Evidence map›Paper›PMID 29847501›Full record

ReviewTransplantation2018

Hyperfiltration-mediated Injury in the Remaining Kidney of a Transplant Donor.

Tarak Srivastava, Sundaram Hariharan, Uri S Alon, Ellen T McCarthy, Ram Sharma, Ashraf El-Meanawy, Virginia J Savin, Mukut Sharma

Open access · greenAbstract readReview
In one paragraph

Review in Transplantation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

35 citing papers in PubMed, 61 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. The aging-related GFR decline in Chinese healthy elderly.International urology and nephrology · 2026
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Re-Evaluating the Transplant Glomerulopathy Lesion-Beyond Donor-Specific Antibodies.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Review
  14. Longitudinal Trajectories of Estimated Glomerular Filtration Rate in a European Population of Living Kidney Donors.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Article
  15. Review
  16. Glomerular hyperfiltration: part 2-clinical significance in children.Pediatric nephrology (Berlin, Germany) · 2023
    Review
  17. Prostanoid receptors in hyperfiltration-mediated glomerular injury: Novel agonists and antagonists reveal opposing roles for EP2 and EP4 receptors.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2022
    Article
  18. Cancer risk in living kidney donors.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022
    Article
  19. Glomerular hyperfiltration.Nature reviews. Nephrology · 2022
    Review
  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

8 authors at 2 institutions in 1 country.

Tarak SrivastavaSection of Nephrology, Children's Mercy Hospital and University of Missouri at Kansas City, Kansas City, MO.
Sundaram HariharanDepartment of Medicine and Surgery, Thomas E Starzl Transplant Institute, Pittsburgh, PA.
Uri S AlonSection of Nephrology, Children's Mercy Hospital and University of Missouri at Kansas City, Kansas City, MO.
Ellen T McCarthyKidney Institute, University of Kansas Medical Center, Kansas City, KS.
Ram SharmaRenal Research, Research and Development, Kansas City VA Medical Center, Kansas City, MO.
Ashraf El-MeanawyDivision of Nephrology, Medical College of Wisconsin, Milwaukee, WI.
Virginia J SavinRenal Research, Research and Development, Kansas City VA Medical Center, Kansas City, MO.
Mukut SharmaRenal Research, Research and Development, Kansas City VA Medical Center, Kansas City, MO.
University of Kansas Medical Center · USMedical College of Wisconsin · US

Funding

Targeting PGE2 Receptors to attenuate shear stress-induced glomerular injuryR01DK107490 · NIDDK · CHILDREN'S MERCY HOSP (KANSAS CITY, MO) · PI SRIVASTAVA, TARAK · 2016 to 2020
$2.0M
CYTOCHROME P-450 AND GLOMERULAR PROTEIN PERMEABILITYR01DK064969 · NIDDK · UNIVERSITY OF KANSAS MEDICAL CENTER · PI MCCARTHY, ELLEN T · 2005 to 2010
$1.7M
Cytokine based murine focal glomerulosclerosis model a prelude to novel therapyI01BX001037 · VA · KANSAS CITY VA MEDICAL CENTER · PI SAVIN, VIRGINIA J. · 2011 to 2014
–
BLRD VA I01 BX001037NIDDK NIH HHS R01 DK064969NIDDK NIH HHS R01 DK107490
6 · The paper itself

Abstract

Kidney donors face a small but definite risk of end-stage renal disease 15 to 30 years postdonation. The development of proteinuria, hypertension with gradual decrease in kidney function in the donor after surgical resection of 1 kidney, has been attributed to hyperfiltration. Genetic variations, physiological adaptations, and comorbidities exacerbate the hyperfiltration-induced loss of kidney function in the years after donation. A focus on glomerular hemodynamics and capillary pressure has led to the development of drugs that target the renin-angiotensin-aldosterone system (RAAS), but these agents yield mixed results in transplant recipients and donors. Recent work on glomerular biomechanical forces highlights the differential effects of tensile stress and fluid flow shear stress (FFSS) from hyperfiltration. Capillary wall stretch due to glomerular capillary pressure increases tensile stress on podocyte foot processes that cover the capillary. In parallel, increased flow of the ultrafiltrate due to single-nephron glomerular filtration rate elevates FFSS on the podocyte cell body. Although tensile stress invokes the RAAS, FFSS predominantly activates the cyclooxygenase 2-prostaglandin E2-EP2 receptor axis. Distinguishing these 2 mechanisms is critical, as current therapeutic approaches focus on the RAAS system. A better understanding of the biomechanical forces can lead to novel therapeutic agents to target FFSS through the cyclooxygenase 2-prostaglandin E2-EP2 receptor axis in hyperfiltration-mediated injury. We present an overview of several aspects of the risk to transplant donors and discuss the relevance of FFSS in podocyte injury, loss of glomerular barrier function leading to albuminuria and gradual loss of renal function, and potential therapeutic strategies to mitigate hyperfiltration-mediated injury to the remaining kidney.

Indexed as

Glomerular Filtration RateLiving DonorsAge FactorsAgingAlbuminuriaAngiotensin-Converting Enzyme InhibitorsCyclooxygenase 2 InhibitorsDisease ProgressionHumansHypertensionKidney Failure, ChronicKidney GlomerulusNephrectomyRenin-Angiotensin SystemStress, MechanicalTissue and Organ ProcurementAngiotensin-Converting Enzyme InhibitorsCyclooxygenase 2 Inhibitors

Identifiers

PMID29847501
PMCPMC6153061
OpenAlexW2807288628

What OpenQuestion holds

Textmetadata
LicenceTDM
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.