Evidence map›Paper›PMID 30385042›Full record

ArticleKidney international2018

CXCL12 blockade preferentially regenerates lost podocytes in cortical nephrons by targeting an intrinsic podocyte-progenitor feedback mechanism.

Simone Romoli, Maria Lucia Angelotti, Giulia Antonelli, Santhosh Kumar Vr, Shrikant R Mulay, Jyaysi Desai, Lidia Anguiano Gomez, Dana Thomasova, Dirk Eulberg, Sven Klussmann and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Kidney international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed
6.4field-weighted citation impact, top 2% 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

54 citing papers in PubMed, 98 citations in OpenAlex.

  1. Cell-cell crosstalk in kidney health and disease.Nature reviews. Nephrology · 2026
    Review
  2. Review
  3. Article
  4. Article
  5. Podocytopathies.Nature reviews. Disease primers · 2025
    Review
  6. Review
  7. The Life of a Kidney Podocyte.Acta physiologica (Oxford, England) · 2025
    Review
  8. Article
  9. Piezo1, F-Actin Remodeling, and Podocyte Survival and Regeneration.Journal of the American Society of Nephrology : JASN · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 3 institutions in 3 countries.

Simone RomoliRenal Division, Department of Medicine IV, University Hospital, Munich, Germany.
Maria Lucia AngelottiExcellence Centre for Research, Transfer and High Education for the Development of DE NOVO Therapies (DENOTHE), University of Florence, Florence, Italy.
Giulia AntonelliExcellence Centre for Research, Transfer and High Education for the Development of DE NOVO Therapies (DENOTHE), University of Florence, Florence, Italy.
Santhosh Kumar VrRenal Division, Department of Medicine IV, University Hospital, Munich, Germany.
Shrikant R MulayRenal Division, Department of Medicine IV, University Hospital, Munich, Germany.
Jyaysi DesaiRenal Division, Department of Medicine IV, University Hospital, Munich, Germany.
Lidia Anguiano GomezRenal Division, Department of Medicine IV, University Hospital, Munich, Germany.
Dana ThomasovaRenal Division, Department of Medicine IV, University Hospital, Munich, Germany.
Dirk EulbergNOXXON Pharma AG, Berlin, Germany.
Sven KlussmannNOXXON Pharma AG, Berlin, Germany.
Maria Elena MelicaExcellence Centre for Research, Transfer and High Education for the Development of DE NOVO Therapies (DENOTHE), University of Florence, Florence, Italy.
Carolina ConteExcellence Centre for Research, Transfer and High Education for the Development of DE NOVO Therapies (DENOTHE), University of Florence, Florence, Italy.
Duccio LombardiExcellence Centre for Research, Transfer and High Education for the Development of DE NOVO Therapies (DENOTHE), University of Florence, Florence, Italy.
Laura LasagniExcellence Centre for Research, Transfer and High Education for the Development of DE NOVO Therapies (DENOTHE), University of Florence, Florence, Italy.
Hans-Joachim AndersRenal Division, Department of Medicine IV, University Hospital, Munich, Germany. Electronic address: hjanders@med.uni-muenchen.de.
Paola RomagnaniExcellence Centre for Research, Transfer and High Education for the Development of DE NOVO Therapies (DENOTHE), University of Florence, Florence, Italy. Electronic address: paola.romagnani@unifi.it.
LMU Klinikum · DEUniversity of Florence · ITNoxxon Pharma (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Insufficient podocyte regeneration after injury is a central pathomechanism of glomerulosclerosis and chronic kidney disease. Podocytes constitutively secrete the chemokine CXCL12, which is known to regulate homing and activation of stem cells; hence we hypothesized a similar effect of CXCL12 on podocyte progenitors. CXCL12 blockade increased podocyte numbers and attenuated proteinuria in mice with Adriamycin-induced nephropathy. Similar studies in lineage-tracing mice revealed enhanced de novo podocyte formation from parietal epithelial cells in the setting of CXCL12 blockade. Super-resolution microscopy documented full integration of these progenitor-derived podocytes into the glomerular filtration barrier, interdigitating with tertiary foot processes of neighboring podocytes. Quantitative 3D analysis revealed that conventional 2D analysis underestimated the numbers of progenitor-derived podocytes. The 3D analysis also demonstrated differences between juxtamedullary and cortical nephrons in both progenitor endowment and Adriamycin-induced podocyte loss, with more robust podocyte regeneration in cortical nephrons with CXCL12 blockade. Finally, we found that delayed CXCL12 inhibition still had protective effects. In vitro studies found that CXCL12 inhibition uncoupled Notch signaling in podocyte progenitors. These data suggest that CXCL12-driven podocyte-progenitor feedback maintains progenitor quiescence during homeostasis, but also limits their intrinsic capacity to regenerate lost podocytes, especially in cortical nephrons. CXCL12 inhibition could be an innovative therapeutic strategy in glomerular disorders.

Indexed as

AnimalsAptamers, NucleotideCell DifferentiationCells, CulturedChemokine CXCL12Disease Models, AnimalDoxorubicinFeedback, PhysiologicalGlomerulosclerosis, Focal SegmentalHumansImaging, Three-DimensionalMaleMiceMice, TransgenicMicroscopy, ConfocalPodocytesAptamers, NucleotideChemokine CXCL12Cxcl12 protein, mouseDoxorubicinNOX-A12FSGSglomerulosclerosisprogenitor cellsproteinuriaregenerationSTED

Identifiers

PMID30385042
PMCPMC6251974
OpenAlexW2899431461

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.