Evidence map›Paper›PMID 37439962›Full record

ArticleJournal of nephrology2023

End-stage kidney disease: a never healing wound leading to another never healing wound, renal cancer.

Janos Docs, Gyula Kovacs, Lehel Peterfi

Open access · hybridAbstract read
In one paragraph

Article in Journal of nephrology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. 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

3 authors at 2 institutions in 2 countries.

Janos DocsDepartment of Urology, Medical School, University of Pecs, 7621, Pecs, Hungary.
Gyula KovacsMedical Faculty, Ruprecht-Karls-University, 69120, Heidelberg, Germany. g.kovacs@gmx.de.ORCID 0000-0003-2890-3781
Lehel PeterfiDepartment of Urology, Medical School, University of Pecs, 7621, Pecs, Hungary.
University of Pecs · HUHeidelberg University · DE

Funding

Medical School, University of Pecs, Hungary PTE-AOK-KA-2019/41
6 · The paper itself

Abstract

backgroundEnd-stage kidney disease and acquired cystic kidney disease are the final stages of chronic kidney disease, leading to loss of kidney function and frequent development of tumours. It has been suggested that an inflammatory microenvironment may be responsible for the progressive kidney remodelling and cancer development.

methodsOur aim was to analyse gene expression suggested to be involved in the remodelling of kidneys in end-stage kidney disease, and in the development of preneoplastic lesions and tumours. Immunohistochemistry was employed to assess the cellular localisation of different genes involved in these pathways on representative tissue sections.

resultsCellular (αSMA positive naïve activated fibroblasts, endothelial cells, macrophages) and non-cellular components (cytokines IL6, TGFβ, IL1β, CSF2, fibronectin, laminin, and matrix modifier proteases MMP9 and MMP12) of the inflammatory microenvironment were expressed in the kidneys of patients with end-stage kidney disease. IL6 and FN1 expressing naïve activated fibroblasts and recruited inflammatory cells were the most abundant cellular components of the inflammatory microenvironment.

conclusionThe progressive inflammatory and fibrotic processes in end-stage kidney disease have features recalling those of  a never healing wound and may explain the frequent development of kidney cancer.

Indexed as

Carcinoma, Renal CellKidney Failure, ChronicKidney NeoplasmsEndothelial CellsHumansInterleukin-6KidneyTumor MicroenvironmentInterleukin-6CarcinogenesisChronic inflammationCytokinesEnd-stage kidney diseaseFibroblastTissue remodelling

Identifiers

PMID37439962
PMCPMC10393832
OpenAlexW4384120432

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.