Evidence map›Paper›PMID 32905289›Full record

ArticleClinical kidney journal2020

Association between urinary biomarkers and disease progression in adults with autosomal dominant polycystic kidney disease.

Alfons Segarra-Medrano, Marisa Martin, Irene Agraz, Mercè Vilaprinyó, Betty Chamoun, Elias Jatem, Maria Molina, Laura Colàs-Campàs, Alicia Garcia-Carrasco, Sarai Roche

Open access · goldAbstract read
In one paragraph

Article in Clinical kidney journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
0.4field-weighted citation impact, top 30% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

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  5. End Point Selection in ADPKD Clinical Trials.Kidney international reports · 2025
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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 5 institutions in 1 country.

Alfons Segarra-MedranoServicio de Nefrologia, Hospital Arnau de Vilanova, Lleida, Spain.
Marisa MartinServicio de Nefrologia, Hospital Arnau de Vilanova, Lleida, Spain.
Irene AgrazServicio de Nefrologia, Hospital Vall d'Hebron, Barcelona, Spain.
Mercè VilaprinyóInstitut Català de Nefrologia i Urologia, Barcelona, Spain.
Betty ChamounServicio de Nefrologia, Hospital Vall d'Hebron, Barcelona, Spain.
Elias JatemServicio de Nefrologia, Hospital Arnau de Vilanova, Lleida, Spain.
Maria MolinaServicio de Nefrologia, Hospital Arnau de Vilanova, Lleida, Spain.
Laura Colàs-CampàsInstitut de Recerca Biomèdica, Lleida, Spain.
Alicia Garcia-CarrascoInstitut de Recerca Biomèdica, Lleida, Spain.
Sarai RocheServicio de Radiologia, Hospital Vall d'Hebrón, Barcelona, Spain.
Biomedical Research Institute of Lleida · ESVall d'Hebron Hospital Universitari · ESHospital Arnau de Vilanova · ESInstitut Català d'Oncologia · ESVall d'Hebron Institut de Recerca · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHeight-adjusted total kidney volume (htTKV) is considered as the best predictor of kidney function in patients with autosomal dominant polycystic kidney disease (ADPKD), but its limited predictive capacity stresses the need to find new biomarkers of ADPKD progression. The aim of this study was to investigate urinary biomarkers of ADPKD progression.

methodsThis observational study included ADPKD patients, and two comparator groups of ischaemic and non-ischaemic kidney injury: benign nephroangiosclerosis patients and non-ischaemic chronic kidney disease (CKD) patients. Proteinuria, htTKV and urinary levels of molecules are associated with ischaemia and/or tubular injury. The slope of estimated glomerular filtration rate (eGFR) was used as a dependent variable in univariate and multivariate models of kidney function decline.

resultsThe study included 130 patients with ADPKD, 55 with nephroangiosclerosis and 40 with non-ischaemic CKD. All patients had increased urinary concentrations of biomarkers associated with tubular lesions (liver fatty acid-binding protein, kidney injury molecule-1, β2-microglobulin) and molecules overexpressed under ischaemic conditions [hypoxia-inducible factor-1α, vascular endothelial growth factor (VEGF) and monocyte chemoattractant protein-1 (MCP-1)]. These biomarkers correlated positively with htTKV and negatively with the eGFR slope. htTKV was the single best predictor of the eGFR slope variability in univariate analyses. However, a multivariate model including urinary levels of β2-microglobulin, MCP-1 and VEGF improved the capacity to predict the decline of eGFR in ADPKD patients compared with htTKV alone.

conclusionsThe urinary levels of molecules associated with either renal ischaemia (VEGF and MCP-1) or tubular damage (β2-microglobulin) are associated with renal function deterioration in ADPKD patients, and are, therefore, candidates as biomarkers of ADPKD progression.

Indexed as

autosomal dominant (ADPKD)biomarkersdisease progressionglomerular filtration ratepolycystic kidneytotal kidney volume

Identifiers

PMID32905289
PMCPMC7467584
OpenAlexW2965382500

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Registered trials

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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.