Evidence map›Paper›PMID 31578243›Full record

ArticleScience translational medicine2019

Circulating uromodulin inhibits systemic oxidative stress by inactivating the TRPM2 channel.

Kaice A LaFavers, Etienne Macedo, Pranav S Garimella, Camila Lima, Shehnaz Khan, Jered Myslinski, Jeanette McClintick, Frank A Witzmann, Seth Winfree, Carrie L Phillips and 5 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Science translational medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06498336 (Specific miRNA Associated With Endothelial Dysfunction and Mitochondrial Damage in Patients With Septic Acute Kidney Injury), which is not on this map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
7.7field-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.

NCT06498336 completednot on this mapstarted 2024, after this paper: background citation

Specific miRNA Associated With Endothelial Dysfunction and Mitochondrial Damage in Patients With Septic Acute Kidney Injury

TypeobservationalSponsorUniversity Hospital OstravaRan2024 to 2026Enrolled211ConditionsSepsis, Acute Kidney Injury, Acute Kidney Injury Due to SepsisArmsLaboratory examination to determine the presence of sepsis, Laboratory examination to determine the presence of sepsis and acute kidney injury, Laboratory examination to determine miRNA and biochemical parameters
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Endocrine regulation of uromodulin in aging.Frontiers in endocrinology · 2026
    Review
  8. Article
  9. A Multiomics Study of Circulating Proteins and Kidney Stone Risk.Journal of the American Society of Nephrology : JASN · 2025
    Article
  10. Review
  11. Review
  12. Article
  13. Uromodulin biology.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
    Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. Role of Uromodulin in Salt-Sensitive Hypertension.Hypertension (Dallas, Tex. : 1979) · 2022
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 2 countries.

Kaice A LaFaversDivision of Nephrology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.ORCID 0000-0003-2052-6248
Etienne MacedoDivision of Nephrology-Hypertension, Department of Medicine, University of California San Diego, San Diego, CA 92093, USA.ORCID 0000-0002-3669-6519
Pranav S GarimellaDivision of Nephrology-Hypertension, Department of Medicine, University of California San Diego, San Diego, CA 92093, USA.ORCID 0000-0002-6016-4715
Camila LimaDivision of Nephrology, Department of Medicine, University of Sao Paulo, Sao Paulo 05403, Brazil.ORCID 0000-0003-3930-1081
Shehnaz KhanDivision of Nephrology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Jered MyslinskiDivision of Nephrology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.ORCID 0000-0003-2760-8692
Jeanette McClintickDepartment of Biochemistry and Molecular Biology, Indiana University School of Medicine, Indianapolis, IN 46202, USA.ORCID 0000-0002-6548-4902
Frank A WitzmannDepartment of Cellular and Integrative Physiology, Indiana University School of Medicine, Indianapolis, IN 46202, USA.ORCID 0000-0001-9167-7663
Seth WinfreeDivision of Nephrology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.ORCID 0000-0002-2396-5871
Carrie L PhillipsDepartment of Pathology and Laboratory Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.ORCID 0000-0002-0256-0736
Takashi HatoDivision of Nephrology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.ORCID 0000-0002-0446-6575
Pierre C DagherDivision of Nephrology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.ORCID 0000-0003-3321-5561
Xue-Ru WuDepartments of Urology and Pathology, New York University School of Medicine and Veterans Affairs, New York Harbor Healthcare System, Manhattan Campus, New York, NY 10010, USA.
Tarek M El-AchkarDivision of Nephrology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA. telachka@iu.edu.ORCID 0000-0003-4645-3614
Radmila MicanovicDivision of Nephrology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.ORCID 0000-0002-8151-0234
Indiana University School of MedicineRichard L. Roudebush VA Medical Center · USUniversity of San Diego · USUniversidade de São Paulo · BRVA NY Harbor Healthcare System · US

Funding

UAB-UCSD O'Brien Core Center for Acute Kidney Injury ResearchP30DK079337 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI AGARWAL, ANUPAM · 2008 to 2022
$18.3M
PROBE DELIVERY COREP30DK079312 · NIDDK · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI MOLITORIS, BRUCE A · 2007 to 2021
$17.1M
Reagent/Service CoreP01CA165980 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI WU, XUE-RU · 2013 to 2023
$13.5M
ROLE OF TAMM-HORSFALL PROTEIN IN URINARY TRACT DEFENSER01DK056903 · NIDDK · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI WU, XUE-RU · 2000 to 2018
$4.6M
Endotoxin preconditioning as a model to uncover protective pathways in sepsis-induced renal injury.R01DK107623 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI Pierre C Dagher · 2016 to 2026
$4.4M
Understanding the Function of Tamm-Horsfall Protein in Acute kidney Injury.R01DK111651 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI ASHKAR, TAREK MAURICE · 2017 to 2021
$1.6M
Tubular secretion, kidney disease progression, and drug dosing in older adultsK23DK114556 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GARIMELLA, PRANAV · 2018 to 2022
$1.0M
Modulating purine metabolism to treat kidney injury in sepsis.K08DK113223 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI HATO, TAKASHI · 2017 to 2021
$757k
Understanding the Function of Tamm-Horsfall Protein in Acute Kidney InjuryI01BX003935 · VA · RLR VA MEDICAL CENTER · PI ASHKAR, TAREK MAURICE · 2017 to 2025
–
Protective pathways in sepsis-induced renal injuryI01BX002901 · VA · RLR VA MEDICAL CENTER · PI Takashi Hato · 2016 to 2026
–
BLRD VA I01 BX002901BLRD VA I01 BX003935BLRD VA IK6 BX004479NCI NIH HHS P01 CA165980NIDDK NIH HHS K08 DK113223NIDDK NIH HHS K23 DK114556NIDDK NIH HHS P30 DK079312NIDDK NIH HHS P30 DK079337NIDDK NIH HHS R01 DK056903NIDDK NIH HHS R01 DK107623NIDDK NIH HHS R01 DK111651
6 · The paper itself

Abstract

High serum concentrations of kidney-derived protein uromodulin [Tamm-Horsfall protein (THP)] have recently been shown to be independently associated with low mortality in both older adults and cardiac patients, but the underlying mechanism remains unclear. Here, we show that THP inhibits the generation of reactive oxygen species (ROS) both in the kidney and systemically. Consistent with this experimental data, the concentration of circulating THP in patients with surgery-induced acute kidney injury (AKI) correlated with systemic oxidative damage. THP in the serum dropped after AKI and was associated with an increase in systemic ROS. The increase in oxidant injury correlated with postsurgical mortality and need for dialysis. Mechanistically, THP inhibited the activation of the transient receptor potential cation channel, subfamily M, member 2 (TRPM2) channel. Furthermore, inhibition of TRPM2 in vivo in a mouse model mitigated the systemic increase in ROS during AKI and THP deficiency. Our results suggest that THP is a key regulator of systemic oxidative stress by suppressing TRPM2 activity, and our findings might help explain how circulating THP deficiency is linked with poor outcomes and increased mortality.

Indexed as

AdultAnimalsDoxycyclineFemaleHEK293 CellsHumansMaleMiceMiddle AgedOxidative StressReactive Oxygen SpeciesSignal TransductionTRPM Cation ChannelsUromodulinDoxycyclineReactive Oxygen SpeciesTRPM2 protein, humanTRPM Cation ChannelsUromodulin

Identifiers

PMID31578243
PMCPMC7034444
OpenAlexW2978953656

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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.