Evidence map›Paper›PMID 34488619›Full record

ArticleMolecular medicine (Cambridge, Mass.)2021

Reversible dysregulation of renal circadian rhythm in lupus nephritis.

Rakesh Mishra, Ramalingam Bethunaickan, Celine C Berthier, Zhengzi Yi, Joshua J Strohl, Patricio T Huerta, Weijia Zhang, Anne Davidson

Open access · goldAbstract read
In one paragraph

Article in Molecular medicine (Cambridge, Mass.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 40% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
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  4. Article
  5. Circadian rhythms and renal pathophysiology.The Journal of clinical investigation · 2022
    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

8 authors at 3 institutions in 1 country.

Rakesh MishraInstitute for Molecular Medicine, Feinstein Institutes for Medical Research, 350 Community Drive, Manhasset, NY, 11030, USA.
Ramalingam BethunaickanInstitute for Molecular Medicine, Feinstein Institutes for Medical Research, 350 Community Drive, Manhasset, NY, 11030, USA.
Celine C BerthierDepartment of Internal Medicine, Nephrology, University of Michigan, Ann Arbor, MI, 48109, USA.
Zhengzi YiDepartment of Medicine, Mount Sinai Medical Center, One Gustave L. Levy Place, P.O. Box 1243, New York, NY, 10029, USA.
Joshua J StrohlInstitute for Molecular Medicine, Feinstein Institutes for Medical Research, 350 Community Drive, Manhasset, NY, 11030, USA.
Patricio T HuertaInstitute for Molecular Medicine, Feinstein Institutes for Medical Research, 350 Community Drive, Manhasset, NY, 11030, USA.
Weijia ZhangDepartment of Medicine, Mount Sinai Medical Center, One Gustave L. Levy Place, P.O. Box 1243, New York, NY, 10029, USA. weijia.zhang@mssm.edu.
Anne DavidsonInstitute for Molecular Medicine, Feinstein Institutes for Medical Research, 350 Community Drive, Manhasset, NY, 11030, USA. adavidson1@northwell.edu.ORCID 0000-0002-4081-6464
Feinstein Institute for Medical Research · USMount Sinai Hospital · USUniversity of Michigan · US

Funding

Circadian dysregulation of immune function in SLER21AR076557 · NIAMS · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI DAVIDSON, ANNE · 2020 to 2021
$424k
NIAMS NIH HHS R21 AR076557
6 · The paper itself

Abstract

backgroundWe have found disruption of expression of major transcriptional regulators of circadian rhythm in the kidneys of several mouse models of lupus nephritis. Here we define the consequence of this disturbance with respect to circadian gene expression and renal homeostatic function in a mouse model of lupus nephritis.

methodsMolecular profiling of kidneys from 47 young and 41 nephritic female NZB/W F1 mice was performed at 4 hourly intervals over a 24 h period. Disruption of major circadian transcriptional regulators was confirmed by qPCR. Molecular data was normalized and analyzed for rhythmicity using RAIN analysis. Serum aldosterone and glucose and urine sodium and potassium were measured at 4 hourly intervals in pre-nephritic and nephritic mice and blood pressure was measured every 4 h. Analyses were repeated after induction of complete remission of nephritis using combination cyclophosphamide and costimulatory blockade.

resultsWe show a profound alteration of renal circadian rhythms in mice with lupus nephritis affecting multiple renal pathways. Using Cosinor analysis we identified consequent alterations of renal homeostasis and metabolism as well as blood pressure dipper status. This circadian dysregulation was partially reversed by remission induction therapy.

conclusionsOur studies indicate the role of inflammation in causing the circadian disruption and suggest that screening for loss of normal blood pressure dipping should be incorporated into LN management. The data also suggest a potential role for circadian agonists in the treatment of lupus nephritis.

Indexed as

BiomarkersDisease SusceptibilityGene Expression RegulationAnimalsCircadian RhythmComputational BiologyDisease Models, AnimalFemaleGene Expression ProfilingLupus NephritisMiceTranscriptomeBiomarkersCircadianKidneyNephritisSLE

Identifiers

PMID34488619
PMCPMC8419890
OpenAlexW3196677120

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.