Evidence map›Paper›PMID 36139492›Full record

ReviewCells2022

Diabetic Proteinuria Revisited: Updated Physiologic Perspectives.

Samuel N Heyman, Itamar Raz, Jamie P Dwyer, Roni Weinberg Sibony, Julia B Lewis, Zaid Abassi

Open access · goldAbstract readReview
In one paragraph

Review in Cells, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
6.9field-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

33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Article
  5. Observational
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  11. Review
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  15. Megalin: A Sidekick or Nemesis of the Kidney?Journal of the American Society of Nephrology : JASN · 2025
    Review
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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

6 authors at 6 institutions in 2 countries.

Samuel N HeymanDepartment of Medicine, Hadassah Hebrew University Hospital, Mt. Scopus, Jerusalem 9765422, Israel.
Itamar RazFaculty of Medicine, Hebrew University of Jerusalem, Jerusalem 9765422, Israel.
Jamie P DwyerClinical and Translational Science Institute, University of Utah Health, Salt Lake City, UT 84112, USA.
Roni Weinberg SibonyFaculty of Medicine, Ben-Gurion University, Beer Sheva 84105, Israel.
Julia B LewisDivision of Nephrology and Hypertension, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Zaid AbassiDepartment of Physiology and Biophysics, Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa 3200003, Israel.
Ben-Gurion University of the Negev · ILHadassah Academic College · ILHadassah Medical Center · ILTechnion – Israel Institute of Technology · ILUniversity of Utah · USVanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Albuminuria, a hallmark of diabetic nephropathy, reflects not only injury and dysfunction of the filtration apparatus, but is also affected by altered glomerular hemodynamics and hyperfiltration, as well as by the inability of renal tubular cells to fully retrieve filtered albumin. Albuminuria further plays a role in the progression of diabetic nephropathy, and the suppression of glomerular albumin leak is a key factor in its prevention. Although microalbuminuria is a classic manifestation of diabetic nephropathy, often progressing to macroalbuminuria or overt proteinuria over time, it does not always precede renal function loss in diabetes. The various components leading to diabetic albuminuria and their associations are herein reviewed, and the physiologic rationale and efficacy of therapeutic interventions that reduce glomerular hyperfiltration and proteinuria are discussed. With these perspectives, we propose that these measures should be initiated early, before microalbuminuria develops, as substantial renal injury may already be present in the absence of proteinuria. We further advocate that the inhibition of the renin-angiotensin axis or of sodium-glucose co-transport likely permits the administration of a normal recommended or even high-protein diet, highly desirable for sarcopenic diabetic patients.

Indexed as

Diabetes MellitusDiabetic NephropathiesAlbuminsAlbuminuriaAngiotensinsGlucoseHumansProteinuriaReninSodiumAlbuminsAngiotensinsGlucoseReninSodiumACE inhibitorsalbuminuriaangiotensin receptor blockersdiabetes mellitusdiabetic nephropathyglomerularhigh-protein dietrenal reserveSGLT-2 inhibitorstubular

Identifiers

PMID36139492
PMCPMC9496872
OpenAlexW4296312366

What OpenQuestion holds

Textmetadata
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.