Evidence map›Paper›PMID 34096053›Full record

ArticleBritish journal of pharmacology2022

Novel soluble guanylyl cyclase activators increase glomerular cGMP, induce vasodilation and improve blood flow in the murine kidney.

Daniel Stehle, Min Ze Xu, Tibor Schomber, Michael G Hahn, Frank Schweda, Susanne Feil, Jan R Kraehling, Frank Eitner, Andreas Patzak, Peter Sandner and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in British journal of pharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
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  3. The soluble guanylate cyclase activator runcaciguat significantly improves albuminuria in patients with chronic kidney disease: a randomized placebo-controlled clinical trial.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Trial
  4. Cytochrome bBiomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2026
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  14. Upcoming drug targets for kidney protective effects in chronic kidney disease.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Review
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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

12 authors at 6 institutions in 2 countries.

Daniel StehleInterfakultäres Institut für Biochemie (IFIB), University of Tübingen, Tübingen, Germany.ORCID 0000-0001-9086-2306
Min Ze XuInstitute of Vegetative Physiology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Tibor SchomberBayer AG, Cardiovascular Research, Pharma Research Center, Wuppertal, Germany.
Michael G HahnBayer AG, Cardiovascular Research, Pharma Research Center, Wuppertal, Germany.
Frank SchwedaInstitut für Physiologie, Universität Regensburg, Regensburg, Germany.
Susanne FeilInterfakultäres Institut für Biochemie (IFIB), University of Tübingen, Tübingen, Germany.
Jan R KraehlingBayer AG, Cardiovascular Research, Pharma Research Center, Wuppertal, Germany.
Frank EitnerBayer AG, Cardiovascular Research, Pharma Research Center, Wuppertal, Germany.
Andreas PatzakInstitute of Vegetative Physiology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Peter SandnerBayer AG, Cardiovascular Research, Pharma Research Center, Wuppertal, Germany.ORCID 0000-0003-2977-7553
Robert FeilInterfakultäres Institut für Biochemie (IFIB), University of Tübingen, Tübingen, Germany.ORCID 0000-0002-7335-4841
Agnès BénardeauBayer AG, Cardiovascular Research, Pharma Research Center, Wuppertal, Germany.
Bayer (Germany) · DEUniversity of Tübingen · DEHumboldt-Universität zu Berlin · DEMedizinische Hochschule Hannover · DENovo Nordisk (Denmark) · DKUniversity of Regensburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeGeneration of cGMP via NO-sensitive soluble guanylyl cyclase (sGC) has been implicated in the regulation of renal functions. Chronic kidney disease (CKD) is associated with decreased NO bioavailability, increased oxidative stress and oxidation of sGC to its haem-free form, apo-sGC. Apo-sGC cannot be activated by NO, resulting in impaired cGMP signalling that is associated with chronic kidney disease progression. We hypothesised that sGC activators, which activate apo-sGC independently of NO, increase renal cGMP production under conditions of oxidative stress, thereby improving renal blood flow (RBF) and kidney function. EXPERIMENTAL APPROACH: Two novel sGC activators, runcaciguat and BAY-543, were tested on murine kidney. We measured cGMP levels in real time in kidney slices of cGMP sensor mice, vasodilation of pre-constricted glomerular arterioles and RBF in isolated perfused kidneys. Experiments were performed at baseline conditions, under L-NAME-induced NO deficiency, and in the presence of oxidative stress induced by ODQ. KEY

resultsMouse glomeruli showed NO-induced cGMP increases. Under baseline conditions, sGC activator did not alter glomerular cGMP concentration or NO-induced cGMP generation. In the presence of ODQ, NO-induced glomerular cGMP signals were markedly reduced, whereas sGC activator induced strong cGMP increases. L-NAME and ODQ pretreated isolated glomerular arterioles were strongly dilated by sGC activator. sGC activator also increased cGMP and RBF in ODQ-perfused kidneys. CONCLUSION AND IMPLICATION: sGC activators increase glomerular cGMP, dilate glomerular arterioles and improve RBF under disease-relevant oxidative stress conditions. Therefore, sGC activators represent a promising class of drugs for chronic kidney disease treatment. LINKED ARTICLES: This article is part of a themed issue on cGMP Signalling in Cell Growth and Survival. To view the other articles in this section visit http://onlinelibrary.wiley.com/doi/10.1111/bph.v179.11/issuetoc.

Indexed as

Renal Insufficiency, ChronicVasodilationAnimalsCyclic GMPFemaleGuanylate CyclaseHumansKidneyMaleMiceNG-Nitroarginine Methyl EsterNitric OxideSoluble Guanylyl CyclaseCyclic GMPGuanylate CyclaseNG-Nitroarginine Methyl EsterNitric OxideSoluble Guanylyl CyclasecGMP imagingGCglomerular arteriolesNOrenal blood flowsGC activatorsvasodilation

Identifiers

PMID34096053
PMCPMC9292672
OpenAlexW3170911976

What OpenQuestion holds

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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.