Evidence map›Paper›PMID 39840670›Full record

ArticleJournal of diabetes investigation2025

The PKM2 activator TEPP-46 suppresses cellular senescence in hydrogen peroxide-induced proximal tubular cells and kidney fibrosis in CD-1

Shin-Ichiro Ishihara, Md Imrul Kayes, Hirofumi Makino, Hiroaki Matsuda, Asako Kumagai, Yoshihiro Hayashi, Sara Amelia Ferdaus, Emi Kawakita, Daisuke Koya, Keizo Kanasaki

Abstract read
In one paragraph

Article in Journal of diabetes investigation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Review
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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.

Shin-Ichiro IshiharaFaculty of Medicine, Internal Medicine, Shimane University, Izumo, Shimane, Japan.ORCID https://orcid.org/0009-0007-2418-2207
Md Imrul KayesFaculty of Medicine, Internal Medicine, Shimane University, Izumo, Shimane, Japan.
Hirofumi MakinoFaculty of Medicine, Internal Medicine, Shimane University, Izumo, Shimane, Japan.ORCID https://orcid.org/0009-0000-8396-2659
Hiroaki MatsudaFaculty of Medicine, Internal Medicine, Shimane University, Izumo, Shimane, Japan.
Asako KumagaiFaculty of Medicine, Internal Medicine, Shimane University, Izumo, Shimane, Japan.
Yoshihiro HayashiFaculty of Medicine, Internal Medicine, Shimane University, Izumo, Shimane, Japan.
Sara Amelia FerdausFaculty of Medicine, Internal Medicine, Shimane University, Izumo, Shimane, Japan.
Emi KawakitaFaculty of Medicine, Internal Medicine, Shimane University, Izumo, Shimane, Japan.ORCID https://orcid.org/0000-0002-5551-8267
Daisuke KoyaDepartment of Diabetes and Endocrinology, Kanazawa Medical University, Kahoku District, Ishikawa, Japan.ORCID https://orcid.org/0000-0003-2711-1539
Keizo KanasakiFaculty of Medicine, Internal Medicine, Shimane University, Izumo, Shimane, Japan.ORCID https://orcid.org/0000-0002-9563-502X

Funding

Boehringer IngelheimJapan Society for the Promotion of Science 22K08330Japan Society for the Promotion of Science 23K14567Kowa CompanyLife Scan JapanMitsubishi Tanabe Pharma CorporationNiproOno PharmaceuticalTaisho Toyama Pharmaceutical CompanyUehara Memorial Foundation
6 · The paper itself

Abstract

AIM/

introductionSenescence is a key driver of age-related kidney dysfunction, including diabetic kidney disease. Oxidative stress activates cellular senescence, induces abnormal glycolysis, and is associated with pyruvate kinase muscle isoform 2 (PKM2) dysfunction; however, the mechanisms linking PK activation to cellular senescence have not been elucidated. We hypothesized that PKM2 activation by TEPP-46 could suppress oxidative stress-induced renal tubular cell injury and cellular senescence. MATERIALS AND

methodsTo investigate the effects of PKM2 activation on oxidative stress-induced cellular senescence, we conducted β-galactosidase staining and western blot analysis on human primary renal tubular cells (pRPTECs) treated with hydrogen peroxide with or without TEPP-46. IL-6 levels and glycolytic flux were measured. Cell viability and apoptosis were assessed via the MTS assay and caspase 3 cleavage. For in vivo experiments, we utilized CD-1

resultsIn pRPTECs, hydrogen peroxide increased the number of β-galactosidase-positive cells, the expression of senescence markers (p16, p21, p53), and p38 phosphorylation; co-incubation with TEPP-46 suppressed these alterations. Hydrogen peroxide reduced cell viability, induced apoptosis, mesenchymal alterations, and increased lactate production and IL-6 secretion; co-incubation with TEPP-46 or a p38 inhibitor mitigated these effects. In CD-1

conclusionsPKM2 activation could be a molecular target for protection against senescence-associated organ damage, including diabetic kidney disease.

Indexed as

Cellular SenescenceDiabetic NephropathiesHydrogen PeroxideKidney Tubules, ProximalPyruvate KinaseAnimalsApoptosisCells, CulturedDiabetes Mellitus, Type 2FibrosisHumansMaleMiceOxidative StressThyroid Hormone-Binding ProteinsHydrogen PeroxidePkm protein, mousePyruvate KinaseThyroid Hormone-Binding ProteinsDKDPKM2Senescence

Identifiers

PMID39840670
PMCPMC11970295

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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.