Evidence map›Paper›PMID 28801620›Full record

ArticleScientific reports2017

A Novel Aldosterone Antagonist Limits Renal Injury in 5/6 Nephrectomy.

Clarice K Fujihara, M C Kowala, M D Breyer, Claudia R Sena, Mariliza V Rodrigues, Simone C A Arias, Camilla Fanelli, Denise M Malheiros, P K Jadhav, Chahrzad Montrose-Rafizadeh and 2 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Nephrons, podocytes and chronic kidney disease: Strategic antihypertensive therapy for renoprotection.Hypertension research : official journal of the Japanese Society of Hypertension · 2023
    Review
  6. Review
  7. Article
  8. 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

12 authors at 2 institutions in 2 countries.

Clarice K FujiharaFaculty of Medicine, University of São Paulo, São Paulo, Brazil.
M C KowalaLilly Research Laboratories, Indianapolis, IN, USA.
M D BreyerLilly Research Laboratories, Indianapolis, IN, USA.
Claudia R SenaFaculty of Medicine, University of São Paulo, São Paulo, Brazil.
Mariliza V RodriguesFaculty of Medicine, University of São Paulo, São Paulo, Brazil.
Simone C A AriasFaculty of Medicine, University of São Paulo, São Paulo, Brazil.
Camilla FanelliFaculty of Medicine, University of São Paulo, São Paulo, Brazil.
Denise M MalheirosFaculty of Medicine, University of São Paulo, São Paulo, Brazil.
P K JadhavLilly Research Laboratories, Indianapolis, IN, USA.
Chahrzad Montrose-RafizadehLilly Research Laboratories, Indianapolis, IN, USA.
Jose E KriegerFaculty of Medicine, University of São Paulo, São Paulo, Brazil.ORCID 0000-0001-5464-1792
Roberto ZatzFaculty of Medicine, University of São Paulo, São Paulo, Brazil. roberto.zatz@gmail.com.
Universidade de São Paulo · BREli Lilly (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aldosterone antagonists slow the progression of chronic kidney disease (CKD), but their use is limited by hyperkalemia, especially when associated with RAS inhibitors. We examined the renoprotective effects of Ly, a novel non-steroidal mineralocorticoid receptor (MR) blocker, through two experimental protocols: In Protocol 1, male Munich-Wistar rats underwent 5/6 renal ablation (Nx), being divided into: Nx+V, receiving vehicle, Nx+Eple, given eplerenone, 150 mg/kg/day, and Nx+Ly, given Ly, 20 mg/kg/day. A group of untreated sham-operated rats was also studied. Ly markedly raised plasma renin activity (PRA) and aldosterone, and exerted more effective anti-albuminuric and renoprotective action than eplerenone. In Protocol 2, Nx rats remained untreated until Day 60, when they were divided into: Nx+V receiving vehicle; Nx+L treated with losartan, 50 mg/kg/day; Nx+L+Eple, given losartan and eplerenone, and Nx+L+Ly, given losartan and Ly. Treatments lasted for 90 days. As an add-on to losartan, Ly normalized blood pressure and albuminuria, and prevented CKD progression more effectively than eplerenone. This effect was associated with strong stimulation of PRA and aldosterone. Despite exhibiting higher affinity for the MR than either eplerenone or spironolactone, Ly caused no hyperkalemia. Ly may become a novel asset in the effort to detain the progression of CKD.

Indexed as

AlbuminuriaAldosteroneAnimalsBlood PressureEplerenoneLosartanMineralocorticoid Receptor AntagonistsNephrectomyRats, WistarRenal Insufficiency, ChronicReninTreatment OutcomeAldosteroneEplerenoneLosartanMineralocorticoid Receptor AntagonistsRenin

Identifiers

PMID28801620
PMCPMC5554220
OpenAlexW2743650673

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.