Evidence map›Paper›PMID 34880459›Full record

ReviewNature reviews. Nephrology2022

Nephron overload as a therapeutic target to maximize kidney lifespan.

Valerie A Luyckx, Andrew D Rule, Katherine R Tuttle, Pierre Delanaye, Helen Liapis, Afschin Gandjour, Paola Romagnani, Hans-Joachim Anders

Open access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Nephrology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
13.3field-weighted citation impact, top 1% 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

30 citing papers in PubMed, 60 citations in OpenAlex.

  1. Dietary Salt Intake and Hypertension in Chronic Kidney Disease.Electrolyte & blood pressure : E & BP · 2026
    Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. Lupus Nephritis: Unmet Needs and Evolving Solutions.Clinical journal of the American Society of Nephrology : CJASN · 2025
    Review
  7. Article
  8. Lupus nephritis.Nature reviews. Disease primers · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Chronic kidney disease.Nature reviews. Disease primers · 2025
    Review
  14. Review
  15. Article
  16. Lupus nephritis-related chronic kidney disease.Nature reviews. Rheumatology · 2024
    Review
  17. [Update on lupus nephritis].Zeitschrift fur Rheumatologie · 2024
    Review
  18. Article
  19. Review
  20. The five types of glomerulonephritis classified by pathogenesis, activity and chronicity (GN-AC).Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023
    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

8 authors at 7 institutions in 7 countries.

Valerie A LuyckxRenal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0001-7066-8135
Andrew D RuleDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0003-0338-7784
Katherine R TuttleProvidence Medical Research Center, Providence Health Care, Spokane, WA, USA.ORCID http://orcid.org/0000-0002-2235-0103
Pierre DelanayeDepartment of Nephrology-Dialysis-Transplantation, Service de Dialyse, CHU Sart Tilman, University of Liège (CHU ULiege), Liège, Belgium.ORCID http://orcid.org/0000-0002-1480-5761
Helen LiapisRenal Division, Department of Medicine IV, University Hospital of the Ludwig Maximilian University, Munich, Germany.
Afschin GandjourFrankfurt School of Finance and Management, Frankfurt am Main, Germany.ORCID http://orcid.org/0000-0002-4262-8344
Paola RomagnaniDepartment of Clinical and Experimental Biomedical Sciences "Mario Serio", University of Florence, Florence, Italy.ORCID http://orcid.org/0000-0002-1774-8088
Hans-Joachim AndersRenal Division, Department of Medicine IV, University Hospital of the Ludwig Maximilian University, Munich, Germany. hjanders@med.uni-muenchen.de.ORCID http://orcid.org/0000-0003-2434-2956
Ludwig-Maximilians-Universität München · DEBrigham and Women's Hospital · USFrankfurt School of Finance & Management · DEInstitute of Translational Health Sciences · USMayo Clinic · USMeyer Children's Hospital · ITUniversity of Liège · BE

Funding

The macro- and micro- anatomy and pathology of the aging kidneyR01DK090358 · NIDDK · MAYO CLINIC ROCHESTER · PI ANDREW David RULE · 2011 to 2026
$9.9M
NIDDK NIH HHS R01 DK090358
6 · The paper itself

Abstract

Kidney lifespan is a patient-oriented outcome that provides much needed context for understanding chronic kidney disease (CKD). Nephron endowment, age-associated decline in nephron number, kidney injury history and the intrinsic capacity of nephrons to adapt to haemodynamic and metabolic overload vary widely within the population. Defining percentiles of kidney function might therefore help to predict individual kidney lifespan and distinguish healthy ageing from progressive forms of CKD. In response to nephron loss, the remaining nephrons undergo functional and structural adaptations to meet the ongoing haemodynamic and metabolic demands of the organism. When these changes are no longer sufficient to maintain kidney cell homeostasis, remnant nephron demise occurs and CKD progression ensues. An individual's trajectory of glomerular filtration rate and albuminuria reflects the extent of nephron loss and adaptation of the remaining nephrons. Nephron overload represents the final common pathway of CKD progression and is largely independent of upstream disease mechanisms. Thus, interventions that efficiently attenuate nephron overload in early disease stages can protect remnant kidney cells and nephrons, and delay CKD progression. This Review provides a conceptual framework for individualized diagnosis, monitoring and treatment of CKD with the goal of maximizing kidney lifespan.

Indexed as

LongevityRenal Insufficiency, ChronicGlomerular Filtration RateHumansKidneyNephrons

Identifiers

PMID34880459
OpenAlexW4200019657

What OpenQuestion holds

Textmetadata
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.