Evidence map›Paper›PMID 29293148›Full record

ArticleCritical care medicine2018

Renal Tubular Cell Mitochondrial Dysfunction Occurs Despite Preserved Renal Oxygen Delivery in Experimental Septic Acute Kidney Injury.

Nishkantha Arulkumaran, Sean Pollen, Elisabetta Greco, Holly Courtneidge, Andrew M Hall, Michael R Duchen, Frederick W K Tam, Robert J Unwin, Mervyn Singer

Open access · hybridAbstract read
In one paragraph

Article in Critical care medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Mitochondrial membrane potential and delayed graft function following kidney transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2019
    Trial
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Placental Adaptation to Hypoxia: The Case of High-Altitude Pregnancies.International journal of environmental research and public health · 2025
    Review
  9. Article
  10. Review
  11. Review
  12. Microcirculation and Mitochondria: The Critical Unit.Journal of clinical medicine · 2023
    Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Frontiers in physiology · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Nishkantha ArulkumaranBloomsbury Institute of Intensive Care Medicine, Division of Medicine, University College London, London, United Kingdom.
Sean PollenBloomsbury Institute of Intensive Care Medicine, Division of Medicine, University College London, London, United Kingdom.
Elisabetta GrecoBloomsbury Institute of Intensive Care Medicine, Division of Medicine, University College London, London, United Kingdom.
Holly CourtneidgeUCL Centre for Nephrology, Division of Medicine, Royal Free Campus and Hospital, University College London, London, United Kingdom.
Andrew M HallInstitute of Anatomy, University of Zurich, Winterthurerstrasse, Zurich, Switzerland.
Michael R DuchenDepartment of Cell and Development Biology, University College London, London, United Kingdom.
Frederick W K TamImperial College Kidney and Transplant Institute, Hammersmith Hospital, Imperial College London, London, United Kingdom.
Robert J UnwinUCL Centre for Nephrology, Division of Medicine, Royal Free Campus and Hospital, University College London, London, United Kingdom.
Mervyn SingerBloomsbury Institute of Intensive Care Medicine, Division of Medicine, University College London, London, United Kingdom.
University College London · GBBury College · GBImperial College London · GB

Funding

Wellcome Trust 093969
6 · The paper itself

Abstract

objectiveTo explain the paradigm of significant renal functional impairment despite preserved hemodynamics and histology in sepsis-induced acute kidney injury.

designProspective observational animal study.

settingUniversity research laboratory. SUBJECTS: Male Wistar rats.

interventionUsing a fluid-resuscitated sublethal rat model of fecal peritonitis, changes in renal function were characterized in relation to global and renal hemodynamics, and histology at 6 and 24 hours (n = 6-10). Sham-operated animals were used as comparison (n = 8). Tubular cell mitochondrial function was assessed using multiphoton confocal imaging of live kidney slices incubated in septic serum. MEASUREMENTS AND MAIN

resultsBy 24 hours, serum creatinine was significantly elevated with a concurrent decrease in renal lactate clearance in septic animals compared with sham-operated and 6-hour septic animals. Renal uncoupling protein-2 was elevated in septic animals at 24 hours although tubular cell injury was minimal and mitochondrial ultrastructure in renal proximal tubular cells preserved. There was no significant change in global or renal hemodynamics and oxygen delivery/consumption between sham-operated and septic animals at both 6- and 24-hour timepoints. In the live kidney slice model, mitochondrial dysfunction was seen in proximal tubular epithelial cells incubated with septic serum with increased production of reactive oxygen species, and decreases in nicotinamide adenine dinucleotide and mitochondrial membrane potential. These effects were prevented by coincubation with the reactive oxygen species scavenger, 4-hydroxy-2,2,6,6-tetramethyl-piperidin-1-oxyl.

conclusionsRenal dysfunction in sepsis occurs independently of hemodynamic instability or structural damage. Mitochondrial dysfunction mediated by circulating mediators that induce local oxidative stress may represent an important pathophysiologic mechanism.

Indexed as

Acute Kidney InjuryAnimalsCell SurvivalDisease Models, AnimalKidney Function TestsKidney TubulesMaleMembrane Potential, MitochondrialMitochondriaNADOxygenOxygen ConsumptionProspective StudiesRatsRats, WistarReactive Oxygen SpeciesNADOxygenReactive Oxygen Species

Identifiers

PMID29293148
PMCPMC5856355
OpenAlexW2777675392

What OpenQuestion holds

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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.