Evidence map›Paper›PMID 31973092›Full record

ArticleJournal of clinical medicine2020

VEGFR2 Blockade Improves Renal Damage in an Experimental Model of Type 2 Diabetic Nephropathy.

Carolina Lavoz, Raul R Rodrigues-Diez, Anita Plaza, Daniel Carpio, Jesús Egido, Marta Ruiz-Ortega, Sergio Mezzano

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.6field-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.

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

21 citing papers in PubMed, 38 citations in OpenAlex.

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  16. Study of the Active Components and Molecular Mechanism ofFrontiers in molecular biosciences · 2021
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  17. Evidence-based complementary and alternative medicine : eCAM · 2021
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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

7 authors at 3 institutions in 2 countries.

Carolina LavozLaboratorio de Nefrología, Facultad de Medicina, Universidad Austral de Chile, Bueras 1003, Valdivia, Chile.
Raul R Rodrigues-DiezCellular and Molecular Biology in Renal and Vascular Pathology Laboratory. Fundación Instituto de Investigación Sanitaria-Fundación Jiménez Díaz-Universidad Autónoma Madrid, Reyes Católicos 2, 28040 Madrid, Spain.
Anita PlazaLaboratorio de Nefrología, Facultad de Medicina, Universidad Austral de Chile, Bueras 1003, Valdivia, Chile.
Daniel CarpioLaboratorio de Nefrología, Facultad de Medicina, Universidad Austral de Chile, Bueras 1003, Valdivia, Chile.
Jesús EgidoRenal, Vascular and Diabetes Research Laboratory. Fundación Instituto de Investigación Sanitaria-Fundación Jiménez Díaz-Universidad Autónoma Madrid, 28040 Madrid, Spain.
Marta Ruiz-OrtegaCellular and Molecular Biology in Renal and Vascular Pathology Laboratory. Fundación Instituto de Investigación Sanitaria-Fundación Jiménez Díaz-Universidad Autónoma Madrid, Reyes Católicos 2, 28040 Madrid, Spain.
Sergio MezzanoLaboratorio de Nefrología, Facultad de Medicina, Universidad Austral de Chile, Bueras 1003, Valdivia, Chile.
Austral University of Chile · CLHospital Universitario Fundación Jiménez Díaz · ESSpanish Biomedical Research Centre in Physiopathology of Obesity and Nutrition · ES

Funding

Comunidad de Madrid NOVELREN" B2017/BMD-3751Fondecyt 1160465Instituto de Salud Carlos III and Fondos FEDER European Union PI17/00119 and Red de Investigación Renal REDINREN: RD16/0009
6 · The paper itself

Abstract

The absence of optimal treatments for Diabetic Nephropathy (DN) highlights the importance of the search for novel therapeutic targets. The vascular endothelial growth factor receptor 2 (VEGFR2) pathway is activated in experimental and human DN, but the effects of its blockade in experimental models of DN is still controversial. Here, we test the effects of a therapeutic anti-VEGFR2 treatment, using a VEGFR2 kinase inhibitor, on the progression of renal damage in the BTBR ob/ob (leptin deficiency mutation) mice. This experimental diabetic model develops histological characteristics mimicking the key features of advanced human DN. A VEGFR2 pathway-activation blockade using the VEGFR2 kinase inhibitor SU5416, starting after kidney disease development, improves renal function, glomerular damage (mesangial matrix expansion and basement membrane thickening), tubulointerstitial inflammation and tubular atrophy, compared to untreated diabetic mice. The downstream mechanisms involved in these beneficial effects of VEGFR2 blockade include gene expression restoration of podocyte markers and downregulation of renal injury biomarkers and pro-inflammatory mediators. Several ligands can activate VEGFR2, including the canonical ligands VEGFs and GREMLIN. Activation of a GREMLIN/VEGFR2 pathway, but not other ligands, is correlated with renal damage progression in BTBR ob/ob diabetic mice. RNA sequencing analysis of GREMLIN-regulated genes confirm the modulation of proinflammatory genes and related-molecular pathways. Overall, these data show that a GREMLIN/VEGFR2 pathway activation is involved in diabetic kidney disease and could potentially be a novel therapeutic target in this clinical condition.

Indexed as

diabetesdiabetic nephropathyGREMLINinflammationpodocytestubular cellsVEGFAVEGFR2

Identifiers

PMID31973092
PMCPMC7074274
OpenAlexW3001414586

What OpenQuestion holds

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LicenceCC BY
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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.