Evidence map›Paper›PMID 36514292›Full record

ArticleMolecular therapy : the journal of the American Society of Gene Therapy2023

Treatment with quercetin inhibits SARS-CoV-2 N protein-induced acute kidney injury by blocking Smad3-dependent G1 cell-cycle arrest.

Wenjing Wu, Wenbiao Wang, Liying Liang, Junzhe Chen, Biao Wei, Xiao-Ru Huang, Xiaoqin Wang, Xueqing Yu, Hui-Yao Lan

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Molecular therapy : the journal of the American Society of Gene Therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.8field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 29 citations in OpenAlex.

  1. Annexin A13 Protects Against Acute Kidney Injury by Inactivating TGF-β/Smad3 Signaling.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  2. SARS-CoV-2 N protein induces hypokalemia in acute kidney injury mice via ENaC-dependent mechanism.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  3. Review
  4. Review
  5. Review
  6. Smad3 Mediates Renal Fibrosis via GPX4-Dependent Ferroptosis.International journal of biological sciences · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. SARS-CoV-2 and the DNA damage response.The Journal of general virology · 2023
    Review
  13. Article
  14. Mechanisms and treatment of COVID-19-associated acute kidney injury.Molecular therapy : the journal of the American Society of Gene Therapy · 2023
    Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Wenjing WuGuangdong-Hong Kong Joint Laboratory for Immunological and Genetic Kidney Diseases, Departments of Nephrology and Pathology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Science, Guangzhou, China; Departments of Medicine & Therapeutics, Li Ka Shing Institute of Health Sciences, Lui Che Woo Institute of Innovative Medicine, and The Chinese University of Hong Kong (CUHK) - Guangdong Academy of Medical Sciences/Guangdong Provincial People's Hospital (GAMS/GPPH) Joint Research Laboratory on Immunological and Genetic Kidney Diseases, The Chinese University of Hong Kong, Hong Kong, China; Hubei University of Chinese Medicine, Wuhan, China; Department of Nephrology, Hubei Provincial Hospital of Traditional Chinese Medicine, Hubei Province Academy of Traditional Chinese Medicine, Wuhan, China.
Wenbiao WangGuangdong-Hong Kong Joint Laboratory for Immunological and Genetic Kidney Diseases, Departments of Nephrology and Pathology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Science, Guangzhou, China.
Liying LiangDepartments of Medicine & Therapeutics, Li Ka Shing Institute of Health Sciences, Lui Che Woo Institute of Innovative Medicine, and The Chinese University of Hong Kong (CUHK) - Guangdong Academy of Medical Sciences/Guangdong Provincial People's Hospital (GAMS/GPPH) Joint Research Laboratory on Immunological and Genetic Kidney Diseases, The Chinese University of Hong Kong, Hong Kong, China.
Junzhe ChenDepartments of Medicine & Therapeutics, Li Ka Shing Institute of Health Sciences, Lui Che Woo Institute of Innovative Medicine, and The Chinese University of Hong Kong (CUHK) - Guangdong Academy of Medical Sciences/Guangdong Provincial People's Hospital (GAMS/GPPH) Joint Research Laboratory on Immunological and Genetic Kidney Diseases, The Chinese University of Hong Kong, Hong Kong, China; Department of Nephrology, The Third Affiliated Hospital, Southern Medical University, Guangzhou, China.
Biao WeiDepartments of Medicine & Therapeutics, Li Ka Shing Institute of Health Sciences, Lui Che Woo Institute of Innovative Medicine, and The Chinese University of Hong Kong (CUHK) - Guangdong Academy of Medical Sciences/Guangdong Provincial People's Hospital (GAMS/GPPH) Joint Research Laboratory on Immunological and Genetic Kidney Diseases, The Chinese University of Hong Kong, Hong Kong, China.
Xiao-Ru HuangGuangdong-Hong Kong Joint Laboratory for Immunological and Genetic Kidney Diseases, Departments of Nephrology and Pathology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Science, Guangzhou, China; Departments of Medicine & Therapeutics, Li Ka Shing Institute of Health Sciences, Lui Che Woo Institute of Innovative Medicine, and The Chinese University of Hong Kong (CUHK) - Guangdong Academy of Medical Sciences/Guangdong Provincial People's Hospital (GAMS/GPPH) Joint Research Laboratory on Immunological and Genetic Kidney Diseases, The Chinese University of Hong Kong, Hong Kong, China.
Xiaoqin WangHubei University of Chinese Medicine, Wuhan, China; Department of Nephrology, Hubei Provincial Hospital of Traditional Chinese Medicine, Hubei Province Academy of Traditional Chinese Medicine, Wuhan, China. Electronic address: wangxiao773@hotmail.com.
Xueqing YuGuangdong-Hong Kong Joint Laboratory for Immunological and Genetic Kidney Diseases, Departments of Nephrology and Pathology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Science, Guangzhou, China. Electronic address: yuxueqing@gdph.org.cn.
Hui-Yao LanGuangdong-Hong Kong Joint Laboratory for Immunological and Genetic Kidney Diseases, Departments of Nephrology and Pathology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Science, Guangzhou, China; Departments of Medicine & Therapeutics, Li Ka Shing Institute of Health Sciences, Lui Che Woo Institute of Innovative Medicine, and The Chinese University of Hong Kong (CUHK) - Guangdong Academy of Medical Sciences/Guangdong Provincial People's Hospital (GAMS/GPPH) Joint Research Laboratory on Immunological and Genetic Kidney Diseases, The Chinese University of Hong Kong, Hong Kong, China. Electronic address: hylan@cuhk.edu.hk.
Chinese University of Hong Kong · HKGuangdong Academy of Medical Sciences · CNHubei University of Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Increasing evidence shows that SARS-CoV-2 can infect kidneys and cause acute kidney injury (AKI) in critically ill COVID-19 patients. However, mechanisms through which COVID-19 induces AKI are largely unknown, and treatment remains ineffective. Here, we report that kidney-specific overexpressing SARS-CoV-2 N gene can cause AKI, including tubular necrosis and elevated levels of serum creatinine and BUN in 8-week-old diabetic db/db mice, which become worse in those with older age (16 weeks) and underlying diabetic kidney disease (DKD). Treatment with quercetin, a purified product from traditional Chinese medicine (TCM) that shows effective treatment of COVID-19 patients, can significantly inhibit SARS-CoV-2 N protein-induced AKI in diabetic mice with or without underlying DKD. Mechanistically, quercetin can block the binding of SARS-CoV-2 N protein to Smad3, thereby inhibiting Smad3 signaling and Smad3-mediated cell death via the p16-dependent G1 cell-cycle arrest mechanism in vivo and in vitro. In conclusion, SARS-CoV-2 N protein is pathogenic and can cause severe AKI in diabetic mice, particularly in those with older age and pre-existing DKD, via the Smad3-dependent G1 cell-cycle arrest mechanism. Importantly, we identify that quercetin may be an effective TCM compound capable of inhibiting COVID-19 AKI by blocking SARS-CoV-2 N-Smad3-mediated cell death pathway.

Indexed as

Acute Kidney InjuryCOVID-19Diabetes Mellitus, ExperimentalAnimalsCell Cycle CheckpointsMiceMice, Inbred StrainsQuercetinSARS-CoV-2QuercetinAKIG1 cell-cycle arrestN proteinp16quercetinSARS-CoV-2Smad3

Identifiers

PMID36514292
PMCPMC9743779
OpenAlexW4312113942

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.