Evidence map›Paper›PMID 33144651›Full record

ArticleScientific reports2020

Bidirectional, non-necrotizing glomerular crescents are the critical pathology in X-linked Alport syndrome mouse model harboring nonsense mutation of human COL4A5.

Jiang Ying Song, Nobuyuki Saga, Kunio Kawanishi, Kentaro Hashikami, Michiyasu Takeyama, Michio Nagata

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 31% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. An Alport variant illuminates the bioactivity of the collagen IVbioRxiv : the preprint server for biology · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
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

6 authors at 1 institution in 1 country.

Jiang Ying SongKidney and Vascular Pathology, Faculty of Medicine, University of Tsukuba, 1-1-1, Ten-nodai, Tsukuba, Ibaraki, 305-8577, Japan.
Nobuyuki SagaKidney and Vascular Pathology, Faculty of Medicine, University of Tsukuba, 1-1-1, Ten-nodai, Tsukuba, Ibaraki, 305-8577, Japan.
Kunio KawanishiKidney and Vascular Pathology, Faculty of Medicine, University of Tsukuba, 1-1-1, Ten-nodai, Tsukuba, Ibaraki, 305-8577, Japan.
Kentaro HashikamiAxcelead Drug Discovery Partners, Fujisawa, Japan.
Michiyasu TakeyamaAxcelead Drug Discovery Partners, Fujisawa, Japan.
Michio NagataKidney and Vascular Pathology, Faculty of Medicine, University of Tsukuba, 1-1-1, Ten-nodai, Tsukuba, Ibaraki, 305-8577, Japan. nagatam@md.tsukuba.ac.jp.
University of Tsukuba · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

X-linked Alport syndrome (XLAS) is a progressive kidney disease caused by genetic abnormalities of COL4A5. Lack of collagen IV α5 chain staining and "basket-weave" by electron microscopy (EM) in glomerular basement membrane (GBM) are its typical pathology. However, the causal relationship between GBM defects and progressive nephropathy is unknown. We analyzed sequential pathology in a mouse model of XLAS harboring a human nonsense mutation of COL4A5. In mutant mice, nephropathy commenced from focal GBM irregularity by EM at 6 weeks of age, prior to exclusive crescents at 13 weeks of age. Low-vacuum scanning EM demonstrated substantial ragged features in GBM, and crescents were closely associated with fibrinoid exudate, despite lack of GBM break and podocyte depletion at 13 weeks of age. Crescents were derived from two sites by different cellular components. One was CD44 + cells, often with fibrinoid exudate in the urinary space, and the other was accumulation of α-SMA + cells in the thickened Bowman's capsule. These changes finally coalesced, leading to global obliteration. In conclusion, vulnerability of glomerular and capsular barriers to the structural defect in collagen IV may cause non-necrotizing crescents via activation of PECs and migration of interstitial fibroblasts, promoting kidney disease in this model.

Indexed as

Codon, NonsenseActinsAnimalsCollagen Type IVDisease Models, AnimalGlomerular Basement MembraneHumansHyaluronan ReceptorsMiceMicroscopy, ElectronNephritis, HereditaryActa2 protein, mouseActinsCd44 protein, mouseCodon, NonsenseCOL4A5 protein, humanCollagen Type IVHyaluronan Receptors

Identifiers

PMID33144651
PMCPMC7642296
OpenAlexW3096749133

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.