Evidence map›Paper›PMID 34221377›Full record

ArticleClinical kidney journal2021

Serum uromodulin is inversely associated with biomarkers of subclinical inflammation in the population-based KORA F4 study.

Cornelia Then, Christian Herder, Holger Then, Barbara Thorand, Cornelia Huth, Margit Heier, Christa Meisinger, Annette Peters, Wolfgang Koenig, Wolfgang Rathmann and 7 more

Open access · goldAbstract read
In one paragraph

Article in Clinical kidney journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Role of Uromodulin in Salt-Sensitive Hypertension.Hypertension (Dallas, Tex. : 1979) · 2022
    Review
  8. Article
  9. 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

17 authors at 7 institutions in 1 country.

Cornelia ThenMedizinische Klinik und Poliklinik IV, Klinikum der Universität München, LMU, München, Germany.ORCID https://orcid.org/0000-0001-5180-1973
Christian HerderGerman Center for Diabetes Research (DZD), München-Neuherberg, Germany.
Holger ThenMathematics department, Freie Waldorfschule Augsburg, Augsburg, Germany.
Barbara ThorandGerman Center for Diabetes Research (DZD), München-Neuherberg, Germany.
Cornelia HuthGerman Center for Diabetes Research (DZD), München-Neuherberg, Germany.
Margit HeierInstitute of Epidemiology, Helmholtz Zentrum München - German Research Center for Environmental Health (GmbH), Neuherberg, Germany.
Christa MeisingerIndependent Research Group Clinical Epidemiology, Helmholtz Zentrum München - German Research Center for Environmental Health (GmbH), Neuherberg, Germany.
Annette PetersGerman Center for Diabetes Research (DZD), München-Neuherberg, Germany.
Wolfgang KoenigDZHK (German Centre for Cardiovascular Research), partner site Munich Heart Alliance, Munich, Germany.
Wolfgang RathmannGerman Center for Diabetes Research (DZD), München-Neuherberg, Germany.
Michael RodenGerman Center for Diabetes Research (DZD), München-Neuherberg, Germany.
Michael StumvollDepartment of Medicine, University of Leipzig, Leipzig, Germany.
Haifa MaalmiGerman Center for Diabetes Research (DZD), München-Neuherberg, Germany.
Thomas MeitingerDZHK (German Centre for Cardiovascular Research), partner site Munich Heart Alliance, Munich, Germany.
Andreas LechnerMedizinische Klinik und Poliklinik IV, Klinikum der Universität München, LMU, München, Germany.
Jürgen ScherberichKlinikum München-Harlaching, Teaching Hospital of the Ludwig-Maximilians-Universität, Munich, Germany.
Jochen SeisslerMedizinische Klinik und Poliklinik IV, Klinikum der Universität München, LMU, München, Germany.
Helmholtz Zentrum München · DEDeutsches Diabetes-Zentrum e.V. · DEGerman Centre for Cardiovascular Research · DELeipzig University · DEMünchen Klinik Harlaching · DEUniversität Ulm · DEUniversity Hospital Augsburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUromodulin is a kidney-specific glycoprotein synthesized in tubular cells of Henle's loop exerting nephroprotective and immunomodulatory functions in the urinary tract. A small amount of uromodulin is also released into the systemic circulation, where its physiological role is unknown. Serum uromodulin (sUmod) has been associated with metabolic risk factors and with cardiovascular events and mortality, where these associations were partly stronger in men than in women. In this study, we investigated the associations of sUmod with biomarkers of subclinical inflammation in a population-based sample of women and men.

methodsAssociations of sUmod with 10 biomarkers of subclinical inflammation were assessed in 1065 participants of the Cooperative Health Research in the Region of Augsburg (KORA) F4 study aged 62-81 years using linear regression models adjusted for sex, age, body mass index, estimated glomerular filtration rate and diabetes. Analyses were performed in the total study sample and stratified by sex.

resultssUmod was inversely associated with white blood cell count, high-sensitive C-reactive protein, interleukin (IL)-6, tumour necrosis factor-α, myeloperoxidase, superoxide dismutase-3, IL-1 receptor antagonist and IL-22 after multivariable adjustment and correction for multiple testing (P < 0.001 for each observation). There was a trend towards a stronger association of sUmod with pro-inflammatory markers in men than in women, with a significant P for sex interaction (<0.001) regarding the relation of sUmod with IL-6.

conclusionssUmod was inversely associated with biomarkers of subclinical inflammation in older participants of the KORA F4 study. The association of sUmod with IL-6 differed between women and men. Future research should focus on whether the immunomodulatory properties of sUmod are one explanation for the association of sUmod with cardiovascular outcomes and mortality.

Indexed as

immune markerimmunologyserum uromodulinsubclinical inflammationuromodulin

Identifiers

PMID34221377
PMCPMC8248959
OpenAlexW3083735728

What OpenQuestion holds

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LicenceCC BY-NC
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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.