Evidence map›Paper›PMID 34836683›Full record

ArticleBiomaterials2022

Nitric oxide releasing nanomatrix gel treatment inhibits venous intimal hyperplasia and improves vascular remodeling in a rodent arteriovenous fistula.

Maheshika Somarathna, Patrick Tj Hwang, Reid C Millican, Grant C Alexander, Tatyana Isayeva-Waldrop, Jennifer A Sherwood, Brigitta C Brott, Isabelle Falzon, Hannah Northrup, Yan-Ting Shiu and 4 more

Open access · greenAbstract read
In one paragraph

Article in Biomaterials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
7.3field-weighted citation impact, top 2% 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

28 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. A Vein Attempt? Experimental Models for Arteriovenous Fistula Research.Cardiovascular engineering and technology · 2026
    Review
  3. Human Data First: New Biological Premises for Arteriovenous Fistula Research.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
  4. Article
  5. Article
  6. Review
  7. Evaluating Animal Models for Improved Hemodialysis Vascular Access: A Focus on Arteriovenous Fistula.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Platelet Membrane-Encapsulated Poly(lactic-International journal of pharmaceutics: X · 2024
    Article
  13. Article
  14. Article
  15. Review
  16. Rebuilding vascular access: from the viewpoint of mechanics and materials.Frontiers in bioengineering and biotechnology · 2024
    Review
  17. Article
  18. Article
  19. Review
  20. 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

14 authors at 3 institutions in 1 country.

Maheshika SomarathnaDepartment of Medicine and Division of Nephrology, University of Alabama at Birmingham, AL, 35294, USA.
Patrick Tj HwangDepartment of Biomedical Engineering, University of Alabama at Birmingham, AL, 35294, USA; Endomimetics, LLC, Birmingham, AL, 35242, USA.
Reid C MillicanEndomimetics, LLC, Birmingham, AL, 35242, USA.
Grant C AlexanderDepartment of Biomedical Engineering, University of Alabama at Birmingham, AL, 35294, USA; Endomimetics, LLC, Birmingham, AL, 35242, USA.
Tatyana Isayeva-WaldropDepartment of Medicine and Division of Nephrology, University of Alabama at Birmingham, AL, 35294, USA.
Jennifer A SherwoodEndomimetics, LLC, Birmingham, AL, 35242, USA.
Brigitta C BrottEndomimetics, LLC, Birmingham, AL, 35242, USA; Department of Medicine and Division of Cardiovascular Disease, University of Alabama at Birmingham, AL, 35233, USA.
Isabelle FalzonDivision of Nephrology and Hypertension, Department of Internal Medicine, University of Utah, Salt Lake City, UT, 84132, USA.
Hannah NorthrupDivision of Nephrology and Hypertension, Department of Internal Medicine, University of Utah, Salt Lake City, UT, 84132, USA.
Yan-Ting ShiuDivision of Nephrology and Hypertension, Department of Internal Medicine, University of Utah, Salt Lake City, UT, 84132, USA; Veterans Affairs Medical Center, Salt Lake City, UT, 84148, USA.
Chris J StubbenBioinformatics Shared Resource, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, 84112, USA.
John TotenhagenDepartment of Radiology, University of Alabama at Birmingham, AL, 35294, USA.
Ho-Wook JunDepartment of Biomedical Engineering, University of Alabama at Birmingham, AL, 35294, USA; Endomimetics, LLC, Birmingham, AL, 35242, USA.
Timmy LeeDepartment of Medicine and Division of Nephrology, University of Alabama at Birmingham, AL, 35294, USA; Veterans Affairs Medical Center, Birmingham, AL, 35233, USA. Electronic address: txlee@uab.edu.
University of Alabama at Birmingham · USUniversity of Utah · USEndomimetics (United States) · US

Funding

XRAY CRYSTALLOGRAPHYP30CA013148 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Robert S Welner · 1985 to 2026
$165.9M
UTAH REGIONAL CANCER CENTERP30CA042014 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI KATHARINE S ULLMAN · 1986 to 2026
$72.6M
UAB-UCSD O'Brien Core Center for Acute Kidney Injury ResearchP30DK079337 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI AGARWAL, ANUPAM · 2008 to 2022
$18.3M
Nitric oxide releasing nanomatrix to enhance dialysis fistula maturationR44DK109789 · NIDDK · ENDOMIMETICS, LLC · PI CHEN, JUN · 2017 to 2022
$3.8M
Autophagy and Arteriovenous Fistula MaturationR01HL153244 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEE, TIMMY C, SHIU, YAN-TING E. · 2021 to 2024
$2.2M
Hemodynamic Adaptation and Vascular Remodeling in Fistula DevelopmentR01HL139692 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEE, TIMMY C · 2018 to 2022
$2.1M
Dual Role of Lysyl Oxidase in Arteriovenous Fistula FailureR01DK121227 · NIDDK · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI SHIU, YAN-TING E., VAZQUEZ PADRON, ROBERTO IRENARDO · 2019 to 2023
$2.1M
Prohealing multifunctional endothelium nanomatrix coated stentR01HL125391 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI JUN, HO-WOOK · 2015 to 2019
$1.8M
Nanotechnology as a therapeutic approach in arteriovenous fistula maturationR01DK129299 · NIDDK · UNIVERSITY OF UTAH · PI JAIMES, EDGAR A, SHIU, YAN-TING E. · 2021 to 2024
$1.7M
Mechanotransduction in Neointimal Hyperplasia Formation in Arteriovenous GraftsR01DK100505 · NIDDK · UNIVERSITY OF UTAH · PI SHIU, YAN-TING E. · 2014 to 2017
$1.3M
Nitric oxide releasing nanomatrix wrap to enhance dialysis fistula maturationR43DK109789 · NIDDK · ENDOMIMETICS, LLC · PI HWANG, PATRICK, LEE, TIMMY C · 2016 to 2016
$429k
The Role of Endothelial Dysfunction in Arteriovenous Fistula MaturationI01BX003387 · VA · BIRMINGHAM VA MEDICAL CENTER · PI LEE, TIMMY C · 2017 to 2020
–
BLRD VA I01 BX003387BLRD VA I01 BX004133BLRD VA I01 BX004658NCI NIH HHS P30 CA013148NCI NIH HHS P30 CA042014NHLBI NIH HHS R01 HL125391NHLBI NIH HHS R01 HL139692NHLBI NIH HHS R01 HL153244NIDDK NIH HHS P30 DK079337NIDDK NIH HHS R01 DK100505NIDDK NIH HHS R01 DK121227NIDDK NIH HHS R01 DK129299NIDDK NIH HHS R43 DK109789NIDDK NIH HHS R44 DK109789
6 · The paper itself

Abstract

Vascular access is the lifeline for hemodialysis patients and the single most important component of the hemodialysis procedure. Arteriovenous fistula (AVF) is the preferred vascular access for hemodialysis patients, but nearly 60% of AVFs created fail to successfully mature due to early intimal hyperplasia development and poor outward remodeling. There are currently no therapies available to prevent AVF maturation failure. First, we showed the important regulatory role of nitric oxide (NO) on AVF development by demonstrating that intimal hyperplasia development was reduced in an overexpressed endothelial nitric oxide synthase (NOS3) mouse AVF model. This supported the rationale for the potential application of NO to the AVF. Thus, we developed a self-assembled NO releasing nanomatrix gel and applied it perivascularly at the arteriovenous anastomosis immediately following rat AVF creation to investigate its therapeutic effect on AVF development. We demonstrated that the NO releasing nanomatrix gel inhibited intimal hyperplasia formation (more than 70% reduction), as well as improved vascular outward remodeling (increased vein diameter) and hemodynamic adaptation (lower wall shear stress approaching the preoperative level and less vorticity). Therefore, direct application of the NO releasing nanomatrix gel to the AVF anastomosis immediately following AVF creation may enhance AVF development, thereby providing long-term and durable vascular access for hemodialysis.

Indexed as

Arteriovenous FistulaVascular RemodelingAnimalsHumansHyperplasiaMiceNitric OxideRatsRodentiaNitric OxideAnd nitric oxide releasing nanomatrix gelArteriovenous fistulaEndothelial nitric oxide synthaseIntimal hyperplasiaNitric oxideVascular remodeling

Identifiers

PMID34836683
PMCPMC8724452
OpenAlexW3213877122

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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.