Evidence map›Paper›PMID 27760770›Full record

ArticleAmerican journal of physiology. Renal physiology2017

Inflammation drives renal scarring in experimental pyelonephritis.

Birong Li, Babitha Haridas, Ashley R Jackson, Hanna Cortado, Nicholas Mayne, Rebecca Kohnken, Brad Bolon, Kirk M McHugh, Andrew L Schwaderer, John David Spencer and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of physiology. Renal physiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
7.2field-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

43 citing papers in PubMed, 64 citations in OpenAlex.

  1. Article
  2. Urinary tract infections in children.Nature reviews. Urology · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. LDL receptor-mediated endocytosis ofProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  9. Article
  10. Tubulointerstitial nephritis in children and adolescents.Pediatric nephrology (Berlin, Germany) · 2025
    Review
  11. Article
  12. Review
  13. Article
  14. Insulin receptor orchestrates kidney antibacterial defenses.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  15. Life science alliance · 2024
    Article
  16. Intercalated cell function, kidney innate immunity, and urinary tract infections.Pflugers Archiv : European journal of physiology · 2024
    Review
  17. Article
  18. Article
  19. Uropathogen and host responses in pyelonephritis.Nature reviews. Nephrology · 2023
    Review
  20. Immune defenses in the urinary tract.Trends in immunology · 2023
    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

15 authors at 5 institutions in 1 country.

Birong LiCenter for Clinical and Translational Research, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
Babitha HaridasDepartment of Neurology, State University of New York at Buffalo, Buffalo, New York.
Ashley R JacksonCenter for Clinical and Translational Research, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
Hanna CortadoCenter for Clinical and Translational Research, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
Nicholas MayneCenter for Clinical and Translational Research, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
Rebecca KohnkenCollege of Veterinary Medicine and Comparative Pathology and Mouse Phenotyping Shared Resource, The Ohio State University, Columbus, Ohio.
Brad BolonGEMPath, Inc., Longmont, Colorado.
Kirk M McHughCenter for Clinical and Translational Research, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
Andrew L SchwadererCenter for Clinical and Translational Research, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
John David SpencerCenter for Clinical and Translational Research, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
Christina B ChingCenter for Clinical and Translational Research, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
David S HainsChildren's Research Foundation Institute, Le Bonheur Children's Hospital, Memphis, Tennessee; and.
Sheryl S JusticeDivision of Urology, Department of Surgery, The Ohio State University, Columbus, Ohio.
Santiago Partida-SanchezCenter for Microbial Pathogenesis, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
Brian BecknellCenter for Clinical and Translational Research, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio; Brian.becknell2@nationwidechildrens.org.ORCID 0000-0002-2750-4415
Nationwide Children's Hospital · USLe Bonheur Children's Hospital · USNewPath Research · USThe Ohio State University · USUniversity at Buffalo, State University of New York · US

Funding

The interface between critical acid-base mediators and the renal bacterial defenseR01DK106286 · NIDDK · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI HAINS, DAVID SULLIVAN, SCHWADERER, ANDREW LAWRENCE · 2015 to 2018
$1.6M
Model of Congenital Obstructive Nephropathy-Biomarker & Therapeutic DevelopmentR01DK085242 · NIDDK · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI BATES, CARLTON MATTHEW, MCHUGH, KIRK M. · 2010 to 2014
$1.6M
Novel Calcium Release Mechanism Regulates Dendritic Cell FunctionR01AI092117 · NIAID · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI PARTIDA-SANCHEZ, SANTIAGO · 2011 to 2014
$1.4M
Mouse Pathobiology: Models of Human DiseaseT32OD010429 · OD · OHIO STATE UNIVERSITY · PI NIEWIESK, STEFAN, OGLESBEE, MICHAEL J · 2012 to 2017
$1.3M
Role of urothelium in epithelial integrity and innate defense of the kidneyK08DK102594 · NIDDK · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI BECKNELL, BRIAN · 2015 to 2019
$745k
Ribonuclease 7: Antimicrobial Activity in the Human Kidney and Urinary TractK08DK094970 · NIDDK · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI SPENCER, JOHN DAVID · 2012 to 2016
$645k
NIAID NIH HHS R01 AI092117NIDDK NIH HHS K08 DK094970NIDDK NIH HHS K08 DK102594NIDDK NIH HHS R01 DK085242NIDDK NIH HHS R01 DK106286NIH HHS T32 OD010429
6 · The paper itself

Abstract

Acquired renal scarring occurs in a subset of patients following febrile urinary tract infections and is associated with hypertension, proteinuria, and chronic kidney disease. Limited knowledge of histopathology, immune cell recruitment, and gene expression changes during pyelonephritis restricts the development of therapies to limit renal scarring. Here, we address this knowledge gap using immunocompetent mice with vesicoureteral reflux. Transurethral inoculation of uropathogenic Escherichia coli in C3H/HeOuJ mice leads to renal mucosal injury, tubulointerstitial nephritis, and cortical fibrosis. The extent of fibrosis correlates most significantly with inflammation at 7 and 28 days postinfection. The recruitment of neutrophils and inflammatory macrophages to infected kidneys is proportional to renal bacterial burden. Transcriptome analysis reveals molecular signatures associated with renal ischemia-reperfusion injury, immune cell chemotaxis, and leukocyte activation. This murine model recapitulates the cardinal histopathological features observed in humans with acquired renal scarring following pyelonephritis. The integration of histopathology, quantification of cellular immune influx, and unbiased transcriptional profiling begins to define potential mechanisms of tissue injury during pyelonephritis in the context of an intact immune response. The clear relationship between inflammatory cell recruitment and fibrosis supports the hypothesis that acquired renal scarring arises as a consequence of excessive host inflammation and suggests that immunomodulatory therapies should be investigated to reduce renal scarring in patients with pyelonephritis.

Indexed as

AnimalsCicatrixDisease Models, AnimalEscherichia coliFemaleFibrosisInflammationKidneyMiceMice, Inbred C3HNephritis, InterstitialPyelonephritisReperfusion InjuryVesico-Ureteral Refluxfibrosisinflammationmucosal injurypyelonephritisurinary tract infectionvesicoureteral reflux

Identifiers

PMID27760770
PMCPMC5283888
OpenAlexW2532339529

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.