Evidence map›Paper›PMID 32059667›Full record

ArticleJournal of biomedical science2020

"Point of no return" in unilateral renal ischemia reperfusion injury in mice.

Alexander Holderied, Franziska Kraft, Julian Aurelio Marschner, Marc Weidenbusch, Hans-Joachim Anders

Open access · diamondAbstract read
In one paragraph

Article in Journal of biomedical science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.8field-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

20 citing papers in PubMed, 45 citations in OpenAlex.

  1. [Risk factors for perioperative acute kidney injury following partial nephrectomy in patients with stage 3 chronic kidney disease].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2026
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  4. Rac1 promotes proximal tubule kidney repair by coupling the actin cytoskeleton to mitochondrial function.Proceedings of the National Academy of Sciences of the United States of America · 2025
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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

5 authors at 2 institutions in 1 country.

Alexander HolderiedDepartment of Nephrology and Medical Intensive Care, Charité, Universitätsmedizin Berlin, Berlin, Germany. Alexander.Holderied@charite.de.ORCID http://orcid.org/0000-0002-7673-7741
Franziska KraftMedizinische Klinik and Poliklinik IV, Klinikum der Universität München, Munich, Germany.
Julian Aurelio MarschnerMedizinische Klinik and Poliklinik IV, Klinikum der Universität München, Munich, Germany.
Marc WeidenbuschMedizinische Klinik and Poliklinik IV, Klinikum der Universität München, Munich, Germany.
Hans-Joachim AndersMedizinische Klinik and Poliklinik IV, Klinikum der Universität München, Munich, Germany.
LMU Klinikum · DECharité - Universitätsmedizin Berlin · DE

Funding

Deutsche Forschungsgemeinschaft AN372/14-3Deutsche Forschungsgemeinschaft AN372/23-1Deutsche Forschungsgemeinschaft AN372/24-1
6 · The paper itself

Abstract

backgroundIn the past years evidence has been growing about the interconnection of chronic kidney disease and acute kidney injury. The underlying pathophysiological mechanisms remain unclear. We hypothesized, that a threshold ischemia time in unilateral ischemia/reperfusion injury sets an extent of ischemic tubule necrosis, which as "point of no return" leads to progressive injury. This progress is temporarily associated by increased markers of inflammation and results in fibrosis and atrophy of the ischemic kidney.

methodsAcute tubule necrosis was induced by unilateral ischemia/reperfusion injury in male C57BL/6 N mice with different ischemia times (15, 25, 35, and 45 min). At multiple time points between 15 min and 5 weeks we assessed gene expression of markers for injury, inflammation, and fibrosis, histologically the injury of tubules, cell death (TUNEL), macrophages, neutrophil influx and kidney atrophy.

resultsUnilateral ischemia for 15 and 25 min induced upregulation of markers for injury after reperfusion for 24 h but no upregulation after 5 weeks. None of the markers for inflammation or fibrosis were upregulated after ischemia for 15 and 25 min at 24 h or 5 weeks on a gene expression level, except for Il-6. Ischemia for 35 and 45 min consistently induced upregulation of markers for inflammation, injury, and partially of fibrosis (Tgf-β1 and Col1a1) at 24 h and 5 weeks. The threshold ischemia time for persistent injury of 35 min induced a temporal association of markers for inflammation and injury with peaks between 6 h and 7 d along the course of 10 d. This ischemia time also induced persistent cell death (TUNEL) throughout observation for 5 weeks with a peak at 6 h and progressing kidney atrophy beginning 7 d after ischemia.

conclusionsThis study confirms the evidence of a threshold extent of ischemic injury in which markers of injury, inflammation and fibrosis do not decline to baseline but remain upregulated assessed in long term outcome (5 weeks). Excess of this threshold as "point of no return" leads to persistent cell death and progressing atrophy and is characterized by a temporal association of markers for inflammation and injury.

Indexed as

AnimalsAtrophyBiomarkersFibrosisInflammationKidneyKidney Tubular Necrosis, AcuteMaleMiceMice, Inbred C57BLReperfusion InjuryBiomarkersAcute tubule necrosisChronic on acute kidney injuryIschemia/reperfusion injuryNecroinflammationRenal scarring

Identifiers

PMID32059667
PMCPMC7023741
OpenAlexW3009005825

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.