Evidence map›Paper›PMID 29923769›Full record

ArticleAmerican journal of physiology. Renal physiology2018

Intrarenal Toll-like receptor 4 and Toll-like receptor 2 expression correlates with injury in antineutrophil cytoplasmic antibody-associated vasculitis.

Kim M O'Sullivan, Sharon L Ford, Anthony Longano, A Richard Kitching, Stephen R Holdsworth

Open access · greenAbstract readComparative Study
In one paragraph

Article in American journal of physiology. Renal physiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

20 citing papers in PubMed, 35 citations in OpenAlex.

  1. Review
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  5. Damage-Associated Molecular Patterns and Pattern Recognition Receptors in the Podocyte.Journal of the American Society of Nephrology : JASN · 2025
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  19. The Emerging Role of Innate Immunity in Chronic Kidney Diseases.International journal of molecular sciences · 2020
    Review
  20. Animal Models of ANCA Associated Vasculitis.Frontiers in immunology · 2020
    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 2 institutions in 1 country.

Kim M O'SullivanCentre for Inflammatory Diseases, Monash University Department of Medicine , Clayton, Victoria , Australia.ORCID 0000-0002-3098-7948
Sharon L FordCentre for Inflammatory Diseases, Monash University Department of Medicine , Clayton, Victoria , Australia.
Anthony LonganoDepartment of Pathology, Monash Health, Clayton, Victoria , Australia.
A Richard KitchingCentre for Inflammatory Diseases, Monash University Department of Medicine , Clayton, Victoria , Australia.
Stephen R HoldsworthCentre for Inflammatory Diseases, Monash University Department of Medicine , Clayton, Victoria , Australia.
Monash Health · AUMonash University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In antineutrophil cytoplasmic antibody-associated vasculitis (AAV), Toll-like receptors (TLRs) may be engaged by infection-associated patterns and by endogenous danger signals, linking infection and innate inflammation with this autoimmune disease. This study examined intrarenal TLR2, TLR4, and TLR9 expression and renal injury in AAV, testing the hypothesis that increased TLR expression correlates with renal injury. Patients with AAV exhibited both glomerular and tubulointerstitial expression of TLR2, TLR4, and TLR9, with TLR4 being the most prominent in both compartments. Glomerular TLR4 expression correlated with glomerular segmental necrosis and cellular crescents, with TLR2 expression correlating with glomerular segmental necrosis. The extent and intensity of glomerular and tubulointerstitial TLR4 expression and the intensity of glomerular TLR2 expression inversely correlated with the presenting estimated glomerular filtration rate. Although myeloid cells within the kidney expressed TLR2, TLR4, and TLR9, TLR2 and TLR4 colocalized with endothelial cells and podocytes, whereas TLR9 was expressed predominantly by podocytes. The functional relevance of intrarenal TLR expression was further supported by the colocalization of TLRs with their endogenous ligands high-mobility group box 1 and fibrinogen. Therefore, in AAV, the extent of intrarenal TLR4 and TLR2 expression and their correlation with renal injury indicates that TLR4, and to a lesser degree TLR2, may be potential therapeutic targets in this disease.

Indexed as

AgedAntibodies, Antineutrophil CytoplasmicAnti-Neutrophil Cytoplasmic Antibody-Associated VasculitisFemaleFibrinogenGlomerular Filtration RateGlomerulonephritisHMGB1 ProteinHumansKidney GlomerulusMaleMiddle AgedPeroxidaseReceptor, PAR-1Severity of Illness IndexToll-Like Receptor 2Antibodies, Antineutrophil CytoplasmicFibrinogenHMGB1 ProteinHMGB1 protein, humanMPO protein, humanPAR (protease-activated receptor)-3 receptor, humanPeroxidaseReceptor, PAR-1TLR2 protein, humanTLR4 protein, humanTLR9 protein, humanToll-Like Receptor 2Toll-Like Receptor 4Toll-Like Receptor 9antibodiesantineutrophil cytoplasmicautoimmunityglomerulonephritisToll-like receptorsvasculitis

Identifiers

PMID29923769
PMCPMC6293285
OpenAlexW2809611010

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.