Evidence map›Paper›PMID 29572451›Full record

Observational studyScientific reports2018

Urinary Biomarkers of Aminoglycoside-Induced Nephrotoxicity in Cystic Fibrosis: Kidney Injury Molecule-1 and Neutrophil Gelatinase-Associated Lipocalin.

Stephen J McWilliam, Daniel J Antoine, Andrea L Jorgensen, Rosalind L Smyth, Munir Pirmohamed

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.1field-weighted citation impact, top 15% 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

14 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Lung-kidney axis in cystic fibrosis: Early urinary markers of kidney injury correlate with neutrophil activation and worse lung function.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2025
    Article
  6. Article
  7. Overview of Antibiotic-Induced Nephrotoxicity.Kidney international reports · 2023
    Review
  8. Renal Function in Patients with Cystic Fibrosis: A Single-Center Study.International journal of environmental research and public health · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Sepsis associated acute kidney injury.BMJ (Clinical research ed.) · 2019
    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

5 authors at 3 institutions in 1 country.

Stephen J McWilliamDepartment of Women's and Children's Health, University of Liverpool, Merseyside, United Kingdom. stevemcw@liv.ac.uk.ORCID 0000-0002-0509-7425
Daniel J AntoineMRC Centre for Inflammation Research, University of Edinburgh, Edinburgh, United Kingdom.
Andrea L JorgensenDepartment of Biostatistics, University of Liverpool, Liverpool, Merseyside, United Kingdom.
Rosalind L SmythUniversity College London, Great Ormond Street Institute of Child Health, London, United Kingdom.
Munir PirmohamedDepartment of Molecular and Clinical Pharmacology, and MRC Centre for Drug Safety Science, University of Liverpool, Liverpool, Merseyside, United Kingdom.
University of Liverpool · GBCentre for Inflammation Research · GBGreat Ormond Street Hospital · GB

Funding

Medical Research Council G1000417Medical Research Council G1000417/94909Medical Research Council MR/L006758/1Wellcome Trust
6 · The paper itself

Abstract

Aminoglycosides are commonly used for the treatment of pulmonary exacerbations in patients with cystic fibrosis (CF). However, they are potentially nephrotoxic. This prospective observational cohort study aimed to investigate the potential validity of two urinary renal biomarkers, Kidney Injury Molecule-1 (KIM-1) and Neutrophil Gelatinase-associated Lipocalin (NGAL), in identifying aminoglycoside-induced nephrotoxicity in children with CF. Children and young adults up to 20 years of age with a confirmed diagnosis of CF were recruited from ten United Kingdom hospitals. Participants provided urine samples for measurement of KIM-1 and NGAL concentrations, at baseline, at regular outpatient appointments, and before, during and after exposure to clinically-indicated treatment with the aminoglycoside tobramycin. 37/158 patients recruited (23.4%) received at least one course of IV tobramycin during the study. The median peak fold-change during tobramycin exposure for KIM-1 was 2.28 (IQR 2.69) and 4.02 (IQR 7.29) for NGAL, in the absence of serum creatinine changes. Baseline KIM-1 was positively associated with cumulative courses of IV aminoglycosides (R

Indexed as

Acute Kidney InjuryAminoglycosidesAnti-Bacterial AgentsBiomarkersChildCystic FibrosisFemaleHepatitis A Virus Cellular Receptor 1HumansLipocalin-2MaleProspective StudiesTobramycinAminoglycosidesAnti-Bacterial AgentsBiomarkersHAVCR1 protein, humanHepatitis A Virus Cellular Receptor 1LCN2 protein, humanLipocalin-2Tobramycin

Identifiers

PMID29572451
PMCPMC5865203
OpenAlexW2795135548

What OpenQuestion holds

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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.