Evidence map›Paper›PMID 34271871›Full record

ArticleBMC nephrology2021

Can remote ischemic preconditioning counteract the renal functional deterioration attributable to partial nephrectomy under warm ischemia? Results of an animal study.

Tuna Till Mut, Ömer Acar, Ayse Armutlu, Said Incir, Annemarie Uhlig, Lale A Ertuglu, Melis Özel, Ali Cihan Taskin, Dilek Ertoy Baydar, Mehmet Kanbay and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 56% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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

11 authors at 2 institutions in 2 countries.

Tuna Till MutDepartment of Urology, University Medical Center Göttingen, Robert-Koch Straße 40, 37075, Göttingen, Germany. ttmut@outlook.com.ORCID 0000-0003-4484-7409
Ömer AcarDepartment of Urology, Koc University School of Medicine, Istanbul, Turkey.
Ayse ArmutluDepartment of Pathology, Koc University School of Medicine, Istanbul, Turkey.
Said IncirDepartment of Biochemistry, Koc University Hospital, Istanbul, Turkey.
Annemarie UhligDepartment of Urology, University Medical Center Göttingen, Robert-Koch Straße 40, 37075, Göttingen, Germany.
Lale A ErtugluKoc University School of Medicine, Istanbul, Turkey.
Melis ÖzelKoc University School of Medicine, Istanbul, Turkey.
Ali Cihan TaskinKoc University, Center for Translational Medicine (KUTTAM), Istanbul, Turkey.
Dilek Ertoy BaydarDepartment of Pathology, Koc University School of Medicine, Istanbul, Turkey.
Mehmet KanbayDepartment of Internal Medicine, Division of Nephrology, Koc University School of Medicine, Istanbul, Turkey.
Tarık EsenDepartment of Urology, Koc University School of Medicine, Istanbul, Turkey.
Koç University · TRUniversitätsmedizin Göttingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo investigate if remote ischemic preconditioning (RIPC) can offer any renoprotective value by counteracting the deleterious effect of partial nephrectomy (PN) under warm ischemia on renal function.

methodsFour groups, each with 5 Wistar albino rats, were constructed; RIPC + PN, PN, RIPC and sham. Right nephrectomy was performed to constitute a solitary kidney model. RIPC denoted sequential clamping/declamping of the femoral artery/vein complex. PN was performed under warm-ischemia following RIPC. Blood samples were collected on multiple occasions until euthanasia on day 7. Immunoassays were conducted to measure the serum and tissues levels of kidney injury markers. Kidneys were examined histologically and morphometric analyzes were performed using digital scanning.

resultsIL-33 levels did not differ significantly between the groups. Serum levels of KIM-1, NGAL, and aldose reductase in RIPC + PN, PN and RIPC groups were significantly lower than that of sham group. Tissue biomarker levels were similar across groups. The observed trend in mean necrosis area of PN group was higher than that of RIPC + PN group (p > 0.05). The transitional zone between necrosis and healthy tissue showed a trend towards increasing width in the rats subjected to RIPC before PN vs. those who underwent PN without RIPC (p > 0.05).

conclusionRIPC failed to counteract the renal functional consequences of PN under warm ischemia in a solitary kidney animal model. The supportive but marginal histological findings in favor of RIPC's renoprotective potential were not supplemented with the changes in serum and tissue biomarker levels.

Indexed as

KidneyNephrectomyReperfusion InjuryAldehyde ReductaseAnimalsBiomarkersCell Adhesion MoleculesDisease Models, AnimalIschemic PreconditioningKidney Function TestsLipocalin-2RatsRats, WistarTreatment OutcomeWarm IschemiaAldehyde ReductaseBiomarkersCell Adhesion MoleculesHavcr1 protein, ratLcn2 protein, ratLipocalin-2BiomarkerFunctionIschemiaKidneyPreconditioningRemote

Identifiers

PMID34271871
PMCPMC8285842
OpenAlexW3042633715

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Registered trials

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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.