Evidence map›Paper›PMID 34901065›Full record

ArticleFrontiers in medicine2021

Chronic Hematuria Increases Chronic Kidney Injury and Epithelial-Mesenchymal Transition in 5/6 Nephrectomy Rats.

Min Xiao, Ajay K Medipally, Laura Biederman, Anjali A Satoskar, Iouri Ivanov, Brad H Rovin, Sergey V Brodsky

Abstract read
In one paragraph

Article in Frontiers in medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Min XiaoDepartment of Pathology, The Ohio State University Wexner Medical Center, Columbus, OH, United States.
Ajay K MedipallyDepartment of Pathology, The Ohio State University Wexner Medical Center, Columbus, OH, United States.
Laura BiedermanDepartment of Pathology, The Ohio State University Wexner Medical Center, Columbus, OH, United States.
Anjali A SatoskarDepartment of Pathology, The Ohio State University Wexner Medical Center, Columbus, OH, United States.
Iouri IvanovDepartment of Pathology, The Ohio State University Wexner Medical Center, Columbus, OH, United States.
Brad H RovinDepartment of Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, United States.
Sergey V BrodskyDepartment of Pathology, The Ohio State University Wexner Medical Center, Columbus, OH, United States.

Funding

Anticoagulant related nephropathyR01DK117102 · NIDDK · OHIO STATE UNIVERSITY · PI BRODSKY, SERGEY · 2019 to 2023
$1.9M
NIDDK NIH HHS R01 DK117102
6 · The paper itself

Abstract

Chronic kidney disease (CKD) is a common outcome of many kidney diseases. Interstitial fibrosis and tubular atrophy (IFTA) is a histologic hallmark of CKD. Hematuria is a common symptom in many human kidney diseases. Free hemoglobin may affect tubular epithelial cells by generating reactive oxygen species (ROS). Epithelial-mesenchymal transition (EMT) of the tubular epithelial cells has been shown to play an important role in the IFTA development. The aim of this study was to determine the effects of chronic hematuria on the CKD progression in 5/6 nephrectomy (5/6NE) rat model of CKD. 5/6 NE rats were treated with oral warfarin (0.5 mg/kg/day) or vehicle (control). The animals were monitored for 26 weeks, while prothrombin time (PT), serum creatinine (SCr), and hematuria were measured weekly. Staining for iron, trichrome, and EMT (vimentin, E-cadherin, smooth muscle actin) markers was performed on the remnant kidneys. ROS were detected in the kidneys by protein carbonyl assay and immunohistochemistry for heme oxygenase 1 (HMOX1), at the end of the study. Apoptosis was detected by TUNEL assay. Warfarin treatment resulted in a PT increase 1.5-2.5 times from control and an increase in hematuria and SCr. Histologically, warfarin-treated animals had more iron-positive tubular epithelial cells and increased IFTA as compared to control (42.9 ± 17% vs. 18.3 ± 2.6%). ROS were increased in the kidney in warfarin-treated rats. The number of tubules that show evidence of EMT was significantly higher in warfarin-treated 5/6NE as compared to control 5/6NE rats. The number of apoptotic tubular epithelial cells was higher in warfarin-treated 5/6 NE rats. Chronic hematuria results in increased iron-positive tubular epithelial cells, EMT, apoptosis, and more prominent IFTA in CKD rats. Our data suggest an important role of chronic hematuria in the progression of CKD.

Indexed as

anticoagulationchronic kidney diseaseepithelial mesenchymal transition (EMT)hematuriairon

Identifiers

PMID34901065
PMCPMC8655688

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