Evidence map›Paper›PMID 27642633›Full record

ArticleJCI insight2016

ADAM17 substrate release in proximal tubule drives kidney fibrosis.

Eirini Kefaloyianni, Muthu Lakshmi Muthu, Jakob Kaeppler, Xiaoming Sun, Venkata Sabbisetti, Athena Chalaris, Stefan Rose-John, Eitan Wong, Irit Sagi, Sushrut S Waikar and 4 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JCI insight, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05997641 (A Double-Blind, Randomized, Placebo-Controlled, First-in-Human Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Orally Administered DF-003 Following Single), which is not on this map. Cited by 72 papers.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed
8.2field-weighted citation impact, top 2% 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.

NCT05997641 phase1active not recruitingnot on this mapstarted 2023, after this paper: background citation

A Double-Blind, Randomized, Placebo-Controlled, First-in-Human Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Orally Administered DF-003 Following Single (Part 1) and Multiple (Part 2) Ascending Doses in Healthy Subjects

TypeinterventionalSponsorShanghai Yao Yuan Biotechnology Ltd. (also known as Drug Farm)Ran2023 to 2026Enrolled96ConditionsHealthy, Safety and TolerabilityArmsDF-003, Placebo
3 · Its place in the literature

Who cites it

72 citing papers in PubMed, 127 citations in OpenAlex.

  1. Article
  2. Article
  3. Amphiregulin in Fibrotic Diseases and Cancer.International journal of molecular sciences · 2025
    Review
  4. Kidney deletions of Cyp27b1 fail to reduce serum 1,25(OH)The Journal of steroid biochemistry and molecular biology · 2025
    Article
  5. Review
  6. Article
  7. Article
  8. Progress of ADAM17 in Fibrosis-Related Diseases.Mediators of inflammation · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. IL-6 and diabetic kidney disease.Frontiers in immunology · 2024
    Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. EGF-Receptor-Dependent TLR7 Signaling in Macrophages Promotes Glomerular Injury in Crescentic Glomerulonephritis.Laboratory investigation; a journal of technical methods and pathology · 2023
    Article

12 more citing papers are in PubMed but not listed here.

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

14 authors at 3 institutions in 2 countries.

Eirini KefaloyianniRenal Division, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Muthu Lakshmi MuthuRenal Division, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Jakob KaepplerRenal Division, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Xiaoming SunRenal Division, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Venkata SabbisettiRenal Division, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Athena ChalarisInstitute for Biochemistry, Christian-Albrechts-Universität zu Kiel, Kiel, Germany.
Stefan Rose-JohnInstitute for Biochemistry, Christian-Albrechts-Universität zu Kiel, Kiel, Germany.
Eitan WongWeizmann Institute of Science, Rehovot, Israel.
Irit SagiWeizmann Institute of Science, Rehovot, Israel.
Sushrut S WaikarRenal Division, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Helmut RennkeRenal Division, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Benjamin D HumphreysDivision of Nephrology, Washington University School of Medicine, St. Louis, Missouri, USA.
Joseph V BonventreRenal Division, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Andreas HerrlichRenal Division, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Brigham and Women's Hospital · USWeizmann Institute of Science · ILWashington University in St. Louis · US

Funding

UAB-UCSD O'Brien Core Center for Acute Kidney Injury ResearchP30DK079337 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI AGARWAL, ANUPAM · 2008 to 2022
$18.3M
KIDNEY INJURY MOLECULE-1 IN EPITHELIAL REPAIRR01DK072381 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI BONVENTRE, JOSEPH VINCENT · 2005 to 2025
$8.6M
Biomarkers of Kidney PathologyR01DK093574 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI WAIKAR, SUSHRUT S. · 2012 to 2015
$2.4M
Role of ADAM17 substrates in Progressive Kidney DiseaseR01DK108947 · NIDDK · WASHINGTON UNIVERSITY · PI HERRLICH, ANDREAS · 2016 to 2019
$1.4M
Identification of novel genes regulating metalloproteinase activityR00DK077731 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI HERRLICH, ANDREAS · 2010 to 2012
$738k
NIDDK NIH HHS P30 DK079337NIDDK NIH HHS R00 DK077731NIDDK NIH HHS R01 DK072381NIDDK NIH HHS R01 DK093574NIDDK NIH HHS R01 DK108947
6 · The paper itself

Abstract

Kidney fibrosis following kidney injury is an unresolved health problem and causes significant morbidity and mortality worldwide. In a study into its molecular mechanism, we identified essential causative features. Acute or chronic kidney injury causes sustained elevation of a disintegrin and metalloprotease 17 (ADAM17); of its cleavage-activated proligand substrates, in particular of pro-TNFα and the EGFR ligand amphiregulin (pro-AREG); and of the substrates' receptors. As a consequence, EGFR is persistently activated and triggers the synthesis and release of proinflammatory and profibrotic factors, resulting in macrophage/neutrophil ingress and fibrosis. ADAM17 hypomorphic mice, specific ADAM17 inhibitor-treated WT mice, or mice with inducible KO of ADAM17 in proximal tubule (Slc34a1-Cre) were significantly protected against these effects. In vitro, in proximal tubule cells, we show that AREG has unique profibrotic actions that are potentiated by TNFα-induced AREG cleavage. In vivo, in acute kidney injury (AKI) and chronic kidney disease (CKD, fibrosis) patients, soluble AREG is indeed highly upregulated in human urine, and both ADAM17 and AREG expression show strong positive correlation with fibrosis markers in related kidney biopsies. Our results indicate that targeting of the ADAM17 pathway represents a therapeutic target for human kidney fibrosis.

Indexed as

Acute Kidney InjuryADAM17 ProteinAmphiregulinAnimalsCells, CulturedErbB ReceptorsFibrosisKidneyKidney Tubules, ProximalMaleMiceMice, KnockoutSodium-Phosphate Cotransporter Proteins, Type IIbADAM17 ProteinAdam17 protein, mouseAmphiregulinErbB ReceptorsSlc34a2 protein, mouseSodium-Phosphate Cotransporter Proteins, Type IIb

Identifiers

PMID27642633
PMCPMC5026414
OpenAlexW2510993238

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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.