Evidence map›Paper›PMID 33046532›Full record

ArticleJournal of the American Society of Nephrology : JASN2020

Spatiotemporal ATP Dynamics during AKI Predict Renal Prognosis.

Shinya Yamamoto, Masamichi Yamamoto, Jin Nakamura, Akiko Mii, Shigenori Yamamoto, Masahiro Takahashi, Keiichi Kaneko, Eiichiro Uchino, Yuki Sato, Shingo Fukuma and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.0field-weighted citation impact, top 5% 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

29 citing papers in PubMed, 48 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

13 authors at 3 institutions in 2 countries.

Shinya YamamotoDepartment of Nephrology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Masamichi YamamotoDepartment of Nephrology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Jin NakamuraDepartment of Nephrology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Akiko MiiDepartment of Nephrology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Shigenori YamamotoDepartment of Nephrology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Masahiro TakahashiDepartment of Nephrology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Keiichi KanekoDepartment of Nephrology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Eiichiro UchinoDepartment of Nephrology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Yuki SatoDepartment of Nephrology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID 0000-0002-8417-6083
Shingo FukumaDepartment of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Hiromi ImamuraGraduate School of Biostudies, Kyoto University, Kyoto, Japan.
Michiyuki MatsudaDepartment of Pathology and Biology of Diseases, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Motoko YanagitaDepartment of Nephrology, Graduate School of Medicine, Kyoto University, Kyoto, Japan motoy@kuhp.kyoto-u.ac.jp.ORCID 0000-0002-3148-0858
Kyoto University · JPDeloitte (United States) · USGunma University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDepletion of ATP in renal tubular cells plays the central role in the pathogenesis of kidney diseases. Nevertheless, inability to visualize spatiotemporal

methodsA novel mouse line systemically expressing an ATP biosensor (an ATP synthase subunit and two fluorophores) revealed spatiotemporal ATP dynamics at single-cell resolution during warm and cold ischemic reperfusion (IR) with two-photon microscopy. This experimental system enabled quantification of fibrosis 2 weeks after IR and assessment of the relationship between the ATP recovery in acute phase and fibrosis in chronic phase.

resultsUpon ischemia induction, the ATP levels of proximal tubule (PT) cells decreased to the nadir within a few minutes, whereas those of distal tubule (DT) cells decreased gradually up to 1 hour. Upon reperfusion, the recovery rate of ATP in PTs was slower with longer ischemia. In stark contrast, ATP in DTs was quickly rebounded irrespective of ischemia duration. Morphologic changes of mitochondria in the acute phase support the observation of different ATP dynamics in the two segments. Furthermore, slow and incomplete ATP recovery of PTs in the acute phase inversely correlated with fibrosis in the chronic phase. Ischemia under conditions of hypothermia resulted in more rapid and complete ATP recovery with less fibrosis, providing a proof of concept for use of hypothermia to protect kidney tissues.

conclusionsVisualizing spatiotemporal ATP dynamics during IR injury revealed higher sensitivity of PT cells to ischemia compared with DT cells in terms of energy metabolism. The ATP dynamics of PTs in AKI might provide prognostic information.

Indexed as

Acute Kidney InjuryAdenosine TriphosphateAnimalsDisease Models, AnimalKidney Tubules, ProximalMicePredictive Value of TestsPrognosisReperfusion InjuryTime FactorsAdenosine TriphosphateAKIATPenergy dynamicsfibrosishypothermiaimaging

Identifiers

PMID33046532
PMCPMC7790205
OpenAlexW3092466202

What OpenQuestion holds

Textmetadata
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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.