Evidence map›Paper›PMID 29724730›Full record

ArticleAnnals of the rheumatic diseases2018

Metabolic pathways and immunometabolism in rare kidney diseases.

Peter C Grayson, Sean Eddy, Jaclyn N Taroni, Yaíma L Lightfoot, Laura Mariani, Hemang Parikh, Maja T Lindenmeyer, Wenjun Ju, Casey S Greene, Brad Godfrey and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Annals of the rheumatic diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 140 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
140citing papers in PubMed, 2 pooled it
7.5field-weighted citation impact, top 2% 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

140 citing papers in PubMed, 2 syntheses or guidelines pooled it, 177 citations in OpenAlex.

  1. Pooled it
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  15. PANoptosis in diabetes: immunometabolic insights and treatments.Apoptosis : an international journal on programmed cell death · 2026
    Review
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80 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

15 authors at 9 institutions in 2 countries.

Peter C GraysonVasculitis Translational Research Program, Systemic Autoimmunity Branch, National Institutes of Health/NIAMS, Bethesda, Maryland, USA.
Sean EddyDivision of Nephrology, Michigan Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Jaclyn N TaroniVasculitis Clinical Research Consortium, Philadelphia, Pennsylvania, USA.
Yaíma L LightfootVasculitis Translational Research Program, Systemic Autoimmunity Branch, National Institutes of Health/NIAMS, Bethesda, Maryland, USA.
Laura MarianiDivision of Nephrology, Michigan Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Hemang ParikhVasculitis Clinical Research Consortium, Philadelphia, Pennsylvania, USA.
Maja T LindenmeyerNephrological Center Medical Clinic and Polyclinic IV, University of Munich, Munich, Germany.
Wenjun JuDivision of Nephrology, Michigan Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Casey S GreeneVasculitis Clinical Research Consortium, Philadelphia, Pennsylvania, USA.
Brad GodfreyDivision of Nephrology, Michigan Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Clemens D CohenNephrological Center Medical Clinic and Polyclinic IV, University of Munich, Munich, Germany.
Jeffrey KrischerVasculitis Clinical Research Consortium, Philadelphia, Pennsylvania, USA.
Matthias KretzlerDivision of Nephrology, Michigan Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Peter A MerkelVasculitis Clinical Research Consortium, Philadelphia, Pennsylvania, USA.
Vasculitis Clinical Research Consortium, the European Renal cDNA Bank cohort, and the Nephrotic Syndrome Study Network
University of Michigan–Ann Arbor · USNational Institutes of Health · USUniversity of South Florida · USCalifornia University of Pennsylvania · USInstitut für Urheber- und Medienrecht · DEMichigan Medicine · USPolyclinic Medical Center · USTranslational Therapeutics (United States) · USUniversity of Pennsylvania · US

Funding

Clinical Support Services for the NIAMS Intramural Research ProgramZIDAR041180 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI COLBERT, ROBERT · 2009 to 2025
$119.2M
Training Program in Clinical & Translationa Research in Human Glomerular DiseaseU54DK083912 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KRETZLER, MATTHIAS · 2009 to 2023
$20.3M
Vasculitis and Translational MedicineZIAAR041204 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI GRAYSON, PETER · 2015 to 2025
$15.4M
University of Michigan O'Brien Kidney Translational Core CenterP30DK081943 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PENNATHUR, SUBRAMANIAM · 2008 to 2022
$12.9M
VCRC-VF FellowshipU54AR057319 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI MERKEL, PETER A · 2009 to 2020
$12.5M
VASCULITIS CLINICAL RESEARCH NETWORK (VCRN): RARE DISEASEU54RR019497 · NCRR · BOSTON UNIVERSITY MEDICAL CAMPUS · PI MERKEL, PETER A · 2003 to 2008
$6.1M
TRAINING PROGRAM/RHEUMATIC DISEASEST32AR007442 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI BEHRENS, EDWARD M, MERKEL, PETER A · 1986 to 2018
$5.8M
NCRR NIH HHS U54 RR019497NIAMS NIH HHS T32 AR007442NIAMS NIH HHS U54 AR057319NIDDK NIH HHS P30 DK081943NIDDK NIH HHS U54 DK083912
6 · The paper itself

Abstract

objectivesTo characterise renal tissue metabolic pathway gene expression in different forms of glomerulonephritis.

methodsPatients with nephrotic syndrome (NS), antineutrophil cytoplasmic antibody-associated vasculitis (AAV), systemic lupus erythematosus (SLE) and healthy living donors (LD) were studied. Clinically indicated renal biopsies were obtained at time of diagnosis and microdissected into glomerular and tubulointerstitial compartments. Microarray-derived differential gene expression of 88 genes representing critical enzymes of metabolic pathways and 25 genes related to immune cell markers was compared between disease groups. Correlation analyses measured relationships between metabolic pathways, kidney function and cytokine production.

resultsReduced steady state levels of mRNA species were enriched in pathways of oxidative phosphorylation and increased in the pentose phosphate pathway (PPP) with maximal perturbation in AAV and SLE followed by NS, and least in LD. Transcript regulation was isozymes specific with robust regulation in hexokinases, enolases and glucose transporters. Intercorrelation networks were observed between enzymes of the PPP (eg, transketolase) and macrophage markers (eg, CD68) (r=0.49, p<0.01). Increased PPP transcript levels were associated with reduced glomerular filtration rate in the glomerular (r=-0.49, p<0.01) and tubulointerstitial (r=-0.41, p<0.01) compartments. PPP expression and tumour necrosis factor activation were tightly co-expressed (r=0.70, p<0.01).

conclusionThis study demonstrated concordant alterations of the renal transcriptome consistent with metabolic reprogramming across different forms of glomerulonephritis. Activation of the PPP was tightly linked with intrarenal macrophage marker expression, reduced kidney function and increased production of cytokines. Modulation of glucose metabolism may offer novel immune-modulatory therapeutic approaches in rare kidney diseases.

Indexed as

AdultAgedAnti-Neutrophil Cytoplasmic Antibody-Associated VasculitisBiopsyCytokinesFemaleGene Expression RegulationGlomerulonephritisHumansIsoenzymesKidney GlomerulusKidney TubulesLupus Erythematosus, SystemicMaleMetabolic Networks and PathwaysMiddle AgedCytokinesIsoenzymesRNA, Messengergranulomatosis with polyangiitislupus nephritissystemic vasculitis

Identifiers

PMID29724730
PMCPMC6045442
OpenAlexW2799819345

What OpenQuestion holds

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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.