Evidence map›Paper›PMID 29749806›Full record

ArticleAutophagy2018

Rapamycin-induced autophagy protects proximal tubular renal cells against proteinuric damage through the transcriptional activation of the nerve growth factor receptor NGFR.

D Vizza, A Perri, G Toteda, S Lupinacci, I Perrotta, D Lofaro, F Leone, P Gigliotti, A La Russa, R Bonofiglio

Open access · bronzeAbstract read
In one paragraph

Article in Autophagy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

22 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
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  3. Small molecule modulation of p75Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
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  4. The novelAutophagy · 2024
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  5. Review
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  9. Evaluation of PGP 9.5, NGFR, TGFβ1, FGFR1, MMP-2, AT2R2, SHH, and TUNEL in Primary Obstructive Megaureter Tissue.The journal of histochemistry and cytochemistry : official journal of the Histochemistry Society · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Review
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  15. Lysosomal dysfunction-induced autophagic stress in diabetic kidney disease.Journal of cellular and molecular medicine · 2020
    Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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.

D Vizzaa Kidney and Transplantation Research Center , UOC Nephrology, Dialysis and Transplantation , Annunziata Hospital, F. Migliori, Cosenza , CS , Italy.
A Perria Kidney and Transplantation Research Center , UOC Nephrology, Dialysis and Transplantation , Annunziata Hospital, F. Migliori, Cosenza , CS , Italy.
G Totedaa Kidney and Transplantation Research Center , UOC Nephrology, Dialysis and Transplantation , Annunziata Hospital, F. Migliori, Cosenza , CS , Italy.
S Lupinaccia Kidney and Transplantation Research Center , UOC Nephrology, Dialysis and Transplantation , Annunziata Hospital, F. Migliori, Cosenza , CS , Italy.
I Perrottab Department of Biology, Ecology and Earth Sciences, Transmission Electron Microscopy Laboratory, Centre for Microscopy and Microanalysis , University of Calabria , Rende , Italy.
D Lofaroa Kidney and Transplantation Research Center , UOC Nephrology, Dialysis and Transplantation , Annunziata Hospital, F. Migliori, Cosenza , CS , Italy.
F Leonea Kidney and Transplantation Research Center , UOC Nephrology, Dialysis and Transplantation , Annunziata Hospital, F. Migliori, Cosenza , CS , Italy.
P Gigliottia Kidney and Transplantation Research Center , UOC Nephrology, Dialysis and Transplantation , Annunziata Hospital, F. Migliori, Cosenza , CS , Italy.
A La Russaa Kidney and Transplantation Research Center , UOC Nephrology, Dialysis and Transplantation , Annunziata Hospital, F. Migliori, Cosenza , CS , Italy.
R Bonofiglioa Kidney and Transplantation Research Center , UOC Nephrology, Dialysis and Transplantation , Annunziata Hospital, F. Migliori, Cosenza , CS , Italy.
Ospedale Annunziata di Cosenza · ITUniversity of Calabria · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Experimental evidence demonstrated that macroautophagy/autophagy exerts a crucial role in maintain renal cellular homeostasis and represents a protective mechanism against renal injuries. Interestingly, it has been demonstrated that in the human proximal tubular renal cell line, HK-2, the MTOR inhibitor rapamycin enhanced autophagy and mitigated the apoptosis damage induced by urinary protein overload. However, the underlying molecular mechanism has not yet been elucidated. In our study we demonstrated, for the first time, that in HK-2 cells, the exposure to low doses of rapamycin transactivated the NGFR promoter, leading to autophagic activation. Indeed, we observed that in HK-2 cells silenced for the NGFR gene, the rapamycin-induced autophagic process was prevented, as the upregulation of the proautophagic markers, BECN1, as well as LC3-II, and the autophagic vacuoles evaluated by transmission electron microscopy, were not found. Concomitantly, using a series of deletion constructs of the NGFR promoter we found that the EGR1 transcription factor was responsible for the rapamycin-mediated transactivation of the NGFR promoter. Finally, our results provided evidence that the cotreatment with rapamycin plus albumin further enhanced autophagy via NGFR activation, reducing the proapoptotic events promoted by albumin alone. This effect was prevented in HK-2 cells silenced for the NGFR gene or pretreated with the MTOR activator, MHY1485. Taken together, our results describe a novel molecular mechanism by which rapamycin-induced autophagy, mitigates the tubular renal damage caused by proteinuria, suggesting that the use of low doses of rapamycin could represent a new therapeutic strategy to counteract the tubule-interstitial injury observed in patients affected by proteinuric nephropathies, avoiding the side effects of high doses of rapamycin.

Indexed as

AlbuminsApoptosisAutophagyCell LineEarly Growth Response Protein 1HumansKidney Tubules, ProximalPromoter Regions, GeneticProtective AgentsProteinuriaReceptor, Nerve Growth FactorSirolimusTOR Serine-Threonine KinasesTranscriptional ActivationAlbuminsEarly Growth Response Protein 1EGR1 protein, humanProtective AgentsReceptor, Nerve Growth FactorSirolimusTOR Serine-Threonine KinasesautophagyEGR1MTORNGFRproteinuric damagerapamycin

Identifiers

PMID29749806
PMCPMC6103397
OpenAlexW2802389472

What OpenQuestion holds

Textmetadata
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.