Evidence map›Paper›PMID 36688956›Full record

ArticleInternational journal of radiation biology2023

Delayed renal injury in survivors of hematologic acute radiation syndrome.

Tracy Gasperetti, Anne Frei, Guru Prasad Sharma, Lauren Pierce, Dana Veley, Nathan Szalewski, Srishti Munjal Mehta, Brian L Fish, Dirk Pleimes, Heather A Himburg

Open access · hybridAbstract read
In one paragraph

Article in International journal of radiation biology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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  4. Article
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

10 authors at 2 institutions in 2 countries.

Tracy GasperettiDepartment of Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Anne FreiDepartment of Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Guru Prasad SharmaDepartment of Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Lauren PierceDepartment of Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Dana VeleyDepartment of Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Nathan SzalewskiDepartment of Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Srishti Munjal MehtaMyelo Therapeutics GmbH, Berlin, Germany.
Brian L FishDepartment of Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Dirk PleimesMyelo Therapeutics GmbH, Berlin, Germany.
Heather A HimburgDepartment of Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Medical College of Wisconsin · USMyelo Therapeutics (Germany) · DE

Funding

DEVELOPMENT OF MYELO001 AS AN ORALLY APPLIED MEDICAL COUNTERMEASURE FOR THE TREATMENT OF HEMATOPOIETIC ACUTE RADIATION SYNDROME75N93020C00005 · NIAID · MYELO THERAPEUTICS GMBH · PI ERDMANN, TILL · 2020 to 2023
$6.4M
Dkk1-Endothelial Progenitor Cell Treatment for the Mitigation of Hematopoietic Radiation InjuryU01AI138331 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HIMBURG, HEATHER A · 2018 to 2022
$3.0M
Mechanism of radiation induced endovascular injury and mitigation via the Notch-Dll4 pathwayU01AI133594 · NIAID · MEDICAL COLLEGE OF WISCONSIN · PI HIMBURG, HEATHER A · 2018 to 2022
$3.0M
NIAID NIH HHS 75N93020C00005NIAID NIH HHS U01 AI133594NIAID NIH HHS U01 AI138331
6 · The paper itself

Abstract

purposeA mass casualty disaster involving radiological or nuclear agents continues to be a public health concern which requires consideration of both acute and late tissue toxicities in exposed victims. With the advent of advanced treatment options for the mitigation of hematological injuries, there are likely to be survivors of total body irradiation (TBI) exposures as high as 8-10 Gy. These survivors are at risk for a range of delayed multi-organ morbidities including progressive renal failure. MATERIAL AND

methodsHere, we established the WAG/RijCmcr rat as an effective model for the evaluation of medical countermeasures (MCM) for acute hematologic radiation syndrome (H-ARS). The LD

resultsIn the WAG/RijCmcr rat model, 87.5% and 100% of adult rats succumb to lethal hematopoietic acute radiation syndrome (H-ARS) at TBI doses of 8 and 8.5 Gy, respectively. A single dose of the hematopoietic growth factor peg-GCSF administered at 24 h post-TBI improved survival during H-ARS. Peg-GCSF treatment improved 30 d survival from 12.5% to 83% at 8 Gy and from 0% to 63% at 8.5 Gy. We then followed survivors of H-ARS through day 300. Rats exposed to TBI doses greater than 8 Gy had a 26% reduction in survival over days 30-300 compared to rats exposed to 7.75 Gy TBI. Concurrent with the reduction in long-term survival, a dose-dependent impairment of renal function as assessed by blood urea nitrogen (BUN) and urine protein to urine creatinine ratio (UP:UC) was observed.

conclusionTogether, these data show survivors of H-ARS are at risk for the development of delayed renal toxicity and emphasize the need for the development of medical countermeasures for delayed renal injury.

Indexed as

Acute Radiation SyndromeAnimalsDisease Models, AnimalDose-Response Relationship, RadiationFemaleHumansKidneyMaleRatsSurvivorsWhole-Body IrradiationAcute radiation syndrome (ARS)growth factorshaematology – radiationmultiple organ failure (MOF)radiation-induced tissue toxicitytotal body irradiation (TBI)

Identifiers

PMID36688956
PMCPMC10313734
OpenAlexW4317754365

What OpenQuestion holds

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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.