Evidence map›Paper›PMID 30517161›Full record

ArticlePloS one2018

High plasma resistin associates with severe acute kidney injury in Puumala hantavirus infection.

Paula S Mantula, Tuula K Outinen, Pia Jaatinen, Mari Hämäläinen, Heini Huhtala, Ilkka H Pörsti, Antti Vaheri, Jukka T Mustonen, Satu M Mäkelä

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

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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

9 authors at 3 institutions in 1 country.

Paula S MantulaTampere University Hospital, Department of Internal Medicine, Tampere, Finland.ORCID 0000-0003-0271-1458
Tuula K OutinenTampere University Hospital, Department of Internal Medicine, Tampere, Finland.
Pia JaatinenFaculty of Medicine and Life Sciences, University of Tampere, Tampere, Finland.
Mari HämäläinenThe Immunopharmacology Group, Faculty of Medicine and Life Sciences, University of Tampere and Tampere University Hospital, Tampere, Finland.
Heini HuhtalaFaculty of Social Sciences, University of Tampere, Tampere, Finland.
Ilkka H PörstiTampere University Hospital, Department of Internal Medicine, Tampere, Finland.
Antti VaheriDepartment of Virology, Medicum, University of Helsinki, Helsinki, Finland.
Jukka T MustonenTampere University Hospital, Department of Internal Medicine, Tampere, Finland.
Satu M MäkeläTampere University Hospital, Department of Internal Medicine, Tampere, Finland.
Tampere University · FITampere University Hospital · FIUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPuumala hantavirus (PUUV) infected patients typically suffer from acute kidney injury (AKI). Adipokines have inflammation modulating functions in acute diseases including AKI. We examined plasma levels of three adipokines (resistin, leptin, and adiponectin) in acute PUUV infection and their associations with disease severity.

methodsThis study included 79 patients hospitalized due to acute PUUV infection. Plasma resistin, leptin, adiponectin, as well as IL-6 and CRP, were measured at the acute phase, recovery phase and one year after hospitalization.

resultsPlasma resistin levels were significantly higher in the acute phase compared to the recovery phase and one year after (median resistin 28 pg/mL (11-107) vs. 17 pg/mL (7-36) vs. 14 pg/mL (7-31), p<0.001). Maximum resistin concentration correlated with maximum plasma creatinine levels (r = 0.63; p<0.001). The higher the amount of albuminuria in the urine dipstick test (0-1+, 2+ or 3+) at admission, the higher the median of maximum resistin (24.7 pg/mL, 25.4 pg/mL and 39.6 pg/mL, respectively, p = 0.002). High resistin was also an independent risk factor for severe AKI (creatinine ≥353.6μmol/L) (OR 1.08, 95% CI 1.02-1.14). Neither plasma leptin nor adiponectin level had any correlation with creatinine concentration or the amount of albuminuria.

conclusionsPlasma resistin independently associates with the severity of AKI in acute PUUV infection. The association of resistin with the amount of albuminuria suggests that the level of plasma resistin is not only influenced by renal clearance but could have some role in the pathogenesis of AKI during PUUV infection.

Indexed as

Acute DiseaseAcute Kidney InjuryAdiponectinAdultAgedAlbuminuriaBiomarkersCohort StudiesConvalescenceC-Reactive ProteinFemaleHemorrhagic Fever with Renal SyndromeHospitalizationHumansInterleukin-6LeptinAdiponectinADIPOQ protein, humanBiomarkersC-Reactive ProteinIL6 protein, humanInterleukin-6LEP protein, humanLeptinResistinRETN protein, human

Identifiers

PMID30517161
PMCPMC6281250
OpenAlexW2902968314

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Registered trials

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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.