Evidence map›Paper›PMID 34621749›Full record

ArticleFrontiers in cell and developmental biology2021

Direct Evidence of Endothelial Dysfunction and Glycocalyx Loss in Dermal Biopsies of Patients With Chronic Kidney Disease and Their Association With Markers of Volume Overload.

Josephine Koch, Ryanne S Hijmans, Manuela Ossa Builes, Wendy A Dam, Robert A Pol, Stephan J L Bakker, Hendri H Pas, Casper F M Franssen, Jacob van den Born

Open access · goldAbstract read
In one paragraph

Article in Frontiers in cell and developmental biology, 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 33% 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, 5 citations in OpenAlex.

  1. LiposomalInternational journal of molecular sciences · 2026
    Article
  2. Salt and chronic kidney disease.Nature reviews. Nephrology · 2026
    Review
  3. Review
  4. Article
  5. 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

9 authors at 2 institutions in 1 country.

Josephine KochDivision of Nephrology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Ryanne S HijmansDepartment of Surgery, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Manuela Ossa BuilesDivision of Nephrology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Wendy A DamDivision of Nephrology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Robert A PolDepartment of Surgery, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Stephan J L BakkerDivision of Nephrology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Hendri H PasDepartment of Dermatology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Casper F M FranssenDivision of Nephrology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Jacob van den BornDivision of Nephrology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
University Medical Center Groningen · NLUniversity of Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiovascular morbidity is a major problem in patients with chronic kidney disease (CKD) and endothelial dysfunction (ED) is involved in its development. The luminal side of the vascular endothelium is covered by a protective endothelial glycocalyx (eGC) and indirect evidence indicates eGC loss in CKD patients. We aimed to investigate potential eGC loss and ED in skin biopsies of CKD patients and their association with inflammation and volume overload. During living kidney transplantation procedure, abdominal skin biopsies were taken from 11 patients with chronic kidney disease stage 5 of whom 4 were treated with hemodialysis and 7 did not receive dialysis treatment. Nine healthy kidney donors served as controls. Biopsies were stained and quantified for the eGC marker Ulex europaeus agglutinin-1 (UEA1) and the endothelial markers vascular endothelial growth factor-2 (VEGFR2) and von Willebrand factor (vWF) after double staining and normalization for the pan-endothelial marker cluster of differentiation 31. We also studied associations between quantified log-transformed dermal endothelial markers and plasma markers of inflammation and hydration status. Compared to healthy subjects, there was severe loss of the eGC marker UEA1 (

Indexed as

CKDendothelial dysfunctionglycocalyxinflammationNT-proBNPsodium

Identifiers

PMID34621749
PMCPMC8491614
OpenAlexW3200161391

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.