Evidence map›Paper›PMID 32390535›Full record

ArticleJournal of the American Heart Association2020

Glucocorticoids Reverse Diluted Hyponatremia Through Inhibiting Arginine Vasopressin Pathway in Heart Failure Rats.

Xiaoran Zhu, Yaomeng Huang, Shuyu Li, Ning Ge, Tongxin Li, Yu Wang, Kunshen Liu, Chao Liu

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 12% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

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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

8 authors at 3 institutions in 2 countries.

Xiaoran ZhuThe First Cardiology Division The First Hospital of Hebei Medical University Shijiazhuang China.
Yaomeng HuangThe First Cardiology Division The First Hospital of Hebei Medical University Shijiazhuang China.
Shuyu LiThe First Cardiology Division The First Hospital of Hebei Medical University Shijiazhuang China.
Ning GeRegenerative Medicine Institute School of Medicine National University of Ireland Galway Ireland.
Tongxin LiThe First Cardiology Division The First Hospital of Hebei Medical University Shijiazhuang China.
Yu WangThe First Cardiology Division The First Hospital of Hebei Medical University Shijiazhuang China.
Kunshen LiuThe First Cardiology Division The First Hospital of Hebei Medical University Shijiazhuang China.
Chao LiuThe First Cardiology Division The First Hospital of Hebei Medical University Shijiazhuang China.
First Affiliated Hospital of Hebei Medical University · CNHebei Medical University · CNOllscoil na Gaillimhe – University of Galway · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Arginine vasopressin dependent antidiuresis plays a key role in water-sodium retention in heart failure. In recent years, the role of glucocorticoids in the control of body fluid homeostasis has been extensively investigated. Glucocorticoid deficiency can activate V2R (vasopressin receptor 2), increase aquaporins expression, and result in hyponatremia, all of which can be reversed by glucocorticoid supplement. Methods and Results Heart failure was induced by coronary artery ligation for 8 weeks. A total of 32 rats were randomly assigned to 4 groups (n=8/group): sham surgery group, congestive heart failure group, dexamethasone group, and dexamethasone in combination with glucocorticoid receptor antagonist RU486 group. An acute water loading test was administered 6 hours after drug administration. Left ventricular function was measured by a pressure-volume catheter. Protein expressions were determined by immunohistochemistry and immunoblotting. The pressure-volume loop analysis showed that dexamethasone improves cardiac function in rats with heart failure. Western blotting confirmed that dexamethasone remarkably reduces the expressions of V2R, aquaporin 2, and aquaporin 3 in the renal-collecting ducts. As a result of V2R downregulation, the expressions of glucocorticoid regulated kinase 1, apical epithelial sodium channels, and the furosemide-sensitive Na-K-2Cl cotransporter were also downregulated. These favorable effects induced by dexamethasone were mostly abolished by the glucocorticoid receptor inhibitor RU486, indicating that the aforementioned effects are glucocorticoid receptor mediated. Conclusions Glucocorticoids can reverse diluted hyponatremia via inhibiting the vasopressin receptor pathway in rats with heart failure.

Indexed as

AnimalsAquaporin 2Aquaporin 3Arginine VasopressinBiomarkersDexamethasoneDisease Models, AnimalDiureticsDown-RegulationEpithelial Sodium ChannelsGlucocorticoidsHeart FailureHyponatremiaImmediate-Early ProteinsKidney Tubules, CollectingMaleAqp2 protein, ratAqp3 protein, ratAquaporin 2Aquaporin 3Arginine VasopressinAvpr2 protein, ratBiomarkersDexamethasoneDiureticsEpithelial Sodium ChannelsGlucocorticoidsImmediate-Early ProteinsProtein Serine-Threonine KinasesReceptors, VasopressinSerum-Glucocorticoid Regulated KinasesSodiumSodium-Potassium-Chloride Symportersaquaporinscardiorenal syndromeglucocorticoidsheart failurehyponatremiavasopressin

Identifiers

PMID32390535
PMCPMC7660850
OpenAlexW3022141933

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.