Evidence map›Paper›PMID 34425963›Full record

ArticleMayo Clinic proceedings2021

Acute Kidney Injury in Severe COVID-19 Has Similarities to Sepsis-Associated Kidney Injury: A Multi-Omics Study.

Mariam P Alexander, Kiran K Mangalaparthi, Anil K Madugundu, Ann M Moyer, Benjamin A Adam, Michael Mengel, Smrita Singh, Sandra M Herrmann, Andrew D Rule, E Heidi Cheek and 23 more

Open access · bronzeAbstract read
In one paragraph

Article in Mayo Clinic proceedings, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
3.1field-weighted citation impact, top 7% 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

42 citing papers in PubMed, 58 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Long COVID and the kidney.Nature reviews. Nephrology · 2025
    Review
  5. Molecular Mechanisms of Sepsis-Associated Acute Kidney Injury.Journal of the American Society of Nephrology : JASN · 2025
    Review
  6. Article
  7. Review
  8. Article
  9. Sphingolipid signaling in kidney diseases.American journal of physiology. Renal physiology · 2025
    Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
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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

33 authors at 7 institutions in 3 countries.

Mariam P AlexanderDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA. Electronic address: alexander.mariam@mayo.edu.
Kiran K MangalaparthiDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA; Institute of Bioinformatics, International Technology Park, Karnataka, India; Amrita School of Biotechnology, Kerala, India.
Anil K MadugunduDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA; Institute of Bioinformatics, International Technology Park, Karnataka, India; Manipal Academy of Higher Education, Manipal, Karnataka, India; Center for Molecular Medicine, National Institute of Mental Health and Neurosciences, Karnataka, India.
Ann M MoyerDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Benjamin A AdamDepartment of Laboratory Medicine and Pathology, University of Alberta, Edmonton, Alberta, Canada.
Michael MengelDepartment of Laboratory Medicine and Pathology, University of Alberta, Edmonton, Alberta, Canada.
Smrita SinghDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA; Institute of Bioinformatics, International Technology Park, Karnataka, India; Manipal Academy of Higher Education, Manipal, Karnataka, India; Center for Molecular Medicine, National Institute of Mental Health and Neurosciences, Karnataka, India.
Sandra M HerrmannDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA.
Andrew D RuleDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA.
E Heidi CheekDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Loren P Herrera HernandezDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Rondell P GrahamDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Denic AleksandarDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA; Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA.
Marie-Christine AubryDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Anja C RodenDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Catherine E HagenDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Reade A QuintonDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Melanie C BoisDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Peter T LinDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Joseph J MaleszewskiDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Lynn D CornellDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Sanjeev SethiDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Kevin D PavelkoImmune Monitoring Core, Mayo Clinic, Rochester, MN, USA.
Jon CharlesworthMicroscopy and Cell Analysis Core, Mayo Clinic, Rochester, MN, USA.
Ramya NarasimhanDepartment of Endocrinology, Mayo Clinic, Rochester, MN, USA.
Christopher P LarsenNephropathology Associates, Little Rock, AR, USA.
Stacey A RizzaDivision of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Samih H NasrDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Joseph P GrandeDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Trevor D McKeeSTTARR Innovation Core Facility, University Health Network, Toronto, Ontario, Canada.
Andrew D BadleyDivision of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA; Department of Molecular Medicine, Mayo Clinic, Rochester, MN, USA.
Akhilesh PandeyDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA; Center for Individualized Medicine, Mayo Clinic, Rochester, MN, USA; Center for Molecular Medicine, National Institute of Mental Health and Neurosciences, Karnataka, India.
Timucin TanerDepartment of Surgery (T.T.), Mayo Clinic, Rochester, MN, USA; Department of Immunology (T.T.), Mayo Clinic, Rochester, MN, USA.
Mayo Clinic in Arizona · USMayo Clinic · USManipal Academy of Higher Education · INUniversity of Alberta · CAArkana Laboratories · USMayo Clinic in Florida · USUniversity Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare coronavirus disease 2019 (COVID-19) acute kidney injury (AKI) to sepsis-AKI (S-AKI). The morphology and transcriptomic and proteomic characteristics of autopsy kidneys were analyzed. PATIENTS AND

methodsIndividuals 18 years of age and older who died from COVID-19 and had an autopsy performed at Mayo Clinic between April 2020 to October 2020 were included. Morphological evaluation of the kidneys of 17 individuals with COVID-19 was performed. In a subset of seven COVID-19 cases with postmortem interval of less than or equal to 20 hours, ultrastructural and molecular characteristics (targeted transcriptome and proteomics analyses of tubulointerstitium) were evaluated. Molecular characteristics were compared with archived cases of S-AKI and nonsepsis causes of AKI.

resultsThe spectrum of COVID-19 renal pathology included macrophage-dominant microvascular inflammation (glomerulitis and peritubular capillaritis), vascular dysfunction (peritubular capillary congestion and endothelial injury), and tubular injury with ultrastructural evidence of mitochondrial damage. Investigation of the spatial architecture using a novel imaging mass cytometry revealed enrichment of CD3

conclusionThis data highlights the similarities between S-AKI and COVID-19 AKI and suggests that mitochondrial dysfunction may play a pivotal role in COVID-19 AKI. This data may allow the development of novel diagnostic and therapeutic targets.

Indexed as

Acute Kidney InjuryAdultAutopsyCOVID-19HumansKidneyKidney Tubules, ProximalMaleMiddle AgedSepsis

Identifiers

PMID34425963
PMCPMC8279954
OpenAlexW3179888898

What OpenQuestion holds

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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.