Evidence map›Paper›PMID 34571064›Full record

ArticleAmerican journal of kidney diseases : the official journal of the National Kidney Foundation2022

Kidney Tubulointerstitial Fibrosis and Tubular Secretion.

Pranav S Garimella, Ronit Katz, Sushrut S Waikar, Anand Srivastava, Insa Schmidt, Andrew Hoofnagle, Ragnar Palsson, Helmut G Rennke, Isaac E Stillman, Ke Wang and 2 more

Open access · greenAbstract read
In one paragraph

Article in American journal of kidney diseases : the official journal of the National Kidney Foundation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Kidney Tubule Secretion Can Discriminate the Cause of Acute Kidney Injury in Cirrhosis.Clinical journal of the American Society of Nephrology : CJASN · 2025
    Article
  4. Biomarkers of Kidney Disease Progression in ADPKD.Kidney international reports · 2024
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Measurement of renal cortical fibrosis by CT scan.Research in diagnostic and interventional imaging · 2023
    Article
  11. Article
  12. Article
  13. Assessing Tubular Function, an Ignored Component of CKD, Might Be a Difference Maker!Journal of the American Society of Nephrology : JASN · 2022
    Article
  14. 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

12 authors at 8 institutions in 2 countries.

Pranav S GarimellaDivision of Nephrology-Hypertension, University of California San Diego, La Jolla; Kidney Health, Research and Innovation Hub of San Diego, San Diego, CA. Electronic address: pgarimella@health.ucsd.edu.
Ronit KatzDepartments of Obstetrics and Gynecology, University of Washington, Seattle, WA.
Sushrut S WaikarSection of Nephrology, Department of Medicine, Boston University School of Medicine, Boston Medical Center, Boston, MA.
Anand SrivastavaDivision of Nephrology and Hypertension, Center for Translational Metabolism and Health, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
Insa SchmidtSection of Nephrology, Department of Medicine, Boston University School of Medicine, Boston Medical Center, Boston, MA.
Andrew HoofnagleLaboratory Medicine, University of Washington, Seattle, WA.
Ragnar PalssonDivision of Nephrology, Landspitali-The National University Hospital of Iceland, Faculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
Helmut G RennkeDepartment of Pathology, Brigham and Women's Hospital, Boston, MA.
Isaac E StillmanDepartment of Pathology, Beth Israel Deaconess Medical Center, Boston, MA.
Ke WangDepartment of Medicine, Division of Nephrology, University of Washington, Seattle, WA; Kidney Research Institute, Seattle, WA.
Bryan R KestenbaumDepartment of Medicine, Division of Nephrology, University of Washington, Seattle, WA; Kidney Research Institute, Seattle, WA.
Joachim H IxDivision of Nephrology-Hypertension, University of California San Diego, La Jolla.
University of Washington · USBoston University · USBeth Israel Deaconess Medical Center · USBrigham and Women's Hospital · USNorthwestern University · USUC San Diego Health System · USUniversity of California San Diego · USUniversity of Iceland · IS

Funding

PILOT STUDY--CLINICAL NUTRITION RESEARCHP30DK035816 · NIDDK · UNIVERSITY OF WASHINGTON · PI Ellen A Schur · 1986 to 2026
$30.4M
Therapeutics Development Core (Core B)P30DK114857 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GEORGE, ALFRED L., QUAGGIN, SUSAN E. · 2018 to 2022
$5.7M
Kidney Tubular Damage and Dysfunction Identify a Novel Axis of Chronic Kidney DiseaseR01DK098234 · NIDDK · VETERANS MEDICAL RESEARCH FDN/SAN DIEGO · PI IX, JOACHIM H, SHLIPAK, MICHAEL G · 2014 to 2023
$5.6M
Non-Invasive Imaging Biomarkers to Identify a High-Risk Chronic Kidney Disease PhenotypeK23DK120811 · NIDDK · UNIVERSITY OF ILLINOIS AT CHICAGO · PI SRIVASTAVA, ANAND · 2020 to 2024
$1.0M
Tubular secretion, kidney disease progression, and drug dosing in older adultsK23DK114556 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GARIMELLA, PRANAV · 2018 to 2022
$1.0M
Mentored Patient Oriented Research in Kidney DiseaseK24DK110427 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI IX, JOACHIM H · 2016 to 2020
$780k
Midcareer Investigator Award: Metabolic Complications of Chronic Kidney DiseaseK24DK103986 · NIDDK · UNIVERSITY OF WASHINGTON · PI KESTENBAUM, BRYAN R · 2016 to 2020
$637k
NIDDK NIH HHS K23 DK114556NIDDK NIH HHS K23 DK120811NIDDK NIH HHS K24 DK103986NIDDK NIH HHS K24 DK110427NIDDK NIH HHS P30 DK035816NIDDK NIH HHS R01 DK098234
6 · The paper itself

Abstract

RATIONALE &

objectiveTubular secretion plays an important role in the efficient elimination of endogenous solutes and medications, and lower secretory clearance is associated with risk of kidney function decline. We evaluated whether histopathologic quantification of interstitial fibrosis and tubular atrophy (IFTA) is associated with lower tubular secretory clearance in persons undergoing kidney biopsy. STUDY

designCross-sectional. SETTINGS &

participantsThe Boston Kidney Biopsy Cohort is a study of persons undergoing native kidney biopsies for clinical indications. EXPOSURES: Semiquantitative score of IFTA reported by 2 trained pathologists. OUTCOMES: We measured plasma and urine concentrations of 9 endogenous secretory solutes using a targeted liquid chromatography/mass spectrometry assay. We used linear regression to test associations of urine-to-plasma ratios (UPRs) of these solutes with IFTA score after controlling for estimated glomerular filtration rate (eGFR) and albuminuria.

resultsAmong 418 participants, mean age was 53 years, 51% were women, 64% were White, and 18% were Black. Mean eGFR was 50mL/min/1.73m LIMITATIONS: Single time point and spot measures of secretory solutes.

conclusionsGreater IFTA severity is associated with lower clearance of endogenous secretory solutes even after adjusting for eGFR and albuminuria.

Indexed as

AlbuminuriaKidney DiseasesAlbuminsCreatinineCross-Sectional StudiesFemaleFibrosisGlomerular Filtration RateHumansKidneyKidney TubulesMaleMiddle AgedAlbuminsCreatinineacute tubular injury (ATI)biomarkerbiopsyclearancefibrosisIFTA scoreinterstitial fibrosis and tubular atrophy (IFTA)Kidney tubulerenal functionsecretionsolutetubular atrophytubule cell dysfunctionvascular sclerosis

Identifiers

PMID34571064
PMCPMC8973399
OpenAlexW3203019708

What OpenQuestion holds

Textmetadata
LicenceTDM
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.