Evidence map›Paper›PMID 35729178›Full record

ArticleScientific reports2022

Urinary extracellular vesicles and micro-RNA as markers of acute kidney injury after cardiac surgery.

Douglas Miller, Bryony Eagle-Hemming, Sophia Sheikh, Lathishia Joel-David, Adewale Adebayo, Florence Y Lai, Marius Roman, Tracy Kumar, Hardeep Aujla, Gavin J Murphy and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 5% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

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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

11 authors at 2 institutions in 1 country.

Douglas Miller *Department of Cardiovascular Sciences and NIHR Cardiovascular Biomedical Research Unit, Glenfield General Hospital, Clinical Sciences Wing, University of Leicester, Leicester, LE3 9QP, UK.
Bryony Eagle-Hemming *Department of Cardiovascular Sciences and NIHR Cardiovascular Biomedical Research Unit, Glenfield General Hospital, Clinical Sciences Wing, University of Leicester, Leicester, LE3 9QP, UK.
Sophia SheikhDepartment of Cardiovascular Sciences and NIHR Cardiovascular Biomedical Research Unit, Glenfield General Hospital, Clinical Sciences Wing, University of Leicester, Leicester, LE3 9QP, UK.
Lathishia Joel-DavidDepartment of Cardiovascular Sciences and NIHR Cardiovascular Biomedical Research Unit, Glenfield General Hospital, Clinical Sciences Wing, University of Leicester, Leicester, LE3 9QP, UK.
Adewale AdebayoDepartment of Cardiovascular Sciences and NIHR Cardiovascular Biomedical Research Unit, Glenfield General Hospital, Clinical Sciences Wing, University of Leicester, Leicester, LE3 9QP, UK.
Florence Y LaiDepartment of Cardiovascular Sciences and NIHR Cardiovascular Biomedical Research Unit, Glenfield General Hospital, Clinical Sciences Wing, University of Leicester, Leicester, LE3 9QP, UK.
Marius RomanDepartment of Cardiovascular Sciences and NIHR Cardiovascular Biomedical Research Unit, Glenfield General Hospital, Clinical Sciences Wing, University of Leicester, Leicester, LE3 9QP, UK.
Tracy KumarDepartment of Cardiovascular Sciences and NIHR Cardiovascular Biomedical Research Unit, Glenfield General Hospital, Clinical Sciences Wing, University of Leicester, Leicester, LE3 9QP, UK.
Hardeep AujlaDepartment of Cardiovascular Sciences and NIHR Cardiovascular Biomedical Research Unit, Glenfield General Hospital, Clinical Sciences Wing, University of Leicester, Leicester, LE3 9QP, UK.
Gavin J MurphyDepartment of Cardiovascular Sciences and NIHR Cardiovascular Biomedical Research Unit, Glenfield General Hospital, Clinical Sciences Wing, University of Leicester, Leicester, LE3 9QP, UK.
Marcin J WoźniakDepartment of Cardiovascular Sciences and NIHR Cardiovascular Biomedical Research Unit, Glenfield General Hospital, Clinical Sciences Wing, University of Leicester, Leicester, LE3 9QP, UK. mw299@leicester.ac.uk.
University of Leicester · GBNIHR Leicester Cardiovascular Biomedical Research Unit · GB

Funding

British Heart Foundation CH/12/1/29419British Heart Foundation RG/13/6/29947Department of Health
6 · The paper itself

Abstract

We hypothesised that measuring changes in urinary levels of EV and miR will predict the onset of acute kidney injury in cardiac surgery patients. The study was performed in the cohort of the REVAKI-2 trial. Urine samples were collected before and 24 h after the procedure from 94 cardiac surgery patients. Urinary particle concentrations and size distribution were assessed using NanoSight. EV derivation and levels were measured using flow cytometry. Samples from 10 selected patients were sequenced, and verification was performed with advanced TaqMan assays in samples from all patients. Urinary particle concentrations significantly increased in patients with AKI after surgery, with the percentage of EV positive for CD105 and β1-integrin also increasing. Pre-surgery podocalyxin-positive EV were significantly lower in patients with AKI. Their levels correlated with the severity of the injury. Pre-operative miR-125a-5p was expressed at lower levels in urine from patients with AKI when adjusted for urinary creatinine. Levels of miR-10a-5p were lower after surgery in AKI patients and its levels correlated with the severity of the injury. Pre-operative levels of podocalyxin EVs, urinary particle concentrations and miR-125a-5p had moderate AKI predictive value and, in a logistic model together with ICU lactate levels, offered good (AUC = 82%) AKI prediction.

Indexed as

Acute Kidney InjuryCardiac Surgical ProceduresExtracellular VesiclesMicroRNAsBiomarkersCreatinineHumansBiomarkersCreatinineMicroRNAs

Identifiers

PMID35729178
PMCPMC9213448
OpenAlexW4283217660

What OpenQuestion holds

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LicenceCC BY
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.