Evidence map›Paper›PMID 34638220›Full record

ArticleJournal of pathology and translational medicine2021

Post-mortem assessment of vimentin expression as a biomarker for renal tubular regeneration following acute kidney injury.

Juan Carlos Alvarez Moreno, Hisham F Bahmad, Christopher A Febres-Aldana, Andrés Pirela, Andres Azuero, Ali Salami, Robert Poppiti

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Article in Journal of pathology and translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Juan Carlos Alvarez MorenoArkadi M. Rywlin M.D. Department of Pathology and Laboratory Medicine, Mount Sinai Medical Center, Miami Beach, FL, USA.
Hisham F BahmadArkadi M. Rywlin M.D. Department of Pathology and Laboratory Medicine, Mount Sinai Medical Center, Miami Beach, FL, USA.
Christopher A Febres-AldanaArkadi M. Rywlin M.D. Department of Pathology and Laboratory Medicine, Mount Sinai Medical Center, Miami Beach, FL, USA.
Andrés PirelaDepartment of Internal Medicine, Mount Sinai Medical Center, Miami Beach, FL, USA.
Andres AzueroDepartment of Internal Medicine, Mount Sinai Medical Center, Miami Beach, FL, USA.
Ali SalamiDepartment of Mathematics, Faculty of Sciences, Lebanese University, Nabatieh, Lebanon.
Robert PoppitiArkadi M. Rywlin M.D. Department of Pathology and Laboratory Medicine, Mount Sinai Medical Center, Miami Beach, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute kidney injury (AKI) is a common cause of morbidity and mortality. It mainly targets the renal tubular epithelium with pathological changes, referred to as acute tubular injury. The latter is followed by a regenerative response that is difficult to visualize on routine hematoxylin and eosin (H&E) stains. In this study, we examined the regenerative capacity of renal tubules by correlating vimentin (VIM) immunohistochemical (IHC) expression and pathological findings of AKI and renal tubular regeneration (RTR) on H&E.

methodsWe reviewed 23 autopsies performed in the clinical setting of AKI and RTR. VIM expression was scored in the renal cortical tubular epithelium using a statistical cutoff ≥ 3% for high expression and < 3% for low expression.

resultsOf the 23 kidney tissues examined, seven (30.4%) had low VIM expression, and 16 (69.6%) had high VIM expression. Kidney tissues with evidence of AKI and RTR had significantly higher VIM expression. Renal peritubular microenvironment features showing regenerative changes on H&E were associated with high VIM expression. In the univariate model, kidney tissues with RTR were 18-fold more likely to have high VIM expression.

conclusionsIn conclusion, our findings suggest that VIM could serve as an IHC marker for RTR following AKI. However, correlation with H&E findings remains critical to excluding chronic tubular damage. Collectively, our preliminary results pave the way for future studies including a larger sample size to validate the use of VIM as a reliable biomarker for RTR.

Indexed as

Acute kidney injuryAcute tubular injuryBiomarkerImmunohistochemistryRenal tubular regenerationVimentin

Identifiers

PMID34638220
PMCPMC8601956

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