Evidence map›Paper›PMID 34024086›Full record

ArticleKidney research and clinical practice2021

Fabry disease exacerbates renal interstitial fibrosis after unilateral ureteral obstruction via impaired autophagy and enhanced apoptosis.

Sungjin Chung, Mina Son, Yura Chae, Songhee Oh, Eun Sil Koh, Yong Kyun Kim, Seok Joon Shin, Cheol Whee Park, Sung-Chul Jung, Ho-Shik Kim

Open access · diamondAbstract read
In one paragraph

Article in Kidney research and clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Pathogenic mechanisms in Fabry disease.Frontiers in medicine · 2026
    Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. miR-122-5p Regulates Renal Fibrosis In Vivo.International journal of molecular sciences · 2022
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. 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

10 authors at 2 institutions in 1 country.

Sungjin ChungDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Mina SonDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Yura ChaeDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Songhee OhDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Eun Sil KohDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Yong Kyun KimDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Seok Joon ShinDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Cheol Whee ParkDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Sung-Chul JungDepartment of Biochemistry, Ewha Womans University College of Medicine, Seoul, Republic of Korea.
Ho-Shik KimDepartment of Biochemistry, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Catholic University of Korea · KREwha Womans University · KR

Funding

Catholic Medical Center Research Foundation
6 · The paper itself

Abstract

backgroundFabry disease is a rare X-linked genetic lysosomal disorder caused by mutations in the GLA gene encoding alpha-galactosidase A. Despite some data showing that profibrotic and proinflammatory cytokines and oxidative stress could be involved in Fabry disease-related renal injury, the pathogenic link between metabolic derangement within cells and renal injury remains unclear.

methodsRenal fibrosis was triggered by unilateral ureteral obstruction (UUO) in mice with Fabry disease to investigate the pathogenic mechanism leading to fibrosis in diseased kidneys.

resultsCompared to kidneys of wild-type mice, lamellar inclusion bodies were recognized in proximal tubules of mice with Fabry disease. Sirius red and trichrome staining revealed significantly increased fibrosis in all UUO kidneys, though it was more prominent in obstructed Fabry kidneys. Renal messenger RNA levels of inflammatory cytokines and profibrotic factors were increased in all UUO kidneys compared to sham-operated kidneys but were not significantly different between UUO control and UUO Fabry mice. Protein levels of Nox2, Nox4, NQO1, catalase, SOD1, SOD2, and Nrf2 were not significantly different between UUO control and UUO Fabry kidneys, while the protein contents of LC3-II and LC3-I and expression of Beclin1 were significantly decreased in UUO kidneys of Fabry disease mouse models compared with wild-type mice. Notably, TUNEL-positive cells were elevated in obstructed kidneys of Fabry disease mice compared to wild-type control and UUO mice.

conclusionThese findings suggest that impaired autophagy and enhanced apoptosis are probable mechanisms involved in enhanced renal fibrosis under the stimulus of UUO in Fabry disease.

Indexed as

alpha-GalactosidaseAutophagyFabry diseaseFibrosis

Identifiers

PMID34024086
PMCPMC8237117
OpenAlexW3159834846

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.