Evidence map›Paper›PMID 31011203›Full record

ArticleNature medicine2019

A signature of circulating inflammatory proteins and development of end-stage renal disease in diabetes.

Monika A Niewczas, Meda E Pavkov, Jan Skupien, Adam Smiles, Zaipul I Md Dom, Jonathan M Wilson, Jihwan Park, Viji Nair, Andrew Schlafly, Pierre-Jean Saulnier and 14 more

Open access · greenAbstract read
In one paragraph

Article in Nature medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 259 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
259citing papers in PubMed, 1 pooled it
35.5field-weighted citation impact, top 1% 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

259 citing papers in PubMed, 1 synthesis or guideline pooled it, 427 citations in OpenAlex.

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  18. A Five-Plasma Protein-Based Algorithm for Predicting Incident CKD in Type 2 Diabetes.Journal of the American Society of Nephrology : JASN · 2026
    Article
  19. Proteomic Markers of Dietary Patterns, CKD Progression, and Mortality in the CRIC Study.Clinical journal of the American Society of Nephrology : CJASN · 2026
    Article
  20. Article

199 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 10 institutions in 4 countries.

Monika A NiewczasResearch Division, Joslin Diabetes Center, Boston, MA, USA. Monika.Niewczas@joslin.harvard.edu.ORCID http://orcid.org/0000-0003-2371-595X
Meda E PavkovDivision of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Jan SkupienResearch Division, Joslin Diabetes Center, Boston, MA, USA.
Adam SmilesResearch Division, Joslin Diabetes Center, Boston, MA, USA.
Zaipul I Md DomResearch Division, Joslin Diabetes Center, Boston, MA, USA.
Jonathan M WilsonDiabetes and Complications Department, Lilly Research Laboratories, Eli Lilly and Company, Indianapolis, IN, USA.
Jihwan ParkRenal Electrolyte and Hypertension Division, Department of Medicine, Department of Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Viji NairNephrology/Internal Medicine and Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI, USA.
Andrew SchlaflyResearch Division, Joslin Diabetes Center, Boston, MA, USA.
Pierre-Jean SaulnierChronic Kidney Disease Section, National Institute of Diabetes and Digestive and Kidney Diseases, Phoenix, AZ, USA.
Eiichiro SatakeResearch Division, Joslin Diabetes Center, Boston, MA, USA.ORCID http://orcid.org/0000-0002-9784-4423
Christopher A SimeoneResearch Division, Joslin Diabetes Center, Boston, MA, USA.
Hetal ShahResearch Division, Joslin Diabetes Center, Boston, MA, USA.ORCID http://orcid.org/0000-0002-3685-4572
Chengxiang QiuRenal Electrolyte and Hypertension Division, Department of Medicine, Department of Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Helen C LookerChronic Kidney Disease Section, National Institute of Diabetes and Digestive and Kidney Diseases, Phoenix, AZ, USA.
Paolo FiorinaNephrology Division, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Carl F WareInfectious and Inflammatory Disease Center, Sanford Burnham Prebys Medical Discovery Institute, La Jolla, CA, USA.
Jennifer K SunResearch Division, Joslin Diabetes Center, Boston, MA, USA.
Alessandro DoriaResearch Division, Joslin Diabetes Center, Boston, MA, USA.
Matthias KretzlerNephrology/Internal Medicine and Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI, USA.
Katalin SusztakRenal Electrolyte and Hypertension Division, Department of Medicine, Department of Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-1005-3726
Kevin L DuffinDiabetes and Complications Department, Lilly Research Laboratories, Eli Lilly and Company, Indianapolis, IN, USA.
Robert G NelsonChronic Kidney Disease Section, National Institute of Diabetes and Digestive and Kidney Diseases, Phoenix, AZ, USA.
Andrzej S KrolewskiResearch Division, Joslin Diabetes Center, Boston, MA, USA. Andrzej.Krolewski@joslin.harvard.edu.ORCID http://orcid.org/0000-0002-1705-2953
Joslin Diabetes Center · USUniversity of Pennsylvania · USEli Lilly (United States) · USNational Institute of Diabetes and Digestive and Kidney Diseases · USUniversity of Michigan · USBoston Children's Hospital · USCenters for Disease Control and Prevention · USInserm · FRJagiellonian University · PLSanford Burnham Prebys Medical Discovery Institute · US

Funding

SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI ROHIT N. KULKARNI · 1986 to 2026
$50.5M
University of Michigan O'Brien Kidney Translational Core CenterP30DK081943 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PENNATHUR, SUBRAMANIAM · 2008 to 2022
$12.9M
Epidemiology, Pathophysiology and Treatment of Diabetic NephropathyZIADK069062 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI NELSON, ROBERT G · 2009 to 2023
$10.1M
Role of the Notch Pathway in Kidney InjuryR01DK076077 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI KATALIN SUSZTAK · 2007 to 2026
$8.0M
Tumor necrosis factor superfamily of ligands and receptors in progressive renal decline in diabetesR01DK041526 · NIDDK · JOSLIN DIABETES CENTER · PI KROLEWSKI, ANDRZEJ S · 1990 to 2018
$7.8M
Epigenetics of Chronic Kidney DiseaseR01DK087635 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI KATALIN SUSZTAK · 2009 to 2026
$7.0M
Epigenetic drivers and biomarkers of diabetic kidney diseaseDP3DK108220 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI SUSZTAK, KATALIN · 2015 to 2015
$2.4M
Search for biomarkers to measure progression of diabetic nephropathy in Type 1 diabetes; application of proteomics technologiesDP3DK112177 · NIDDK · JOSLIN DIABETES CENTER · PI GALECKI, ANDRZEJ T, KROLEWSKI, ANDRZEJ S · 2016 to 2016
$2.3M
NIDDK NIH HHS DP3 DK108220NIDDK NIH HHS DP3 DK112177NIDDK NIH HHS P30 DK036836NIDDK NIH HHS P30 DK081943NIDDK NIH HHS R01 DK041526NIDDK NIH HHS R01 DK076077NIDDK NIH HHS R01 DK087635
6 · The paper itself

Abstract

Chronic inflammation is postulated to be involved in the development of end-stage renal disease in diabetes, but which specific circulating inflammatory proteins contribute to this risk remain unknown. To study this, we examined 194 circulating inflammatory proteins in subjects from three independent cohorts with type 1 and type 2 diabetes. In each cohort, we identified an extremely robust kidney risk inflammatory signature (KRIS), consisting of 17 proteins enriched in tumor necrosis factor-receptor superfamily members, that was associated with a 10-year risk of end-stage renal disease. All these proteins had a systemic, non-kidney source. Our prospective study findings provide strong evidence that KRIS proteins contribute to the inflammatory process underlying end-stage renal disease development in both types of diabetes. These proteins point to new therapeutic targets and new prognostic tests to identify subjects at risk of end-stage renal disease, as well as biomarkers to measure responses to treatment of diabetic kidney disease.

Indexed as

AdultAgedBiomarkersBlood ProteinsCohort StudiesDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Diabetic NephropathiesDisease ProgressionFemaleHumansInflammation MediatorsKidney Failure, ChronicMaleMiddle AgedPrognosisBiomarkersBlood ProteinsInflammation MediatorsReceptors, Tumor Necrosis Factor

Identifiers

PMID31011203
PMCPMC6508971
OpenAlexW2939798759

What OpenQuestion holds

Textmetadata
LicenceTDM
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.