Evidence map›Paper›PMID 27214555›Full record

ArticleThe Journal of clinical investigation2016

Paracellular epithelial sodium transport maximizes energy efficiency in the kidney.

Lei Pei, Glenn Solis, Mien T X Nguyen, Nikhil Kamat, Lynn Magenheimer, Min Zhuo, Jiahua Li, Joshua Curry, Alicia A McDonough, Timothy A Fields and 2 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed
6.0field-weighted citation impact, top 4% 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

54 citing papers in PubMed, 99 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Pendrin: linking acid base to blood pressure.Pflugers Archiv : European journal of physiology · 2024
    Review
  8. Claudin-2 upregulation enhances intestinal permeability, immune activation, dysbiosis, and mortality in sepsis.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Claudin-2 Mediates the Proximal Tubular Epithelial Cell-Fibroblast Crosstalk via Paracrine CTGF.Diabetes, metabolic syndrome and obesity : targets and therapy · 2024
    Article
  14. Article
  15. Article
  16. The role of claudins in homeostasis.Nature reviews. Nephrology · 2023
    Review
  17. Article
  18. Article
  19. Review
  20. Potassium homeostasis: sensors, mediators, and targets.Pflugers Archiv : European journal of physiology · 2022
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Lei Pei
Glenn Solis
Mien T X Nguyen
Nikhil Kamat
Lynn Magenheimer
Min Zhuo
Jiahua Li
Joshua Curry
Alicia A McDonough
Timothy A Fields
William J Welch
Alan S L Yu
University of Kansas Medical Center · USGeorgetown University Medical Center · US

Funding

Renal Vascular Oxidative Stress in HypertensionP01HL068686 · NHLBI · GEORGETOWN UNIVERSITY · PI JOSE, PEDRO A., SANDBERG, KATHRYN L · 2001 to 2017
$28.8M
Transgenic and Gener-Targeting CoreP20GM104936 · NIGMS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI SAADI, IRFAN · 2012 to 2016
$10.9M
Sodium transporter regulation during hypertensionR01DK083785 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI AURELIE EDWARDS, Alicia A. McDonough · 2011 to 2026
$5.8M
Expression, function and regulation of renal claudinsR01DK062283 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI YU, ALAN S · 2003 to 2010
$2.7M
OXIDATIVE STRESS AND KIDNEY OXYGEN USAGER01HL089583 · NHLBI · GEORGETOWN UNIVERSITY · PI WELCH, WILLIAM J · 2008 to 2012
$1.9M
NHLBI NIH HHS P01 HL068686NHLBI NIH HHS R01 HL089583NIDDK NIH HHS R01 DK062283NIDDK NIH HHS R01 DK083785NIGMS NIH HHS P20 GM104936
6 · The paper itself

Abstract

Efficient oxygen utilization in the kidney may be supported by paracellular epithelial transport, a form of passive diffusion that is driven by preexisting transepithelial electrochemical gradients. Claudins are tight-junction transmembrane proteins that act as paracellular ion channels in epithelial cells. In the proximal tubule (PT) of the kidney, claudin-2 mediates paracellular sodium reabsorption. Here, we used murine models to investigate the role of claudin-2 in maintaining energy efficiency in the kidney. We found that claudin-2-null mice conserve sodium to the same extent as WT mice, even during profound dietary sodium depletion, as a result of the upregulation of transcellular Na-K-2Cl transport activity in the thick ascending limb of Henle. We hypothesized that shifting sodium transport to transcellular pathways would lead to increased whole-kidney oxygen consumption. Indeed, compared with control animals, oxygen consumption in the kidneys of claudin-2-null mice was markedly increased, resulting in medullary hypoxia. Furthermore, tubular injury in kidneys subjected to bilateral renal ischemia-reperfusion injury was more severe in the absence of claudin-2. Our results indicate that paracellular transport in the PT is required for efficient utilization of oxygen in the service of sodium transport. We speculate that paracellular permeability may have evolved as a general strategy in epithelial tissues to maximize energy efficiency.

Indexed as

Gene Expression RegulationAnimalsClaudin-2DietEpithelial CellsFemaleIon TransportKidneyKidney Tubules, ProximalLoop of HenleMagnesiumMaleMalondialdehydeMiceMice, Inbred C57BLMice, KnockoutClaudin-2MagnesiumMalondialdehydeOxygenSodium

Identifiers

PMID27214555
PMCPMC4922683
OpenAlexW2405371629

What OpenQuestion holds

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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.