Evidence map›Paper›PMID 27534996›Full record

ReviewAmerican journal of physiology. Renal physiology2016

Physiological insights into novel therapies for nephrogenic diabetes insipidus.

Jeff M Sands, Janet D Klein

Registry-linked trialOpen access · bronzeAbstract 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. It is linked to trial NCT06061783 (Correction of Hypernatremia by Intravenous Hypotonic Solution Compared to Enteral Water, Randomized Clinical Trial), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.1field-weighted citation impact, top 13% 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.

NCT06061783 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Correction of Hypernatremia by Intravenous Hypotonic Solution Compared to Enteral Water, Randomized Clinical Trial

TypeinterventionalSponsorHospital Civil de GuadalajaraRan2023 to 2024Enrolled178ConditionsHypernatremiaArmsHypotonic Solution, Water Purified
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 36 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Aquaporins in Diabetes Insipidus.Advances in experimental medicine and biology · 2023
    Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. AMP-Activated Protein Kinase (AMPK)-Dependent Regulation of Renal Transport.International journal of molecular sciences · 2018
    Review
  18. Article
  19. Review
  20. Outside the mainstream: novel collecting duct proteins regulating water balance.American journal of physiology. Renal physiology · 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

2 authors at 1 institution in 1 country.

Jeff M SandsRenal Division, Department of Medicine, and Department of Physiology, Emory University School of Medicine, Atlanta, Georgia jsands@emory.edu.ORCID 0000-0001-9822-0607
Janet D KleinRenal Division, Department of Medicine, and Department of Physiology, Emory University School of Medicine, Atlanta, Georgia.ORCID 0000-0001-6663-1129
Emory University · US

Funding

Regulation of Renal Inner Medullary FunctionR01DK041707 · NIDDK · EMORY UNIVERSITY · PI SANDS, JEFF M · 1996 to 2017
$4.3M
NIDDK NIH HHS R01 DK041707
6 · The paper itself

Abstract

Fundamental kidney physiology research can provide important insight into how the kidney works and suggest novel therapeutic opportunities to treat human diseases. This is especially true for nephrogenic diabetes insipidus (NDI). Over the past decade, studies elucidating the molecular physiology and signaling pathways regulating water transport have suggested novel therapeutic possibilities. In patients with congenital NDI due to mutations in the type 2 vasopressin receptor (V2R) or acquired NDI due to lithium (or other medications), there are no functional abnormalities in the aquaporin-2 (AQP2) water channel, or in another key inner medullary transport protein, the UT-A1 urea transporter. If it is possible to phosphorylate and/or increase the apical membrane accumulation of these proteins, independent of vasopressin or cAMP, one may be able to treat NDI. Sildenifil (through cGMP), erlotinib, and simvastatin each stimulate AQP2 insertion into the apical plasma membrane. Some recent human data suggest that sildenafil and simvastatin may improve urine concentrating ability. ONO-AE1-329 (ONO) stimulates the EP4 prostanoid receptor (EP4), which stimulates kinases that in turn phosphorylate AQP2 and UT-A1. Clopidogrel is a P2Y12-R antagonist that potentiates the effect of vasopressin and increases AQP2 abundance. Metformin stimulates AMPK to phosphorylate and activate AQP2 and UT-A1, and it increases urine concentrating ability in two rodent models of NDI. Since metformin, sildenafil, and simvastatin are commercially available and have excellent safety records, the potential for rapidly advancing them into clinical trials is high.

Indexed as

Adenylate KinaseAnimalsAquaporin 2Diabetes Insipidus, NephrogenicErlotinib HydrochlorideHumansMetforminMutationPhosphorylationReceptors, VasopressinSildenafil CitrateSimvastatinAdenylate KinaseAquaporin 2Erlotinib HydrochlorideMetforminReceptors, VasopressinSildenafil CitrateSimvastatinaquaporin 2metforminnephrogenic diabetes insipiduswater reabsorption

Identifiers

PMID27534996
PMCPMC5210200
OpenAlexW2518505200

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.