Evidence map›Paper›PMID 35190716›Full record

ReviewNature reviews. Nephrology2022

The nephropathy of sickle cell trait and sickle cell disease.

Kenneth I Ataga, Santosh L Saraf, Vimal K Derebail

Open access · greenAbstract readReview
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 78 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 3 pooled it
12.2field-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

78 citing papers in PubMed, 3 syntheses or guidelines pooled it, 89 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Proteinuria in adolescence.Pediatric nephrology (Berlin, Germany) · 2026
    Review
  8. Article
  9. Review
  10. Article
  11. Article
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  14. Article
  15. Article
  16. Genitourinary malignancy among patients presenting with microscopic hematuria in Northwestern Ontario.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2026
    Article
  17. Article
  18. Article
  19. The Metabolomic Landscape of Sickle Cell Trait Nephropathy: Illuminating an Under-Recognized Problem.Clinical journal of the American Society of Nephrology : CJASN · 2026
    Article
  20. Review

18 more citing papers are in PubMed but not listed here.

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

3 authors at 3 institutions in 1 country.

Kenneth I AtagaCenter for Sickle Cell Disease, University of Tennessee Health Scienter Center, Memphis, TN, USA. kataga@uthsc.edu.ORCID http://orcid.org/0000-0002-4501-9982
Santosh L SarafDivision of Hematology/Oncology, University of Illinois, Chicago, IL, USA.ORCID http://orcid.org/0000-0002-8584-4194
Vimal K DerebailDivision of Nephrology and Hypertension, University of North Carolina, Chapel Hill, NC, USA.ORCID http://orcid.org/0000-0002-7662-7497
University of Illinois Chicago · USUniversity of North Carolina at Chapel Hill · USUniversity of Tennessee Health Science Center · US

Funding

Predicting Progression of Chronic Kidney Disease in Sickle Cell Anemia Using Machine Learning Models (PREMIER)R01HL159376 · NHLBI · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI ATAGA, KENNETH I, SARAF, SANTOSH · 2021 to 2025
$3.2M
Pathways of Cell-Free Hemoglobin in Sickle Cell NephropathyR01HL153161 · NHLBI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI SARAF, SANTOSH · 2020 to 2024
$2.0M
Cell-free Hemoglobin in Sickle Cell Acute Kidney InjuryR03HL146788 · NHLBI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI SARAF, SANTOSH · 2019 to 2020
$160k
FDA HHS R01 FD006030NHLBI NIH HHS R01 HL153161NHLBI NIH HHS R01 HL159376NHLBI NIH HHS R03 HL146788
6 · The paper itself

Abstract

Sickle cell syndromes, including sickle cell disease (SCD) and sickle cell trait, are associated with multiple kidney abnormalities. Young patients with SCD have elevated effective renal plasma flow and glomerular filtration rates, which decrease to normal ranges in young adulthood and subnormal levels with advancing age. The pathophysiology of SCD-related nephropathy is multifactorial - oxidative stress, hyperfiltration and glomerular hypertension are all contributing factors. Albuminuria, which is an early clinical manifestation of glomerular damage, is common in individuals with SCD. Kidney function declines more rapidly in individuals with SCD than in those with sickle cell trait or in healthy individuals. Multiple genetic modifiers, including APOL1, HMOX1, HBA1 and HBA2 variants are also implicated in the development and progression of SCD-related nephropathy. Chronic kidney disease and rapid decline in estimated glomerular filtration rate are associated with increased mortality in adults with SCD. Renin-angiotensin-aldosterone system inhibitors are the standard of care treatment for albuminuria in SCD, despite a lack of controlled studies demonstrating their long-term efficacy. Multiple studies of novel therapeutic agents are ongoing, and patients with SCD and kidney failure should be evaluated for kidney transplantation. Given the high prevalence and severe consequences of kidney disease, additional studies are needed to elucidate the pathophysiology, natural history and treatment of SCD-related nephropathy.

Indexed as

Anemia, Sickle CellKidney DiseasesRenal Insufficiency, ChronicSickle Cell TraitAdultAlbuminuriaApolipoprotein L1Glomerular Filtration RateHumansYoung AdultAPOL1 protein, humanApolipoprotein L1

Identifiers

PMID35190716
PMCPMC9832386
OpenAlexW4213239517

What OpenQuestion holds

Textmetadata
LicenceTDM
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.