Evidence map›Paper›PMID 29970016›Full record

ArticleBMC nephrology2018

Left ventricular hypertrophy in experimental chronic kidney disease is associated with reduced expression of cardiac Kruppel-like factor 15.

Sheila K Patel, Elena Velkoska, Daniel Gayed, Jay Ramchand, Jessica Lesmana, Louise M Burrell

Open access · goldAbstract read
In one paragraph

Article in BMC nephrology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 40% 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

5 citing papers in PubMed, 14 citations in OpenAlex.

  1. Multifaceted Role of Microbiota-Derived Indole-3-Acetic Acid in Human Diseases and Its Potential Clinical Application.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Review
  2. Article
  3. Article
  4. Article
  5. 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

6 authors at 1 institution in 1 country.

Sheila K PatelDepartment of Medicine, Austin Health, The University of Melbourne, Level 7 Lance Townsend Building, Austin Hospital, 145 Studley Road, Heidelberg, VIC, 3084, Australia. skpatel@unimelb.edu.au.ORCID 0000-0002-0626-1899
Elena VelkoskaDepartment of Medicine, Austin Health, The University of Melbourne, Level 7 Lance Townsend Building, Austin Hospital, 145 Studley Road, Heidelberg, VIC, 3084, Australia.
Daniel GayedDepartment of Medicine, Austin Health, The University of Melbourne, Level 7 Lance Townsend Building, Austin Hospital, 145 Studley Road, Heidelberg, VIC, 3084, Australia.
Jay RamchandDepartment of Medicine, Austin Health, The University of Melbourne, Level 7 Lance Townsend Building, Austin Hospital, 145 Studley Road, Heidelberg, VIC, 3084, Australia.
Jessica LesmanaDepartment of Medicine, Austin Health, The University of Melbourne, Level 7 Lance Townsend Building, Austin Hospital, 145 Studley Road, Heidelberg, VIC, 3084, Australia.
Louise M BurrellDepartment of Medicine, Austin Health, The University of Melbourne, Level 7 Lance Townsend Building, Austin Hospital, 145 Studley Road, Heidelberg, VIC, 3084, Australia. l.burrell@unimelb.edu.au.
The University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeft ventricular hypertrophy (LVH) increases the risk of death in chronic kidney disease (CKD). The transcription factor Kruppel-like factor 15 (KLF15) is expressed in the heart and regulates cardiac remodelling through inhibition of hypertrophy and fibrosis. It is unknown if KLF15 expression is changed in CKD induced LVH, or whether expression is modulated by blood pressure reduction using angiotensin converting enzyme (ACE) inhibition.

methodsCKD was induced in Sprague-Dawley rats by subtotal nephrectomy (STNx), and rats received vehicle (n = 10) or ACE inhibition (ramipril, 1 mg/kg/day, n = 10) for 4 weeks. Control, sham-operated rats (n = 9) received vehicle. Cardiac structure and function and expression of KLF15 were assessed.

resultsSTNx caused impaired kidney function (P < 0.001), hypertension (P < 0.01), LVH (P < 0.001) and fibrosis (P < 0.05). LVH was associated with increased gene expression of hypertrophic markers, atrial natriuretic peptide (ANP), brain natriuretic peptide (BNP, P < 0.01) and connective tissue growth factor (CTGF) (P < 0.05). Cardiac KLF15 mRNA and protein expression were reduced (P < 0.05) in STNx and levels of the transcription regulator, GATA binding protein 4 were increased (P < 0.05). Ramipril reduced blood pressure (P < 0.001), LVH (P < 0.001) and fibrosis (P < 0.05), and increased cardiac KLF15 gene (P < 0.05) and protein levels (P < 0.01). This was associated with reduced ANP, BNP and CTGF mRNA (all P < 0.05).

conclusionThis is the first evidence that loss of cardiac KLF15 in CKD induced LVH is associated with unchecked trophic and fibrotic signalling, and that ACE inhibition ameliorates loss of cardiac KLF15.

Indexed as

AnimalsBiomarkersFemaleGene ExpressionHypertrophy, Left VentricularKruppel-Like Transcription FactorsRatsRats, Sprague-DawleyRenal Insufficiency, ChronicBiomarkersKlf15 protein, ratKruppel-Like Transcription FactorsACE inhibitionKLF15Kruppel-like factor 15Left ventricular hypertrophyRenin angiotensin systemSubtotal nephrectomy

Identifiers

PMID29970016
PMCPMC6029153
OpenAlexW2811239216

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.