Evidence map›Paper›PMID 33947851›Full record

ArticleNature communications2021

Human kidney is a target for novel severe acute respiratory syndrome coronavirus 2 infection.

Bo Diao, Chenhui Wang, Rongshuai Wang, Zeqing Feng, Ji Zhang, Han Yang, Yingjun Tan, Huiming Wang, Changsong Wang, Liang Liu and 8 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 485 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
485citing papers in PubMed, 6 pooled it
32.0field-weighted citation impact, top 1% 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

485 citing papers in PubMed, 6 syntheses or guidelines pooled it, 676 citations in OpenAlex.

  1. Pooled it
  2. Mucosal immune response in biology, disease prevention and treatment.Signal transduction and targeted therapy · 2025
    Pooled it
  3. Pooled it
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  7. Article
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Review
  13. Article
  14. A survey of SARS-CoV-2 tropism.Infectious diseases & immunity · 2025
    Review
  15. Kidney involvement and anemia in COVID-19 infection.World journal of nephrology · 2025
    Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article

425 more citing papers are in PubMed but not listed here.

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 5 institutions in 1 country.

Bo Diao *Institute of Immunology, PLA, Third Military Medical University, Chongqing, P. R. China.
Chenhui Wang *Institute of Immunology, PLA, Third Military Medical University, Chongqing, P. R. China.
Rongshuai Wang *Department of Forensic Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, P. R. China.
Zeqing FengInstitute of Immunology, PLA, Third Military Medical University, Chongqing, P. R. China.
Ji ZhangInstitute of Immunology, PLA, Third Military Medical University, Chongqing, P. R. China.
Han YangInstitute of Immunology, PLA, Third Military Medical University, Chongqing, P. R. China.
Yingjun TanDepartment of Medical Laboratory Center, General Hospital of Central Theater Command, Wuhan, Hubei Province, P. R. China.
Huiming WangDepartment of Nephrology, Renmin Hospital of Wuhan University, Wuhan, Hubei Province, P. R. China.
Changsong WangDepartment of Pathology, 989th Hospital of PLA, Luoyang, Henan Province, P. R. China.
Liang LiuHubei Chongxin Judicial Expertise Center, Wuhan, Hubei Province, P. R. China.
Ying LiuDepartment of Medical Laboratory Center, General Hospital of Central Theater Command, Wuhan, Hubei Province, P. R. China.
Yueping LiuDepartment of Medical Laboratory Center, General Hospital of Central Theater Command, Wuhan, Hubei Province, P. R. China.
Gang WangDepartment of Medical Laboratory Center, General Hospital of Central Theater Command, Wuhan, Hubei Province, P. R. China.
Zilin YuanDepartment of Medical Laboratory Center, General Hospital of Central Theater Command, Wuhan, Hubei Province, P. R. China.
Xiaotao HouGuangzhou KingMed Center for Clinical Laboratory Co., Ltd., Guangzhou, Guangdong Province, P. R. China.
Liang Ren *Department of Forensic Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, P. R. China. 36918280@qq.com.
Yuzhang Wu *Institute of Immunology, PLA, Third Military Medical University, Chongqing, P. R. China. wuyuzhang@tmmu.edu.cn.ORCID 0000-0002-5948-1596
Yongwen Chen *Institute of Immunology, PLA, Third Military Medical University, Chongqing, P. R. China. yongwench@163.com.ORCID 0000-0003-0022-6627
Army Medical University · CNCentral Hospital of Wuhan · CNHuazhong University of Science and Technology · CNKingmed Diagnostics · CNWuhan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It is unclear whether severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can directly infect human kidney, thus leading to acute kidney injury (AKI). Here, we perform a retrospective analysis of clinical parameters from 85 patients with laboratory-confirmed coronavirus disease 2019 (COVID-19); moreover, kidney histopathology from six additional COVID-19 patients with post-mortem examinations was performed. We find that 27% (23/85) of patients exhibited AKI. The elderly patients and cases with comorbidities (hypertension and heart failure) are more prone to develop AKI. Haematoxylin & eosin staining shows that the kidneys from COVID-19 autopsies have moderate to severe tubular damage. In situ hybridization assays illustrate that viral RNA accumulates in tubules. Immunohistochemistry shows nucleocapsid and spike protein deposits in the tubules, and immunofluorescence double staining shows that both antigens are restricted to the angiotensin converting enzyme-II-positive tubules. SARS-CoV-2 infection triggers the expression of hypoxic damage-associated molecules, including DP2 and prostaglandin D synthase in infected tubules. Moreover, it enhances CD68+ macrophages infiltration into the tubulointerstitium, and complement C5b-9 deposition on tubules is also observed. These results suggest that SARS-CoV-2 directly infects human kidney to mediate tubular pathogenesis and AKI.

Indexed as

Acute Kidney InjuryAdultAgedAged, 80 and overAngiotensin-Converting Enzyme 2Antigens, ViralChinaCOVID-19FemaleHumansImmunity, InnateKidney Function TestsKidney TubulesMaleMiddle AgedPandemicsACE2 protein, humanAngiotensin-Converting Enzyme 2Antigens, ViralViral Proteins

Identifiers

PMID33947851
PMCPMC8096808
OpenAlexW3157025007

What OpenQuestion holds

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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.