Evidence map›Paper›PMID 31554656›Full record

ReviewJournal of the American Society of Nephrology : JASN2019

Iron Chelation as a Potential Therapeutic Strategy for AKI Prevention.

Shreyak Sharma, David E Leaf

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Journal of the American Society of Nephrology : JASN, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04633889 (Deferoxamine for the Prevention of Cardiac Surgery-Associated Acute Kidney Injury), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.7field-weighted citation impact, top 6% 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.

NCT04633889 phase2active not recruitingnot on this mapstarted 2021, after this paper: background citation

Deferoxamine for the Prevention of Cardiac Surgery-Associated Acute Kidney Injury

TypeinterventionalSponsorBrigham and Women's HospitalRan2021 to 2026Enrolled320ConditionsAcute Kidney InjuryArmsDeferoxamine, Normal saline
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 55 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Targeting macro- and micro-nutrient regulation of HNeurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Drugs in treating paediatric acute kidney injury.Pediatric nephrology (Berlin, Germany) · 2023
    Review
  13. Article
  14. Review
  15. Review
  16. Targeting ferroptosis in ischemia/reperfusion renal injury.Naunyn-Schmiedeberg's archives of pharmacology · 2022
    Review
  17. Article
  18. Observational
  19. The Role of Ferroptosis in Acute Kidney Injury.Frontiers in molecular biosciences · 2022
    Review
  20. 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

2 authors at 1 institution in 1 country.

Shreyak SharmaDivision of Renal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-5376-216X
David E LeafDivision of Renal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts deleaf@bwh.harvard.edu.ORCID 0000-0001-7875-090X
Brigham and Women's Hospital · US

Funding

Precision Medicine Approach to Vitamin D3 Administration in Critical IllnessR01HL144566 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI LEAF, DAVID EVAN · 2019 to 2022
$1.8M
Dysregulated Mineral Metabolism and Acute Kidney InjuryK23DK106448 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI LEAF, DAVID EVAN · 2015 to 2019
$964k
NHLBI NIH HHS R01 HL144566NIDDK NIH HHS K23 DK106448
6 · The paper itself

Abstract

AKI remains a major public health concern. Despite years of investigation, no intervention has been demonstrated to reliably prevent AKI in humans. Thus, development of novel therapeutic targets is urgently needed. An important role of iron in the pathophysiology of AKI has been recognized for over three decades. When present in excess and in nonphysiologic labile forms, iron is toxic to the kidneys and multiple other organs, whereas iron chelation is protective across a broad spectrum of insults. In humans, small studies have investigated iron chelation as a novel therapeutic strategy for prevention of AKI and extrarenal acute organ injury, and have demonstrated encouraging initial results. In this review, we examine the existing data on iron chelation for AKI prevention in both animal models and human studies. We discuss practical considerations for future clinical trials of AKI prevention using iron chelators, including selection of the ideal clinical setting, patient population, iron chelating agent, and dosing regimen. Finally, we compare the key differences among the currently available iron chelators, including pharmacokinetics, routes of administration, and adverse effects.

Indexed as

Acute Coronary SyndromeAcute Kidney InjuryAnimalsCardiopulmonary BypassCerebral HemorrhageHumansIron Chelating AgentsPatient SelectionIron Chelating AgentsAcute Kidney Injuryacute renal failurecatalytic ironferritinfree hemoglobinlabile iron

Identifiers

PMID31554656
PMCPMC6830795
OpenAlexW2977065915

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.