Evidence map›Paper›PMID 32314507›Full record

ArticleDiabetes, obesity & metabolism2020

Hyperglucosuria induced by dapagliflozin augments bacterial colonization in the murine urinary tract.

Panatda Saenkham, Jamie Jennings-Gee, Braden Hanson, Nancy D Kock, L Garry Adams, Sargurunathan Subashchandrabose

Open access · greenAbstract read
In one paragraph

Article in Diabetes, obesity & metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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  3. Article
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  7. Article
  8. Animal models ofFrontiers in microbiology · 2024
    Review
  9. Article
  10. The immune responses to differentFrontiers in immunology · 2022
    Review
  11. Article
  12. Article
  13. Review
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

6 authors at 2 institutions in 1 country.

Panatda SaenkhamDepartment of Veterinary Pathobiology, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas, USA.
Jamie Jennings-GeeDepartment of Microbiology and Immunology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Braden HansonDepartment of Veterinary Pathobiology, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas, USA.
Nancy D KockSection on Comparative Medicine, Department of Pathology , Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
L Garry AdamsDepartment of Veterinary Pathobiology, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas, USA.
Sargurunathan SubashchandraboseDepartment of Veterinary Pathobiology, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas, USA.ORCID 0000-0003-1217-9813
Texas A&M University · USWake Forest University · US

Funding

Wake Forest Clinical and Translational Science AwardUL1TR001420 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ARD, JAMY D, FOLEY, KRISTIE L · 2015 to 2023
$32.3M
Copper is a Host Effector in Protection Against Urinary Tract InfectionR01DK114224 · NIDDK · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI SUBASHCHANDRABOSE, SARGURUNATHAN · 2018 to 2022
$1.7M
Harnessing Copper to Impede Uropathogen ColonizationR21AI135645 · NIAID · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI SUBASHCHANDRABOSE, SARGURUNATHAN · 2018 to 2019
$406k
NCATS NIH HHS UL1 TR001420NIAID NIH HHS R21 AI135645NIDDK NIH HHS R01 DK114224
6 · The paper itself

Abstract

aimTo test the effects of dapagliflozin-induced hyperglucosuria on ascending bacterial urinary tract infection (UTI) in a mouse model.

methodsDapagliflozin or canagliflozin was used to induce hyperglucosuria in non-diabetic adult female mice prior to transurethral inoculation with uropathogenic Escherichia coli (UPEC) or Klebsiella pneumoniae. Glucose, bacterial load, cytokines, neutrophil mobilization and inflammation during acute and chronic UTI were determined.

resultsSignificant increase in UPEC load was observed in the urinary tract of hyperglucosuric mice compared with controls. Dapagliflozin-treated mice developed bacteraemia resulting in UPEC colonization of the spleen and liver at a higher frequency than controls. Chronic UTI in hyperglucosuric mice resulted in an increased incidence of renal abscesses. Histopathological evaluation revealed only modest increases in tissue damage in the urinary bladders and kidneys of dapagliflozin-treated mice, despite a profound increase in bacterial load. There was poor neutrophil mobilization to the urine of hyperglucosuric mice. We also observed a delayed increase of IL-1β in urine, and bladders, and IL-6 in urine of hyperglucosuric mice. Experimental inoculation with K. pneumoniae also revealed higher bacterial burden in the urinary bladder, spleen and liver from dapagliflozin-treated mice compared with controls.

conclusionCollectively, our results indicate that dapagliflozin-induced hyperglucosuria in non-diabetic female mice leads to increased susceptibility to severe UTI, and bacteraemia of urinary tract origin.

Indexed as

Escherichia coli InfectionsUrinary TractUrinary Tract InfectionsUropathogenic Escherichia coliAnimalsBenzhydryl CompoundsFemaleGlucosidesMiceMice, Inbred StrainsBenzhydryl CompoundsdapagliflozinGlucosidesdapagliflozin, diabetic complication, diabetic drug, hyperglucosuria, urinary tract infection, uropathogenic Escherichia coli

Identifiers

PMID32314507
PMCPMC7571118
OpenAlexW3016837841

What OpenQuestion holds

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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.