health Science Center at San Antonio, San Antonio, Texas.
Yves GorinUniversity of Texas Health Science Center at San Antonio, San Antonio, Texas.
The University of Texas Health Science Center at San Antonio · US

Funding

Institute for Integration of Medicine & Science: A Partnership to Improve HealthUL1TR001120 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CLARK, ROBERT A, HARGREAVES, KENNETH M · 2013 to 2017
$16.5M
Mechanism of eNOS Uncoupling in the Renal MicrovasculatureR01DK079996 · NIDDK · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI GORIN, YVES CLAUDE · 2010 to 2014
$1.5M
Renal Cell Response in DiabetesR01DK078971 · NIDDK · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI ABBOUD, HANNA E · 2008 to 2012
$1.2M
Chemokine Receptors in MRI Contrast-Induced Organ FibrosisR01DK102085 · NIDDK · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI WAGNER, BRENT · 2014 to 2017
$1.2M
Fibrocyte Contribution to Systemic Fibrosis in Chronic Kidney DiseaseI01BX001958 · VA · SOUTH TEXAS VETERANS HEALTH CARE SYSTEM · PI WAGNER, BRENT · 2014 to 2017
–
BLRD VA I01 BX001958NCATS NIH HHS UL1 TR001120NIDDK NIH HHS R01 DK078971NIDDK NIH HHS R01 DK079996NIDDK NIH HHS R01 DK102085
6 · The paper itself

Abstract

Systemic fibrosis from gadolinium-based magnetic resonance imaging contrast is a scourge for the afflicted. Although gadolinium-associated systemic fibrosis is a rare condition, the threat of litigation has vastly altered clinical practice. Most theories concerning the etiology of the fibrosis are grounded in case reports rather than experiment. This has led to the widely accepted conjecture that the relative affinity of certain contrast agents for the gadolinium ion inversely correlates with the risk of succumbing to the disease. How gadolinium-containing contrast agents trigger widespread and site-specific systemic fibrosis and how chronicity is maintained are largely unknown. This review highlights experimentally-derived information from our laboratory and others that pertain to our understanding of the pathophysiology of gadolinium-associated systemic fibrosis.

Indexed as

Contrast MediaFibrosisGadoliniumHumansMagnetic Resonance ImagingContrast MediaGadoliniumfibrosisgadoliniumNADPH oxidasenephrogenic fibrosing dermopathyskin diseases

Identifiers

PMID27147669
PMCPMC4967166
OpenAlexW2345773177

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.