Evidence map›Paper›PMID 29267404›Full record

ArticlePloS one2017

Unilateral nephrectomy diminishes ischemic acute kidney injury through enhanced perfusion and reduced pro-inflammatory and pro-fibrotic responses.

Casper Kierulf-Lassen, Per Mose Nielsen, Haiyun Qi, Mads Damgaard, Christoffer Laustsen, Michael Pedersen, Søren Krag, Henrik Birn, Rikke Nørregaard, Bente Jespersen

Open access · goldAbstract readValidation Study
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

17 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Assessment of Acute Kidney Injury using MRI.Journal of magnetic resonance imaging : JMRI · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Analysis Protocols for MRI Mapping of Renal TMethods in molecular biology (Clifton, N.J.) · 2021
    Article
  11. Experimental Protocols for MRI Mapping of Renal TMethods in molecular biology (Clifton, N.J.) · 2021
    Article
  12. MRI Mapping of Renal TMethods in molecular biology (Clifton, N.J.) · 2021
    Article
  13. Animal Models of Renal Pathophysiology and Disease.Methods in molecular biology (Clifton, N.J.) · 2021
    Article
  14. Article
  15. Article
  16. Article
  17. Article
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

10 authors at 2 institutions in 1 country.

Casper Kierulf-LassenDepartment of Renal Medicine, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0002-0392-9590
Per Mose NielsenDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Haiyun QiDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Mads DamgaardDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Christoffer LaustsenMR Research Centre, Aarhus University, Aarhus, Denmark.
Michael PedersenMR Research Centre, Aarhus University, Aarhus, Denmark.
Søren KragDepartment of Pathology, Aarhus University Hospital, Aarhus, Denmark.
Henrik BirnDepartment of Renal Medicine, Aarhus University Hospital, Aarhus, Denmark.
Rikke NørregaardDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Bente JespersenDepartment of Renal Medicine, Aarhus University Hospital, Aarhus, Denmark.
Aarhus University · DKAarhus University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While unilateral nephrectomy (UNx) is suggested to protect against ischemia-reperfusion injury (IRI) in the remaining kidney, the mechanisms underlying this protection remain to be elucidated. In this study, functional MRI was employed in a renal IRI rat model to reveal global and regional changes in renal filtration, perfusion, oxygenation and sodium handling, and microarray and pathway analyses were conducted to identify protective molecular mechanisms. Wistar rats were randomized to either UNx or sham UNx immediately prior to 37 minutes of unilateral renal artery clamping or sham operation under sevoflurane anesthesia. MRI was performed 24 hours after reperfusion. Blood and renal tissue were harvested. RNA was isolated for microarray analysis and QPCR validation of gene expression results. The perfusion (T1 value) was significantly enhanced in the medulla of the post-ischemic kidney following UNx. UNx decreased the expression of fibrogenic genes, i.a. Col1a1, Fn1 and Tgfb1 in the post-ischemic kidney. This was associated with a marked decrease in markers of activated myofibroblasts (Acta2/α-Sma and Cdh11) and macrophages (Ccr2). This was most likely facilitated by down-regulation of Pdgfra, thus inhibiting pericyte-myofibroblast differentiation, chemokine production (Ccl2/Mcp1) and macrophage infiltration. UNx reduced ischemic histopathologic injury. UNx may exert renoprotective effects against IRI through increased perfusion in the renal medulla and alleviation of the acute pro-inflammatory and pro-fibrotic responses possibly through decreased myofibroblast activation. The identified pathways involved may serve as potential therapeutic targets and should be taken into account in experimental models of IRI.

Indexed as

Acute Kidney InjuryAnimalsFibrosisGene Expression RegulationInflammationMagnetic Resonance ImagingMaleNephrectomyPerfusionRatsRats, WistarReal-Time Polymerase Chain ReactionReperfusion Injury

Identifiers

PMID29267404
PMCPMC5739457
OpenAlexW2779602130

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.