Evidence map›Paper›PMID 32062358›Full record

ArticleEBioMedicine2020

Anti-fibrotic effect of decorin in peritoneal dialysis and PD-associated peritonitis.

Na Jiang, Qing Zhang, Mel Km Chau, Ming S Yip, Sing Leung Lui, Stephanie Liu, Kent Man Chu, Hextan Ys Ngan, Tak Mao Chan, Susan Yung

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.3field-weighted citation impact, top 17% 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

16 citing papers in PubMed, 21 citations in OpenAlex.

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  13. Convergent genomic and pharmacological evidence of PI3K/GSK3 signaling alterations in neurons from schizophrenia patients.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 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

10 authors at 3 institutions in 2 countries.

Na JiangDepartment of Medicine, The University of Hong Kong, Hong Kong; Department of Nephrology, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Qing ZhangDepartment of Medicine, The University of Hong Kong, Hong Kong.
Mel Km ChauDepartment of Medicine, The University of Hong Kong, Hong Kong.
Ming S YipDepartment of Medicine, The University of Hong Kong, Hong Kong.
Sing Leung LuiDepartment of Medicine, Tung Wah Hospital, Hong Kong.
Stephanie LiuDepartment of Obstetrics & Gynaecology, Hong Kong.
Kent Man ChuDepartment of Surgery, The University of Hong Kong, Hong Kong.
Hextan Ys NganDepartment of Obstetrics & Gynaecology, Hong Kong.
Tak Mao ChanDepartment of Medicine, The University of Hong Kong, Hong Kong. Electronic address: dtmchan@hku.hk.
Susan YungDepartment of Medicine, The University of Hong Kong, Hong Kong. Electronic address: ssyyung@hku.hk.
University of Hong Kong · HKRenji Hospital · CNTung Wah Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProgressive peritoneal fibrosis is a common complication in patients on long-term peritoneal dialysis (PD). PD-associated peritonitis is a major exacerbating factor. We investigated the anti-fibrotic properties of decorin secreted by peritoneal mesothelial cells.

methodsDialysate decorin level in stable PD patients and those with peritonitis was measured. In vitro experiments were conducted to investigate the effect of decorin in fibrotic response in human peritoneal mesothelial cells (HPMC).

findingsIncreasing PD duration was associated with a progressive decrease of dialysate decorin and CA125 levels. Dialysate decorin level correlated with CA125 level. Peritonitis episodes were associated with a massive drop of dialysate decorin, which persisted for over three months despite clinical recovery. Dialysate decorin level correlated with that of TGF-β1, but was inversely related to IL-1β and IL-8. TGF-β1, IL-1β, IL-6, IL-8, or TNF-α reduced decorin secretion in HPMC, but induced fibronectin expression. The effects were mediated in part through increased p38 MAPK and AKT/PI3K phosphorylation. Decorin abrogated the induction of fibronectin expression in mesothelial cells by PD fluids or pro-fibrotic cytokines, through decreased TGF-βRI, p38 MAPK and AKT/PI3K phosphorylation and increased glycogen synthase kinase-3β phosphorylation. Decorin gene-silencing resulted in increased fibronectin expression under these conditions.

interpretationOur data demonstrate anti-fibrotic actions of decorin in HPMC, when these cells are subjected to the pro-fibrotic effect of peritoneal dialysate and pro-fibrotic cytokines in PD, especially during peritonitis.

Indexed as

AgedBiomarkersCytokinesDecorinFemaleFibronectinsFibrosisGene Knockdown TechniquesHumansMaleMiddle AgedPeritoneal DialysisPeritonitisBiomarkersCytokinesDecorinFibronectinsDecorinFibrosisInflammationMesothelial cellsPeritoneal dialysisPeritonitis

Identifiers

PMID32062358
PMCPMC7016379
OpenAlexW3006075631

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.