Evidence map›Paper›PMID 27301376›Full record

ArticleArthritis research & therapy2016

Nuclear factor erythroid 2-related factor 2 is a critical target for the treatment of glucocorticoid-resistant lupus nephritis.

Shin Ebihara, Hideaki Tajima, Masao Ono

Open access · goldAbstract read
In one paragraph

Article in Arthritis research & therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.7field-weighted citation impact, top 11% 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

21 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. NRF2 Dysregulation and Therapeutic Insights Across Chronic Kidney Diseases.International journal of molecular sciences · 2025
    Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Heme Oxygenase 1: A Defensive Mediator in Kidney Diseases.International journal of molecular sciences · 2021
    Review
  14. Review
  15. Protective Role of Nrf2 in Renal Disease.Antioxidants (Basel, Switzerland) · 2020
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Dysregulated heme oxygenase-1Arthritis research & therapy · 2018
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Shin EbiharaDepartment of Pathology, Tohoku University Graduate School of Medicine, 2-1 Seiryo, Aoba, Sendai, Miyagi, 980-8575, Japan. ebihara@med.tohoku.ac.jp.
Hideaki TajimaDepartment of Clinical laboratory, National Hospital Organization Mito Medical Center, 280 Sakuranosato, Ibaraki, higashi-ibaraki, Ibaraki, 311-3193, Japan.
Masao OnoDepartment of Clinical laboratory, National Hospital Organization Mito Medical Center, 280 Sakuranosato, Ibaraki, higashi-ibaraki, Ibaraki, 311-3193, Japan.
National Hospital Organization Mito Medical Center · JPTohoku University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDimethyl fumarate (DMF), a nuclear factor erythroid 2-related factor 2 (Nrf2) activator, has been proven effective for the systemic treatment of multiple sclerosis. The aim of this study is to evaluate the anti-inflammatory effects of Nrf2 activators on human renal mesangial cells (HRMCs) and the development of lupus nephritis (LN) in mice.

methodsTo assess Nrf2 activation in vitro, HRMCs were treated with safe doses of Nrf2 activators and prednisolone. The expression levels of Nrf2 and its target genes were measured using quantitative reverse transcription PCR and enzyme-linked immunosorbent assay. The anti-inflammatory effects of these compounds were assessed by measuring tumor necrosis factor alpha-induced cytokine secretion. Experimental LN was induced in female BALB/c mice by a single intraperitoneal injection of pristane. The urine albumin-to-creatinine ratio was measured at 20 weeks after injection. Pathological changes as well as protein and mRNA expression levels were assessed in the kidney obtained at the experimental end point. Oral administration of DMF or prednisolone to these mice was initiated after pristane injection.

resultsNrf2 activators such as sulforaphane and DMF showed anti-inflammatory effects in HRMCs, whereas glucocorticoid (prednisolone) showed partial effects. Moreover, DMF ameliorated the development of kidney diseases in pristane-induced LN mice, whereas glucocorticoid had no effect.

conclusionsNrf2 activators showed stronger anti-inflammatory and organ-protective effects than glucocorticoid in the kidney. Thus, Nrf2 activators are potential therapeutic targets in glucocorticoid-resistant LN in humans.

Indexed as

AnimalsAnti-Inflammatory AgentsDimethyl FumarateDisease Models, AnimalDrug ResistanceEnzyme-Linked Immunosorbent AssayFemaleFlow CytometryGlucocorticoidsHumansIsothiocyanatesLupus NephritisMesangial CellsMiceMice, Inbred BALB CNF-E2-Related Factor 2Anti-Inflammatory AgentsDimethyl FumarateGlucocorticoidsIsothiocyanatesNF-E2-Related Factor 2PrednisolonesulforaphaneSulfoxidesDimethyl fumarateGlucocorticoid resistanceLupus nephritisMesangial cellNrf2Pristane

Identifiers

PMID27301376
PMCPMC4908698
OpenAlexW2435646064

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.