Evidence map›Paper›PMID 32694662›Full record

ArticleNature metabolism2020

A molecular mechanism explaining albuminuria in kidney disease.

Linus Butt, David Unnersjö-Jess, Martin Höhne, Aurelie Edwards, Julia Binz-Lotter, Dervla Reilly, Robert Hahnfeldt, Vera Ziegler, Katharina Fremter, Markus M Rinschen and 14 more

Abstract read
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In one paragraph

Article in Nature metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed
13.4field-weighted citation impact, top 1% 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

89 citing papers in PubMed, 161 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Kidney international reports · 2026
    Article
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  7. Article
  8. Article
  9. Article
  10. Article
  11. Basement membrane structure and function: Relating biology to mechanics.Matrix biology : journal of the International Society for Matrix Biology · 2025
    Review
  12. Observational
  13. Article
  14. The Life of a Kidney Podocyte.Acta physiologica (Oxford, England) · 2025
    Review
  15. Article
  16. Article
  17. Review
  18. Review
  19. Effects of Prothrombin on Podocytopathy and Proteinuria in Glomerular Disease.Journal of the American Society of Nephrology : JASN · 2025
    Article
  20. Article

29 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 8 institutions in 4 countries.

Linus ButtDepartment II of Internal Medicine and Center for Molecular Medicine Cologne, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
David Unnersjö-JessDepartment II of Internal Medicine and Center for Molecular Medicine Cologne, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0002-4162-0973
Martin HöhneDepartment II of Internal Medicine and Center for Molecular Medicine Cologne, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0001-8698-5389
Aurelie EdwardsDepartment of Biomedical Engineering, Boston University, Boston, MA, USA.
Julia Binz-LotterDepartment II of Internal Medicine and Center for Molecular Medicine Cologne, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0003-4678-0703
Dervla ReillyDepartment II of Internal Medicine and Center for Molecular Medicine Cologne, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Robert HahnfeldtDepartment II of Internal Medicine and Center for Molecular Medicine Cologne, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0001-7997-3216
Vera ZieglerInstitute of Physiology, University of Regensburg, Regensburg, Germany.
Katharina FremterInstitute of Physiology, University of Regensburg, Regensburg, Germany.
Markus M RinschenDepartment II of Internal Medicine and Center for Molecular Medicine Cologne, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0002-9252-1342
Martin HelmstädterDepartment of Medicine IV, Medical Center - University of Freiburg, Faculty of Medicine, and Signalling Research Centres BIOSS and CIBSS, University of Freiburg,, Freiburg, Germany.
Lena K EbertDepartment II of Internal Medicine and Center for Molecular Medicine Cologne, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Hayo CastropInstitute of Physiology, University of Regensburg, Regensburg, Germany.
Matthias J HacklDepartment II of Internal Medicine and Center for Molecular Medicine Cologne, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Gerd WalzDepartment of Medicine IV, Medical Center - University of Freiburg, Faculty of Medicine, and Signalling Research Centres BIOSS and CIBSS, University of Freiburg,, Freiburg, Germany.ORCID http://orcid.org/0000-0002-4950-9946
Paul T BrinkkoetterDepartment II of Internal Medicine and Center for Molecular Medicine Cologne, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Max C LiebauDepartment of Pediatrics and Center for Molecular Medicine, University of Cologne, Faculty of Medicine and University Hospital of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0003-0494-9080
Kálmán ToryMTA-SE Lendület Nephrogenetic Laboratory, 1st Department of Pediatrics, Semmelweis University, Budapest, Hungary.ORCID http://orcid.org/0000-0002-0316-6212
Peter F HoyerUniversity Children's Hospital, Clinic for Pediatrics II, University of Duisburg-Essen, Essen, Germany.ORCID http://orcid.org/0000-0002-9132-0282
Bodo B BeckInstitute of Human Genetics and Center for Molecular Medicine, University of Cologne, Faculty of Medicine and University Hospital of Cologne, Cologne, Germany.
Hjalmar BrismarRoyal Institute of Technology, Stockholm, Sweden.ORCID http://orcid.org/0000-0003-0578-4003
Hans BlomRoyal Institute of Technology, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-5584-9170
Bernhard Schermer *Department II of Internal Medicine and Center for Molecular Medicine Cologne, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0002-5194-9000
Thomas Benzing *Department II of Internal Medicine and Center for Molecular Medicine Cologne, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany. thomas.benzing@uk-koeln.de.ORCID http://orcid.org/0000-0003-0512-1066
University of Cologne · DEUniversity of Regensburg · DEKTH Royal Institute of Technology · SEUniversity of Freiburg · DEBoston University · USScripps Research Institute · USSemmelweis University · HUUniversity of Duisburg-Essen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mammalian kidneys constantly filter large amounts of liquid, with almost complete retention of albumin and other macromolecules in the plasma. Breakdown of the three-layered renal filtration barrier results in loss of albumin into urine (albuminuria) across the wall of small renal capillaries, and is a leading cause of chronic kidney disease. However, exactly how the renal filter works and why its permeability is altered in kidney diseases is poorly understood. Here we show that the permeability of the renal filter is modulated through compression of the capillary wall. We collect morphometric data prior to and after onset of albuminuria in a mouse model equivalent to a human genetic disease affecting the renal filtration barrier. Combining quantitative analyses with mathematical modelling, we demonstrate that morphological alterations of the glomerular filtration barrier lead to reduced compressive forces that counteract filtration pressure, thereby resulting in capillary dilatation, and ultimately albuminuria. Our results reveal distinct functions of the different layers of the filtration barrier and expand the molecular understanding of defective renal filtration in chronic kidney disease.

Indexed as

AlbuminuriaAnimalsCapillariesDisease Models, AnimalFemaleGenotypeGlomerular Filtration BarrierGlomerular Filtration RateHumansKidney GlomerulusMiceMice, Inbred C57BLMice, TransgenicModels, TheoreticalPodocytesRenal Insufficiency, ChronicRNA

Identifiers

PMID32694662
OpenAlexW3023212127

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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.