Evidence map›Paper›PMID 33801801›Full record

ArticleInternational journal of molecular sciences2021

Urinary Exosomes Identify Inflammatory Pathways in Vancomycin Associated Acute Kidney Injury.

Linda Awdishu, Amy Le, Jordan Amato, Vidhyut Jani, Soma Bal, Robert H Mills, Marvic Carrillo-Terrazas, David J Gonzalez, Ashita Tolwani, Anjali Acharya and 8 more

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

24 citing papers in PubMed, 37 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

18 authors at 7 institutions in 1 country.

Linda AwdishuSkaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, CA 92093, USA.ORCID 0000-0002-3187-3264
Amy LeSkaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, CA 92093, USA.
Jordan AmatoSkaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, CA 92093, USA.
Vidhyut JaniSkaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, CA 92093, USA.
Soma BalSchool of Medicine, University of California, San Diego, CA 92093, USA.
Robert H MillsSkaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, CA 92093, USA.
Marvic Carrillo-TerrazasSkaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, CA 92093, USA.
David J GonzalezSkaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, CA 92093, USA.
Ashita TolwaniSchool of Medicine, University of Alabama, Birmingham, AL 35233, USA.
Anjali AcharyaAlbert Einstein College of Medicine, The Bronx, NY 10461, USA.
Jorge CerdaAlbany Medical College, Albany, NY 12208, USA.ORCID 0000-0001-7058-1697
Melanie S JoyDivision of Renal Diseases and Hypertension, Skaggs School of Pharmacy and Pharmaceutical, Aurora, CO 80045, USA.
Paola NicolettiMount Sinai School of Medicine, New York, NY 10029, USA.
Etienne MacedoSchool of Medicine, University of California, San Diego, CA 92093, USA.
Sucheta VaingankarSchool of Medicine, University of California, San Diego, CA 92093, USA.
Ravindra MehtaSchool of Medicine, University of California, San Diego, CA 92093, USA.
Satish P RamachandraRaoDepartment of Cellular and Molecular Medicine, University of Michigan Medical System, Ann Arbor, MI 48109, USA.ORCID 0000-0002-0680-7994
On Behalf Of The Direct Investigators
University of California San Diego · USAlbany Medical Center Hospital · USAlbert Einstein College of Medicine · USIcahn School of Medicine at Mount Sinai · USUniversity of Alabama at Birmingham · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Michigan · US

Funding

UAB-UCSD O'Brien Core Center for Acute Kidney Injury ResearchP30DK079337 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI AGARWAL, ANUPAM · 2008 to 2022
$18.3M
International Serious Adverse Events Consortium 12-1325NIDDK NIH HHS P30 DK079337
6 · The paper itself

Abstract

backgroundVancomycin is commonly used as a first line therapy for gram positive organisms such as methicillin resistant

methodsUrine samples from patients with V-AKI who were enrolled in the DIRECT study and matched healthy controls from the UAB-UCSD O'Brien Center Biorepository were included in the analysis. Exosomes were extracted using solvent exclusion principle and polyethylene glycol induced precipitation. Protein identity and quantification was determined by label-free liquid chromatography mass spectrometry (LC/MS). The mean peak serum creatinine was 3.7 ± 1.4 mg/dL and time to kidney injury was 4.0 ± 3.0 days. At discharge, 90% of patients demonstrated partial recovery; 33% experienced full recovery by day 28. Proteomic analyses on five V-AKI and 7 control samples revealed 2009 proteins in all samples and 251 proteins significantly associated with V-AKI (Pi-score > 1). The top discriminatory proteins were complement C3, complement C4, galectin-3-binding protein, fibrinogen, alpha-2 macroglobulin, immunoglobulin heavy constant mu and serotransferrin.

conclusionUrinary exosomes reveal up-regulation of inflammatory proteins after nephrotoxic injury in V-AKI. Further studies are necessary in a large patient sample to confirm these findings for elucidation of pathophysiologic mechanisms and validation of potential injury biomarkers.

Indexed as

Acute Kidney InjuryAdultBiomarkersChromatography, LiquidCreatinineExosomesHumansInflammationMaleMiddle AgedProteomicsTandem Mass SpectrometryVancomycinYoung AdultBiomarkersCreatinineVancomycinAKIcomplementexosomesimmune pathwaysinflammationnephrotoxicityvancomycin

Identifiers

PMID33801801
PMCPMC7999309
OpenAlexW3133807891

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.