Evidence map›Paper›PMID 29889556›Full record

ArticleHigh altitude medicine & biology2018

Urinary Alpha-1-Acid Glycoprotein Is a Sensitive Marker of Glomerular Protein Leakage at Altitude.

Ben J Talks, Susie B Bradwell, John Delamere, Will Rayner, Alex Clarke, Chris T Lewis, Owen D Thomas, Arthur R Bradwell

Open access · bronzeAbstract read
In one paragraph

Article in High altitude medicine & biology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Postexercise urinary alpha-1 acid glycoprotein is not dependent on hypoxia.Journal of applied physiology (Bethesda, Md. : 1985) · 2022
    Article
  5. Article
  6. Clinically Viable Assay for Monitoring Uromodulin Glycosylation.Journal of the American Society for Mass Spectrometry · 2021
    Article
  7. Article
  8. 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 4 institutions in 1 country.

Ben J Talks1 Medical School, College of Medical and Dental Sciences, University of Birmingham , Birmingham, United Kingdom .
Susie B Bradwell2 Birmingham Medical Research Expeditionary Society , Birmingham, United Kingdom .
John Delamere1 Medical School, College of Medical and Dental Sciences, University of Birmingham , Birmingham, United Kingdom .
Will Rayner4 The Binding Site Group Ltd. , Birmingham, United Kingdom .
Alex Clarke2 Birmingham Medical Research Expeditionary Society , Birmingham, United Kingdom .
Chris T Lewis2 Birmingham Medical Research Expeditionary Society , Birmingham, United Kingdom .
Owen D Thomas2 Birmingham Medical Research Expeditionary Society , Birmingham, United Kingdom .
Arthur R Bradwell1 Medical School, College of Medical and Dental Sciences, University of Birmingham , Birmingham, United Kingdom .
Expedition (United Kingdom) · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBTaunton & Somerset NHS Foundation Trust · GBUniversity of Birmingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Talks, Ben J., Susie B. Bradwell, John Delamere, Will Rayner, Alex Clarke, Chris T. Lewis, Owen D. Thomas, and Arthur R. Bradwell. Urinary alpha-1-acid glycoprotein is a sensitive marker of glomerular protein leakage at altitude. High Alt Med Biol. 19:295-298, 2018.-Proteinuria is an established feature of ascent to altitude and may be caused by a loss of negative charges on glomerular capillary walls (GCWs). To test this hypothesis, we measured two similar sized but oppositely charged proteins in urine: negatively charged alpha-1-acid glycoprotein (α1-AGP, 41-43 kDa) and positively charged dimeric lambda free light chains (λ-FLCs, 50 kDa). Twenty-four-hour urinary leakage was compared with albumin, a 66 kDa negatively charged protein. We studied 23 individuals (ages 23-78 years, male = 17) at baseline (140 m) and daily during an expedition to 5035 m. The results showed a significant increase in median urinary leakage of α1-AGP (p < 0.0001; 6.85-fold) and albumin (p = 0.0006; 1.65-fold) with ascent to altitude, but no significant increase in leakage of λ-FLCs (p = 0.39; 1.14-fold). α1-AGP correlated with the daily ascent profile (p = 0.0026) and partial pressure of oxygen (p = 0.01), whereas albumin showed no correlation (p = 0.19). Urinary α1-AGP was a more sensitive marker of altitude proteinuria than urinary albumin and λ-FLCs, and supported the possibility of loss of GCW negative charges at altitude.

Indexed as

AltitudeAdultAgedAlbuminuriaBiomarkersCapillariesFemaleHumansImmunoglobulin lambda-ChainsKidney GlomerulusMaleMiddle AgedOrosomucoidPermeabilityProteinuriaYoung AdultBiomarkersImmunoglobulin lambda-ChainsOrosomucoidalpha-1-acid glycoproteinaltitudeglomerular capillary wallorosomucoidproteinuria

Identifiers

PMID29889556
PMCPMC6157339
OpenAlexW2808599070

What OpenQuestion holds

Textmetadata
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.