Evidence map›Paper›PMID 33026465›Full record

ArticleUrolithiasis2021

Multimodal imaging reveals a unique autofluorescence signature of Randall's plaque.

Seth Winfree, Courtney Weiler, Sharon B Bledsoe, Tony Gardner, André J Sommer, Andrew P Evan, James E Lingeman, Amy E Krambeck, Elaine M Worcester, Tarek M El-Achkar and 1 more

Open access · greenAbstract read
In one paragraph

Article in Urolithiasis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.9field-weighted citation impact, top 11% 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, 23 citations in OpenAlex.

  1. Review
  2. Article
  3. Correspondence.Urolithiasis · 2025
    Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Recent advances on the mechanisms of kidney stone formation (Review).International journal of molecular medicine · 2021
    Review
  13. The Indiana O'Brien Center for Advanced Renal Microscopic Analysis.American journal of physiology. Renal physiology · 2021
    Review
  14. Article
  15. 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

11 authors at 3 institutions in 1 country.

Seth WinfreeDivision of Nephrology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Courtney WeilerDepartment of Anatomy, Cell Biology and Physiology, Indiana University School of Medicine, Indianapolis, IN, USA.
Sharon B BledsoeDepartment of Anatomy, Cell Biology and Physiology, Indiana University School of Medicine, Indianapolis, IN, USA.
Tony GardnerDepartment of Anatomy, Cell Biology and Physiology, Indiana University School of Medicine, Indianapolis, IN, USA.
André J SommerMolecular Microspectroscopy Laboratory, Department of Chemistry and Biochemistry, Miami University, Oxford, OH, USA.
Andrew P EvanDepartment of Anatomy, Cell Biology and Physiology, Indiana University School of Medicine, Indianapolis, IN, USA.
James E LingemanDepartment of Urology, Indiana University School of Medicine, Indianapolis, IN, USA.
Amy E KrambeckDepartment of Urology, Indiana University School of Medicine, Indianapolis, IN, USA.
Elaine M WorcesterDivision of Nephrology, Department of Medicine, University of Chicago, Chicago, IL, USA.
Tarek M El-AchkarDivision of Nephrology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
James C WilliamsDepartment of Anatomy, Cell Biology and Physiology, Indiana University School of Medicine, Indianapolis, IN, USA. jwillia3@iu.edu.ORCID http://orcid.org/0000-0001-6665-6596
Indiana University School of MedicineMiami University · USUniversity of Chicago · US

Funding

STONE FORMATION IN GENETIC HYPERCALCIURIAP01DK056788 · NIDDK · UNIVERSITY OF CHICAGO · PI ASHKAR, TAREK MAURICE · 2000 to 2021
$22.5M
PROBE DELIVERY COREP30DK079312 · NIDDK · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI MOLITORIS, BRUCE A · 2007 to 2021
$17.1M
Essential characterization of the Randall's plaque-overgrowth interfaceR01DK124776 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI WILLIAMS, JAMES C · 2020 to 2022
$713k
SkyScan 1172 High-resolution desk-top micro-CT systemS10RR023710 · NCRR · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI WILLIAMS, JAMES C · 2007 to 2007
$297k
NCRR NIH HHS S10 RR023710NIDDK NIH HHS P01 DK056788NIDDK NIH HHS P30 DK079312NIDDK NIH HHS R01 DK124776
6 · The paper itself

Abstract

Kidney stones frequently develop as an overgrowth on Randall's plaque (RP) which is formed in the papillary interstitium. The organic composition of RP is distinct from stone matrix in that RP contains fibrillar collagen; RP in tissue has also been shown to have two proteins that are also found in stones, but otherwise the molecular constituents of RP are unstudied. We hypothesized that RP contains unique organic molecules that can be differentiated from the stone overgrowth by fluorescence. To test this, we used micro-CT-guided polishing to expose the interior of kidney stones for multimodal imaging with multiphoton, confocal and infrared microscopy. We detected a blue autofluorescence signature unique to RP, the specificity of which was also confirmed in papillary tissue from patients with stone disease. High-resolution mineral mapping of the stone also showed a transition from the apatite within RP to the calcium oxalate in the overgrowth, demonstrating the molecular and spatial transition from the tissue to the urine. This work provides a systematic and practical approach to uncover specific fluorescence signatures which correlate with mineral type, verifies previous observations regarding mineral overgrowth onto RP and identifies a novel autofluorescence signature of RP demonstrating RP's unique molecular composition.

Indexed as

ApatitesBiopsyCalcium OxalateFemaleHumansKidney CalculiKidney MedullaMaleMicroscopy, ConfocalMultimodal ImagingNephrolithotomy, PercutaneousOptical ImagingSpectroscopy, Fourier Transform InfraredUreteroscopyX-Ray MicrotomographyApatitesCalcium OxalateCalcium oxalateFluorescence microscopyInfrared spectroscopyKidney stonesMicro-CTNephrolithiasis

Identifiers

PMID33026465
PMCPMC7965236
OpenAlexW3091973329

What OpenQuestion holds

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LicenceTDM
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.