Evidence map›Paper›PMID 38621633›Full record

ArticleAmerican journal of kidney diseases : the official journal of the National Kidney Foundation2024

Kidney Energetics and Cyst Burden in Autosomal Dominant Polycystic Kidney Disease: A Pilot Study.

Petter Bjornstad, Gabriel Richard, Ye Ji Choi, Kristen L Nowak, Cortney Steele, Michel B Chonchol, Kristen J Nadeau, Timothy Vigers, Laura Pyle, Kalie Tommerdahl and 12 more

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in American journal of kidney diseases : the official journal of the National Kidney Foundation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 6% 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.

NCT04074668 completednot on this map

CROCODILE Study: Control of Renal Oxygen Consumption, Mitochondrial Dysfunction, and Insulin Resistance

TypeobservationalSponsorUniversity of Colorado, DenverRan2020 to 2022Enrolled58ConditionsDiabetic Kidney Disease, Type 1 Diabetes, Diabetes, Diabetes MellitusArmsAminohippurate Sodium Inj 20%, Iohexol Inj 300 milligrams/milliliter (mg/ml), PET/CT Scan, Renal Biopsy
NCT04407481 completednot on this map

PENGUIN: PErfusioN, OxyGen ConsUmptIon and ENergetics in ADPKD

TypeobservationalSponsorUniversity of Colorado, DenverRan2020 to 2022Enrolled22ConditionsPolycystic Kidney Disease, Adult, Polycystic Kidney, Autosomal DominantArmsAminohippurate Sodium Inj 20%, Iohexol Inj 300 milligrams per milliliter (MG/ML), PET/CT Scan
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Renal blood flow and progression to kidney failure in ADPKD.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
    Observational
  3. Review
  4. Article
  5. One Year at AJKD: A Perspective From the 2023-2024 Editorial Interns.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2025
    Article
  6. Review
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 5 institutions in 3 countries.

Petter BjornstadDepartment of Pediatrics, Section of Endocrinology, University of Colorado School of Medicine, Aurora, Colorado; Department of Medicine, Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, Colorado. Electronic address: petter.m.bjornstad@cuanschutz.edu.
Gabriel RichardDepartment of Medicine, Division of Neurology, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Centre de Recherche du Centre Hospitalier Universitaire de Sherbrooke, Québec, Canada.
Ye Ji ChoiDepartment of Pediatrics, Section of Endocrinology, University of Colorado School of Medicine, Aurora, Colorado; Department of Biostatistics and Informatics, University of Colorado School of Medicine, Aurora, Colorado.
Kristen L NowakDepartment of Pediatrics, Section of Endocrinology, University of Colorado School of Medicine, Aurora, Colorado; Department of Medicine, Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, Colorado.
Cortney SteeleDepartment of Medicine, Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, Colorado.
Michel B ChoncholDepartment of Medicine, Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, Colorado.
Kristen J NadeauDepartment of Pediatrics, Section of Endocrinology, University of Colorado School of Medicine, Aurora, Colorado.
Timothy VigersDepartment of Pediatrics, Section of Endocrinology, University of Colorado School of Medicine, Aurora, Colorado; Department of Biostatistics and Informatics, University of Colorado School of Medicine, Aurora, Colorado.
Laura PyleDepartment of Pediatrics, Section of Endocrinology, University of Colorado School of Medicine, Aurora, Colorado; Department of Biostatistics and Informatics, University of Colorado School of Medicine, Aurora, Colorado.
Kalie TommerdahlDepartment of Pediatrics, Section of Endocrinology, University of Colorado School of Medicine, Aurora, Colorado; Barbara Davis Center for Diabetes, Section of Pediatric Endocrinology, University of Colorado School of Medicine, Aurora, Colorado.
Daniel H van RaalteDepartment of Endocrinology and Metabolism and Diabetes Center, Amsterdam University Medical Centers, VUMC, Amsterdam, the Netherlands.
Allison HilkinDepartment of Pediatrics, Section of Endocrinology, University of Colorado School of Medicine, Aurora, Colorado.
Lynette DriscollDepartment of Pediatrics, Section of Endocrinology, University of Colorado School of Medicine, Aurora, Colorado.
Carissa BirznieksDepartment of Pediatrics, Section of Endocrinology, University of Colorado School of Medicine, Aurora, Colorado.
Katharina HoppDepartment of Medicine, Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, Colorado.
Wei WangDepartment of Medicine, Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, Colorado.
Charles EdelsteinDepartment of Medicine, Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, Colorado.
Robert G NelsonChronic Kidney Disease Section, National Institute of Diabetes and Digestive and Kidney Diseases, Phoenix, Arizona.
Adriana V GregoryDepartment of Radiology, Mayo Clinic College of Medicine, Rochester, Minnesota.
Timothy L KlineDepartment of Radiology, Mayo Clinic College of Medicine, Rochester, Minnesota.
Denis BlondinDepartment of Medicine, Division of Neurology, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Centre de Recherche du Centre Hospitalier Universitaire de Sherbrooke, Québec, Canada.
Berenice GitomerDepartment of Medicine, Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, Colorado.
University of Colorado Denver · USMayo Clinic · USUniversité de Sherbrooke · CAAmsterdam University Medical Centers · NLNational Institute of Diabetes and Digestive and Kidney Diseases · US

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI JANINE A HIGGINS · 1995 to 2026
$32.6M
Central Hub for Kidney Precision MedicineU24DK114886 · NIDDK · UNIVERSITY OF WASHINGTON · PI Jonathan Himmelfarb, Matthias Kretzler · 2022 to 2026
$21.1M
University of Colorado Anschutz Medical Campus DRCP30DK116073 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI PETER J DEMPSEY · 2020 to 2026
$10.8M
Unraveling the Impact of Per- and Polyfluoroalkyl Substances on Early Kidney Injury in Adolescents with Obesity and DiabetesR01DK129211 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Petter Bjornstad · 2021 to 2026
$3.9M
Pathogenesis of kidney disease in type 1 diabetes: a modern kidney biopsy cohortR01DK132399 · NIDDK · UNIVERSITY OF WASHINGTON · PI Petter Bjornstad, Ian H de Boer · 2022 to 2026
$3.0M
Type 1 Diabetes Impacts of Semaglutide on Cardiovascular Outcomes (T1-DISCO)R01HL165433 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI BJORNSTAD, PETTER, NADEAU, KRISTEN JANE · 2022 to 2025
$2.4M
Renal HEIR Study: Renal Hemodynamics, Energetics and Insulin Resistance in Youth Onset Type 2 Diabetes StudyK23DK116720 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI BJORNSTAD, PETTER · 2018 to 2022
$963k
MANATEE-T1D: Metformin ANd AutomaTEd insulin delivery system Effects on renal vascular resistance, insulin sensitivity, and cardiometabolic function in youth with Type 1 DiabetesK23HL159292 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI TOMMERDAHL, KALIE L · 2021 to 2025
$931k
Measuring metabolically active kidney tissue in autosomal dominant polycystic kidney diseaseR21DK129720 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI BJORNSTAD, PETTER, GITOMER, BERENICE YOLANDE · 2021 to 2021
$242k
NCATS NIH HHS UL1 TR002535NHLBI NIH HHS K23 HL159292NHLBI NIH HHS L40 HL159798NHLBI NIH HHS R01 HL165433NIDDK NIH HHS K23 DK116720NIDDK NIH HHS P30 DK048520NIDDK NIH HHS P30 DK116073NIDDK NIH HHS R01 DK129211NIDDK NIH HHS R01 DK132399NIDDK NIH HHS R21 DK129720NIDDK NIH HHS U24 DK114886
6 · The paper itself

Abstract

RATIONALE &

objectiveIn this pilot study, we hypothesized that autosomal dominant polycystic kidney disease (ADPKD) is characterized by impaired kidney oxidative metabolism that associates with kidney size and cyst burden. STUDY

designCross-sectional study. SETTING &

participantsTwenty adults with ADPKD (age, 31±6 years; 65% women; body mass index [BMI], 26.8 [22.7-30.4] kg/m PREDICTORS: ADPKD status (yes/no) and severity (Mayo classifications). OUTCOME: HTKV and cyst burden by magnetic resonance imaging, kidney oxidative metabolism, and perfusion by ANALYTICAL APPROACH: For categorical variables, χ

resultsCompared with NWC individuals, the participants with ADPKD exhibited lower mean±SD M/I ratio (0.586±0.205 vs 0.424±0.171 [mg/kg lean/min]/(μIU/mL), P=0.04), lower median cortical perfusion (1.93 [IQR, 1.80-2.09] vs 0.68 [IQR, 0.47-1.04] mL/min/g, P<0.001) and lower median total kidney oxidative metabolism (0.17 [IQR, 0.16-0.19] vs. 0.14 [IQR, 0.12-0.15] min LIMITATIONS: Small sample size and cross-sectional design.

conclusionsAdults with ADPKD and preserved kidney function exhibited impaired renal perfusion and kidney oxidative metabolism across a wide range of cysts and kidney enlargements.

fundingGrants from government (National Institutes of Health, Centers for Disease Control and Prevention) and not-for-profit (JDRF) entities.

trial registrationRegistered at ClinicalTrials.gov with study numbers NCT04407481 and NCT04074668. PLAIN-LANGUAGE SUMMARY: In our study, we explored how a common genetic kidney condition, autosomal dominant polycystic kidney disease (ADPKD), relates to kidney metabolism. ADPKD leads to the growth of numerous cysts in the kidneys, which can impact their ability to work properly. We wanted to understand the kidneys' ability to process oxygen and blood flow in ADPKD. Our approach involved using advanced imaging techniques to observe kidney metabolism and blood flow in people with ADPKD compared with healthy individuals. We discovered that those with ADPKD had significant changes in kidney oxygen metabolism even when their kidney function was still normal. These findings are crucial as they provide deeper insights into ADPKD, potentially guiding future treatments to target these changes.

Indexed as

Glomerular Filtration RateKidneyPolycystic Kidney, Autosomal DominantAdultCross-Sectional StudiesCystsEnergy MetabolismFemaleHumansMalePilot ProjectsYoung AdultHyperinsulinemic-euglycemic clampskidney MRIkidney PETpolycystic kidney disease

Identifiers

PMID38621633
PMCPMC11344681
OpenAlexW4394798938

What OpenQuestion holds

Textmetadata
LicenceTDM
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.