Evidence map›Paper›PMID 37479685›Full record

ArticleNature communications2023

SuPAR mediates viral response proteinuria by rapidly changing podocyte function.

Changli Wei, Prasun K Datta, Florian Siegerist, Jing Li, Sudhini Yashwanth, Kwi Hye Koh, Nicholas W Kriho, Anis Ismail, Shengyuan Luo, Tracy Fischer and 8 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04706533 (Prospective Observational Study Examining Clinical Characteristics, Inflammatory Markers, Treatments and Outcomes of Patients Hospitalized for COVID-19 at the University of Michigan Healthcare System in Ann Arbor), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.9field-weighted citation impact, top 8% 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.

NCT04706533 completednot on this map

Prospective Observational Study Examining Clinical Characteristics, Inflammatory Markers, Treatments and Outcomes of Patients Hospitalized for COVID-19 at the University of Michigan Healthcare System in Ann Arbor

TypeobservationalSponsorUniversity of MichiganRan2020 to 2022Enrolled3,402ConditionsCovid19, Kidney Diseases, Inflammation, SARS-CoV InfectionArmsBiomarkers of inflammation
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Observational
  3. Article
  4. Review
  5. Article
  6. Article
  7. The Life of a Kidney Podocyte.Acta physiologica (Oxford, England) · 2025
    Review
  8. Serine proteases and protease-activated receptors signaling in the kidney.American journal of physiology. Cell physiology · 2025
    Review
  9. Integrins in the kidney - beyond the matrix.Nature reviews. Nephrology · 2025
    Review
  10. Review
  11. Article
  12. Observational
  13. Review
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

18 authors at 4 institutions in 2 countries.

Changli WeiDepartment of Medicine, Rush University Medical Center, Chicago, IL, USA. changli_wei@rush.edu.ORCID 0000-0001-8876-8871
Prasun K DattaTulane National Primate Research Center, Covington, LA, 70433, USA.
Florian SiegeristDepartment of Anatomy and Cell Biology, University Medicine Greifswald, 17487, Greifswald, Germany.ORCID 0000-0003-1629-4982
Jing LiDepartment of Medicine, Rush University Medical Center, Chicago, IL, USA.
Sudhini YashwanthDepartment of Medicine, Rush University Medical Center, Chicago, IL, USA.
Kwi Hye KohMorphic Therapeutic, Waltham, MA, 02451, USA.ORCID 0000-0002-8210-6110
Nicholas W KrihoDepartment of Pathology, Rush University Medical Center, Chicago, IL, USA.
Anis IsmailDivision of Cardiology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Shengyuan LuoDepartment of Medicine, Rush University Medical Center, Chicago, IL, USA.
Tracy FischerTulane National Primate Research Center, Covington, LA, 70433, USA.ORCID 0000-0003-4859-3776
Kyle T AmberDepartment of Medicine, Rush University Medical Center, Chicago, IL, USA.
David CimbalukDepartment of Pathology, Rush University Medical Center, Chicago, IL, USA.
Alan LandayDepartment of Medicine, Rush University Medical Center, Chicago, IL, USA.
Nicole EndlichDepartment of Anatomy and Cell Biology, University Medicine Greifswald, 17487, Greifswald, Germany.
Jay RappaportTulane National Primate Research Center, Covington, LA, 70433, USA.
Michigan Medicine COVID−19 Investigators
Salim S HayekDivision of Cardiology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA. shayek@med.umich.edu.ORCID 0000-0003-0180-349X
Jochen ReiserDepartment of Medicine, Rush University Medical Center, Chicago, IL, USA. jochen_reiser@rush.edu.ORCID 0000-0002-0460-662X
University of Michigan · USRush University Medical Center · USTulane University · USUniversitätsmedizin Greifswald · DE

Funding

Tulane NPRC SPF Sheltered Outdoor Enclosure ExpansionP51OD011104 · OD · TULANE UNIVERSITY OF LOUISIANA · PI L Lee HAMM · 2012 to 2026
$142.4M
Collagen XVII unmasking in Parkinson's disease and scratchingR21OD030057 · OD · RUSH UNIVERSITY MEDICAL CENTER · PI AMBER, KYLE T. · 2021 to 2022
$446k
NIH HHS P51 OD011104NIH HHS R21 OD030057
6 · The paper itself

Abstract

Elevation in soluble urokinase receptor (suPAR) and proteinuria are common signs in patients with moderate to severe coronavirus disease 2019 (COVID-19). Here we characterize a new type of proteinuria originating as part of a viral response. Inoculation of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes increased suPAR levels and glomerulopathy in African green monkeys. Using an engineered mouse model with high suPAR expression, inhaled variants of SARS-CoV-2 spike S1 protein elicite proteinuria that could be blocked by either suPAR antibody or SARS-CoV-2 vaccination. In a cohort of 1991 COVID-19 patients, suPAR levels exhibit a stepwise association with proteinuria in non-Omicron, but not in Omicron infections, supporting our findings of biophysical and functional differences between variants of SARS-CoV-2 spike S1 protein and their binding to podocyte integrins. These insights are not limited to SARS-CoV-2 and define viral response proteinuria (VRP) as an innate immune mechanism and co-activation of podocyte integrins.

Indexed as

COVID-19PodocytesAnimalsChlorocebus aethiopsCOVID-19 VaccinesHumansIntegrinsMiceProteinuriaReceptors, Urokinase Plasminogen ActivatorSARS-CoV-2COVID-19 VaccinesIntegrinsReceptors, Urokinase Plasminogen Activator

Identifiers

PMID37479685
PMCPMC10362037
OpenAlexW4385064248

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.