Evidence map›Paper›PMID 33359498›Full record

ArticleKidney international2021

Low expression of HIV genes in podocytes accelerates the progression of diabetic kidney disease in mice.

Jie Feng, Li Bao, Xuan Wang, Huilin Li, Yuqiang Chen, Wenzhen Xiao, Zhengzhe Li, Liyi Xie, Wanhong Lu, Hongli Jiang and 2 more

Open access · greenAbstract read
In one paragraph

Article in Kidney international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.9field-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

21 citing papers in PubMed, 30 citations in OpenAlex.

  1. Post‑translational modifications in diabetic kidney disease (Review).International journal of molecular medicine · 2026
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  19. Mechanisms of Proteinuria in HIV.Frontiers in medicine · 2021
    Review
  20. Viral Glomerulopathy.Glomerular diseases
    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

12 authors at 2 institutions in 2 countries.

Jie FengDepartment of Medicine, Division of Nephrology, Icahn School of Medicine at Mount Sinai, New York, USA; Department of Nephrology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Li BaoDepartment of Medicine, Division of Nephrology, Icahn School of Medicine at Mount Sinai, New York, USA.
Xuan WangDepartment of Medicine, Division of Nephrology, Icahn School of Medicine at Mount Sinai, New York, USA.
Huilin LiDepartment of Medicine, Division of Nephrology, Icahn School of Medicine at Mount Sinai, New York, USA.
Yuqiang ChenDepartment of Medicine, Division of Nephrology, Icahn School of Medicine at Mount Sinai, New York, USA.
Wenzhen XiaoDepartment of Medicine, Division of Nephrology, Icahn School of Medicine at Mount Sinai, New York, USA.
Zhengzhe LiDepartment of Medicine, Division of Nephrology, Icahn School of Medicine at Mount Sinai, New York, USA.
Liyi XieDepartment of Nephrology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Wanhong LuDepartment of Nephrology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Hongli JiangDepartment of Nephrology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Kyung LeeDepartment of Medicine, Division of Nephrology, Icahn School of Medicine at Mount Sinai, New York, USA. Electronic address: kim.lee@mssm.edu.
John Cijiang HeDepartment of Medicine, Division of Nephrology, Icahn School of Medicine at Mount Sinai, New York, USA; Renal Section, James J. Peters VAMC, Bronx, New York, USA. Electronic address: cijiang.he@mssm.edu.
Icahn School of Medicine at Mount Sinai · USFirst Affiliated Hospital of Xi'an Jiaotong University · CN

Funding

VIRAL PATHOGENESIS OF HIV ASSOCIATED NEPHROPATHYP01DK056492 · NIDDK · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI KLOTMAN, MARY E. · 1999 to 2021
$27.8M
Mount Sinai Nephrology Research Training GrantT32DK007757 · NIDDK · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI CAMPBELL, KIRK N, HE, JOHN CIJIANG · 1998 to 2022
$3.8M
The role of Vpr-mediated cell cycle dysregulation in HIV-associated kidney diseaseR01DK133912 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI John Cijiang He, Mary E. Klotman · 2022 to 2026
$3.7M
The Role of LRG1 in Diabetic Kidney DiseaseR01DK117913 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Bhaskar Chandra Das, Kyung Lee · 2018 to 2026
$2.6M
NIDDK NIH HHS P01 DK056492NIDDK NIH HHS R01 DK117913NIDDK NIH HHS R01 DK133912NIDDK NIH HHS T32 DK007757
6 · The paper itself

Abstract

With the widespread use combination antiretroviral therapy, there has been a dramatic decrease in HIV-associated nephropathy. However, although the patients living with HIV have low or undetectable viral load, the prevalence of chronic kidney disease (CKD) in this population remains high. Additionally, improved survival is associated with aging-related comorbidities such as diabetes and cardiovascular disease. A faster progression of CKD is associated with concurrent HIV infection and diabetes than with HIV infection or diabetes alone. To explore the potential pathogenic mechanisms that synergistically drive CKD progression by diabetes and HIV infection, we generated a new mouse model with a relatively low expression of HIV-1 proviral genes specifically in podocytes (pod-HIV mice) to better mimic the setting of kidney injury in patients living with HIV. While no apparent kidney phenotypes were observed at baseline in pod-HIV mice, the induction of mild diabetic kidney disease with streptozotocin led to significant worsening of albuminuria, glomerular injury, podocyte loss, and kidney dysfunction as compared to the mice with diabetes alone. Mechanistically, diabetes and HIV-1 synergistically increased the glomerular expression of microRNA-34a (miR-34a), thereby reducing the expression of Sirtuin-1 (SIRT1) deacetylase. These changes were also associated with increased acetylation and activation of p53 and p65 NF-κB and with enhanced expression of senescence and inflammatory markers. The treatment of diabetic pod-HIV mice with the specific Sirtuin-1 agonist BF175 significantly attenuated albuminuria and glomerulopathy. Thus, our study highlights the reduction in Sirtuin-1 as a major basis of CKD progression in diabetic patients living with HIV and suggests Sirtuin-1 agonists as a potential therapy.

Indexed as

Diabetes MellitusDiabetic NephropathiesHIV InfectionsPodocytesAlbuminuriaAnimalsHumansKidney GlomerulusMicediabetic kidney diseaseHIV infectioninflammationpodocytesSIRT1

Identifiers

PMID33359498
PMCPMC8006538
OpenAlexW3117689626

What OpenQuestion holds

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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.