Evidence map›Paper›PMID 33526494›Full record

ArticleAntimicrobial agents and chemotherapy2021

Alteration in Acute Kidney Injury Potential with the Combination of Vancomycin and Imipenem-Cilastatin/Relebactam or Piperacillin/Tazobactam in a Preclinical Model.

Miao He, Ernane Souza, Aleksas Matvekas, Ryan L Crass, Manjunath P Pai

Open access · greenAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.0field-weighted citation impact, top 22% 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, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Protamine protects against vancomycin-induced kidney injury.Antimicrobial agents and chemotherapy · 2025
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  4. Review
  5. Article
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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

5 authors at 1 institution in 1 country.

Miao He *College of Pharmacy, University of Michigan, Ann Arbor, Michigan, USA.
Ernane Souza *College of Pharmacy, University of Michigan, Ann Arbor, Michigan, USA.
Aleksas MatvekasCollege of Pharmacy, University of Michigan, Ann Arbor, Michigan, USA.
Ryan L CrassCollege of Pharmacy, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0001-5403-4730
Manjunath P PaiCollege of Pharmacy, University of Michigan, Ann Arbor, Michigan, USA amitpai@med.umich.edu.ORCID 0000-0001-7119-5034
University of Michigan · US

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Alexey I Nesvizhskii · 1988 to 2026
$178.2M
NCI NIH HHS P30 CA046592
6 · The paper itself

Abstract

The risk of vancomycin (VAN)-associated acute kidney injury (AKI) may be altered with combination regimens. The specific AKI risk when VAN is combined with imipenem-cilastatin/relebactam (IMP-C/REL) or piperacillin/tazobactam (TZP) has not been clearly defined. We sought to quantify the dose-AKI relationships of VAN alone and in combination with TZP or IMP-C/REL. Male C57BL/6J mice (Charles River Laboratory) aged 10 to 12 weeks were dosed with study drug regimens in three stages. Stage 1 consisted of a VAN dose-ranging design (0 to 600 mg/kg daily) over a 7-day period to identify the VAN monotherapy dose-AKI relationship in the murine model. Stage 2 evaluated the approximate VAN dose eliciting 50% AKI response in stage 1 in combination with the highest human equivalent doses (HEDs) used in preclinical murine models (2.5 and 320 mg/kg daily for TZP and IMP-C/REL, respectively). Stage 3 tested these combinations with fractionated doses of TZP or IMP-C/REL administered at 6- and 12-h intervals. In these studies, AKI was defined with biomarkers (serum creatinine [SCr], blood urea nitrogen [BUN]) and with histopathological assessment by a treatment-blinded pathologist. VAN doses of 300 to 500 mg/kg daily reproducibly led to development of AKI within 4 days of dosing. Mice treated with VAN alone had a near doubling of their baseline SCr and BUN levels compared with mice treated with control, IMP-C/REL alone, or TZP alone. Both VAN+IMP-C/REL and VAN+TZP had significantly (

Indexed as

Acute Kidney InjuryVancomycinAnimalsAnti-Bacterial AgentsAzabicyclo CompoundsCilastatin, Imipenem Drug CombinationDrug Therapy, CombinationMaleMiceMice, Inbred C57BLPiperacillin, Tazobactam Drug CombinationRetrospective StudiesAnti-Bacterial AgentsAzabicyclo CompoundsCilastatin, Imipenem Drug CombinationPiperacillin, Tazobactam Drug CombinationrelebactamVancomycinacute kidney injurybeta-lactamscarbapenemsglycopeptidesnephrotoxicity

Identifiers

PMID33526494
PMCPMC8097411
OpenAlexW3128345965

What OpenQuestion holds

Textmetadata
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.