Evidence map›Paper›PMID 34533033›Full record

ArticleJournal of the American Heart Association2021

Acute Decompensated Heart Failure and the Kidney: Physiological, Histological and Transcriptomic Responses to Development and Recovery.

Miriam T Rademaker, Anna P Pilbrow, Leigh J Ellmers, Suetonia C Palmer, Trent Davidson, Prisca Mbikou, Nicola J A Scott, Elizabeth Permina, Christopher J Charles, Zoltán H Endre and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
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  5. Acute kidney injury in acute heart failure-when to worry and when not to worry?Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
    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

11 authors at 3 institutions in 3 countries.

Miriam T RademakerDepartment of Medicine University of OtagoChristchurch Christchurch New Zealand.ORCID 0000-0002-3470-5979
Anna P PilbrowDepartment of Medicine University of OtagoChristchurch Christchurch New Zealand.ORCID 0000-0003-1949-9449
Leigh J EllmersDepartment of Medicine University of OtagoChristchurch Christchurch New Zealand.
Suetonia C PalmerDepartment of Medicine University of OtagoChristchurch Christchurch New Zealand.
Trent DavidsonDepartment of Anatomical Pathology Prince of Wales Hospital Sydney New South Wales Australia.
Prisca MbikouDepartment of Medicine University of OtagoChristchurch Christchurch New Zealand.
Nicola J A ScottDepartment of Medicine University of OtagoChristchurch Christchurch New Zealand.ORCID 0000-0002-5685-9151
Elizabeth PerminaOtago Genomics Facility Division of Health Sciences University of Otago Dunedin New Zealand.
Christopher J CharlesDepartment of Medicine University of OtagoChristchurch Christchurch New Zealand.
Zoltán H EndreDepartment of Medicine University of OtagoChristchurch Christchurch New Zealand.ORCID 0000-0002-4782-8695
A Mark RichardsDepartment of Medicine University of OtagoChristchurch Christchurch New Zealand.ORCID 0000-0002-2023-8177
University of Otago · NZPrince of Wales Hospital · AUNational University of Singapore · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND Acute decompensated heart failure (ADHF) is associated with deterioration in renal function-an important risk factor for poor outcomes. Whether ADHF results in permanent kidney damage/dysfunction is unknown. METHODS AND RESULTS We investigated for the first time the renal responses to the development of, and recovery from, ADHF using an ovine model. ADHF development induced pronounced hemodynamic changes, neurohormonal activation, and decline in renal function, including decreased urine, sodium and urea excretion, and creatinine clearance. Following ADHF recovery (25 days), creatinine clearance reductions persisted. Kidney biopsies taken during ADHF and following recovery showed widespread mesangial cell prominence, early mild acute tubular injury, and medullary/interstitial fibrosis. Renal transcriptomes identified altered expression of 270 genes following ADHF development and 631 genes following recovery. A total of 47 genes remained altered post-recovery. Pathway analysis suggested gene expression changes, driven by a network of inflammatory cytokines centered on IL-1β (interleukin 1β), lead to repression of reno-protective eNOS (endothelial nitric oxide synthase) signaling during ADHF development, and following recovery, activation of glomerulosclerosis and reno-protective pathways and repression of proinflammatory/fibrotic pathways. A total of 31 dysregulated genes encoding proteins detectable in urine, serum, and plasma identified potential candidate markers for kidney repair (including

Indexed as

Acute Kidney InjuryHeart FailureAnimalsBiomarkersCreatinineKidneySheepSheep, DomesticTranscriptomeBiomarkersCreatinineacute decompensated heart failureacute kidney injurykidney functiontranscriptome

Identifiers

PMID34533033
PMCPMC8649508
OpenAlexW3200088068

What OpenQuestion holds

Textmetadata
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.