Evidence map›Paper›PMID 27357223›Full record

SynthesisInternational urology and nephrology2016

Molecular mechanisms in lithium-associated renal disease: a systematic review.

Soham Rej, Shamira Pira, Victoria Marshe, André Do, Dominique Elie, Karl J Looper, Nathan Herrmann, Daniel J Müller

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International urology and nephrology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Lithium and Kidney Disease.Mayo Clinic proceedings · 2025
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Genomics of Lithium Action and Response.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2017
    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

8 authors at 4 institutions in 1 country.

Soham RejCampbell Family Research Institute, Centre for Addiction and Mental Health, University of Toronto, Toronto, ON, Canada. soham.rej@mail.mcgill.ca.
Shamira PiraGERI-PARTy Research Group, Department of Psychiatry, Jewish General Hospital, McGill University, Montréal, QC, Canada.
Victoria MarsheCampbell Family Research Institute, Centre for Addiction and Mental Health, University of Toronto, Toronto, ON, Canada.
André DoGERI-PARTy Research Group, Department of Psychiatry, Jewish General Hospital, McGill University, Montréal, QC, Canada.
Dominique ElieGERI-PARTy Research Group, Department of Psychiatry, Jewish General Hospital, McGill University, Montréal, QC, Canada.
Karl J LooperGERI-PARTy Research Group, Department of Psychiatry, Jewish General Hospital, McGill University, Montréal, QC, Canada.
Nathan HerrmannDepartment of Psychiatry, Sunnybrook Health Sciences Centre, University of Toronto, 2075 Bayview Avenue, Toronto, ON, M4N 3M5, Canada.
Daniel J MüllerCampbell Family Research Institute, Centre for Addiction and Mental Health, University of Toronto, Toronto, ON, Canada.
McGill University · CAUniversity of Toronto · CAHealth Sciences Centre · CAJewish General Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLithium is an essential treatment in bipolar disorder and treatment-resistant depression; however, its use has been limited by concerns regarding its renal adverse effects. An improved understanding of potential molecular mechanisms can help develop prevention and treatment strategies for lithium-associated renal disease.

methodsWe conducted a systematic literature search using MEDLINE, Embase, and PsychINFO including English-language original research articles published prior to November 2015 that specifically investigated lithium's effects on nephrogenic diabetes insipidus (NDI) and chronic kidney disease (CKD), using molecular markers.

resultsFrom a total of 3510 records, 71 pre-clinical studies and two relevant clinical studies were identified. Molecular alterations were reported in calcium signaling, inositol monophosphate, extracellular-regulated, prostaglandin, sodium/solute transport, G-protein-coupled receptors, nitric oxide, vasopressin/aquaporin, and inflammation-related pathways in lithium-associated renal disease. The majority of studies found that these mechanisms were implicated in NDI, while few studies had examined CKD. DISCUSSION: Future studies will have to focus on (1) validating the present findings in human subjects and (2) examining CKD, which is the most clinically relevant lithium-associated renal effect. This will improve our understanding of lithium's biological effects, as well as inform a personalized medicine approach, which could lead to safer lithium prescribing and less renal adverse events.

Indexed as

Signal TransductionAnimalsAquaporinsCalciumDiabetes Insipidus, NephrogenicHumansLithiumProstaglandinsReceptors, G-Protein-CoupledRenal Insufficiency, ChronicSodiumSymportersVasopressinsAquaporinsCalciumLithiumProstaglandinsReceptors, G-Protein-CoupledSodiumSymportersVasopressinsChronic kidney diseaseLithiumMolecular mechanismsNephrogenic diabetes insipidusSystematic review

Identifiers

PMID27357223
OpenAlexW2461406167

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.