Evidence map›Paper›PMID 32198504›Full record

ReviewAmerican journal of hypertension2020

Sodium Handling and Interaction in Numerous Organs.

Shintaro Minegishi, Friedrich C Luft, Jens Titze, Kento Kitada

Open access · bronzeAbstract readReview
In one paragraph

Review in American journal of hypertension, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Article
  3. Alteration in tissue electrolyte and water balance in pregnant mice: the importance of potassium.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
  4. Article
  5. Article
  6. Frequency of adding salt is a stronger predictor of chronic kidney disease in individuals with genetic risk.Pacific Symposium on Biocomputing. Pacific Symposium on Biocomputing · 2025
    Article
  7. Blood pressure alteration associated with abnormal body electrolyte and water balance in colitis mice.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. NaHeliyon · 2021
    Article
  15. Review
  16. Review
  17. Article
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

4 authors at 4 institutions in 4 countries.

Shintaro MinegishiCardiovascular and Metabolic Disorders, Duke-NUS Medical School, Singapore.
Friedrich C LuftExperimental & Clinical Research Center, a joint collaboration between Max-Delbrück Center for Molecular Medicine and Charité Universitätsmedizin, Berlin, Germany.
Jens TitzeCardiovascular and Metabolic Disorders, Duke-NUS Medical School, Singapore.
Kento KitadaCardiovascular and Metabolic Disorders, Duke-NUS Medical School, Singapore.
Duke-NUS Medical School · SGJapan Society for the Promotion of Science · JPMax Delbrück Center · DEUniversitätsklinikum Erlangen · DE

Funding

Lymphatic Regulation of Skin Electrolyte Metabolism and Blood PressureR01HL118579 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI TITZE, JENS MARC · 2013 to 2017
$1.9M
NHLBI NIH HHS R01 HL118579
6 · The paper itself

Abstract

Salt (NaCl) is a prerequisite for life. Excessive intake of salt, however, is said to increase disease risk, including hypertension, arteriosclerosis, heart failure, renal disease, stroke, and cancer. Therefore, considerable research has been expended on the mechanism of sodium handling based on the current concepts of sodium balance. The studies have necessarily relied on relatively short-term experiments and focused on extremes of salt intake in humans. Ultra-long-term salt balance has received far less attention. We performed long-term salt balance studies at intakes of 6, 9, and 12 g/day and found that although the kidney remains the long-term excretory gate, tissue and plasma sodium concentrations are not necessarily the same and that urinary salt excretion does not necessarily reflect total-body salt content. We found that to excrete salt, the body makes a great effort to conserve water, resulting in a natriuretic-ureotelic principle of salt excretion. Of note, renal sodium handling is characterized by osmolyte excretion with anti-parallel water reabsorption, a state-of-affairs that is achieved through the interaction of multiple organs. In this review, we discuss novel sodium and water balance concepts in reference to our ultra-long-term study. An important key to understanding body sodium metabolism is to focus on water conservation, a biological principle to protect from dehydration, since excess dietary salt excretion into the urine predisposes to renal water loss because of natriuresis. We believe that our research direction is relevant not only to salt balance but also to cardiovascular regulatory mechanisms.

Indexed as

AnimalsAppetiteBody WaterCardiovascular SystemDrinkingEnergy MetabolismHumansInfradian RhythmKidneyKidney Concentrating AbilityLiverMuscle, SkeletalNatriuresisRenal EliminationSodiumSodium Chloride, DietarySodiumSodium Chloride, Dietaryblood pressurebody fluidenergy metabolismestivationhypertensionosmolytesalturea

Identifiers

PMID32198504
PMCPMC7402226
OpenAlexW3012586521

What OpenQuestion holds

Textmetadata
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.