Evidence map›Paper›PMID 29017166›Full record

ReviewAmerican journal of nephrology2017

The Role of the Mineralocorticoid Receptor in Inflammation: Focus on Kidney and Vasculature.

Zachary Belden, Jeffrey A Deiuliis, Mirela Dobre, Sanjay Rajagopalan

Open access · bronzeAbstract readReview
In one paragraph

Review in American journal of nephrology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed
4.8field-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

70 citing papers in PubMed, 102 citations in OpenAlex.

  1. Trial
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  5. Primary aldosteronism.Nature reviews. Disease primers · 2026
    Review
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10 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

4 authors at 2 institutions in 2 countries.

Zachary BeldenCase Cardiovascular Research Institute, Case Western Reserve University, Cleveland, OH, USA.
Jeffrey A Deiuliis
Mirela Dobre
Sanjay Rajagopalan
Cardiovascular Institute Hospital · JPHypertension Institute · US

Funding

Mineralocorticoid Receptor Antagonism Clinical Evaluation in Atherosoclerosis (MIRACULOUS)R01HL127422 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI RAJAGOPALAN, SANJAY, WEIR, MATTHEW R. · 2016 to 2020
$3.0M
NHLBI NIH HHS R01 HL127422
6 · The paper itself

Abstract

backgroundThe remarkable success of clinical trials in mineralocorticoid receptor (MR) inhibition in heart failure has driven research on the physiological and pathological role(s) of nonepithelial MR expression. MR is widely expressed in the cardiovascular system and is a major determinant of endothelial function, smooth muscle tone, vascular remodeling, fibrosis, and blood pressure. An important new dimension is the appreciation of the role MR plays in immune cells and target organ damage in the heart, kidney and vasculature, and in the development of insulin resistance. SUMMARY: The mechanism for MR activation in tissue injury continues to evolve with the evidence to date suggesting that activation of MR results in a complex repertoire of effects involving both macrophages and T cells. MR is an important transcriptional regulator of macrophage phenotype and function. Another important feature of MR activation is that it can occur even with normal or low aldosterone levels in pathological conditions. Tissue-specific conditional models of MR expression in myeloid cells, endothelial cells, smooth muscle cells and cardiomyocytes have been very informative and have firmly demonstrated a critical role of MR as a key pathophysiologic variable in cardiac hypertrophy, transition to heart failure, adipose inflammation, and atherosclerosis. Finally, the central nervous system activation of MR in permeable regions of the blood-brain barrier may play a role in peripheral inflammation. Key Message: Ongoing clinical trials will help clarify the role of MR blockade in conditions, such as atherosclerosis and chronic kidney disease.

Indexed as

AtherosclerosisBlood-Brain BarrierClinical Trials as TopicHumansInflammationKidneyMacrophagesMineralocorticoid Receptor AntagonistsMyocardiumMyocytes, Smooth MuscleReceptors, MineralocorticoidRenal Insufficiency, ChronicSignal TransductionT-LymphocytesMineralocorticoid Receptor AntagonistsNR3C2 protein, humanReceptors, MineralocorticoidAtherosclerosisCardiac hypertrophyCentral nervous system inflammationKidney fibrosisMacrophage inflammationVascular remodeling

Identifiers

PMID29017166
PMCPMC6863172
OpenAlexW2763916807

What OpenQuestion holds

Textmetadata
LicenceTDM
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.