Evidence map›Paper›PMID 39847447›Full record

ArticleJCI insight2025

Permanent defects in renal medullary structure and function after reversal of urinary obstruction.

Thitinee Vanichapol, Alex Gonzalez, Rachel Delgado, Maya Brewer, Kelly A Clouthier, Anna A Menshikh, William E Snyder, Teebro Rahman, Veronika Sander, Haichun Yang and 2 more

Abstract read
In one paragraph

Article in JCI insight, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Thitinee VanichapolDepartment of Molecular Medicine and Pathology, University of Auckland, Auckland, New Zealand.
Alex GonzalezDivision of Nephrology, Department of Medicine, and.
Rachel DelgadoDivision of Nephrology, Department of Medicine, and.
Maya BrewerDivision of Nephrology, Department of Medicine, and.
Kelly A ClouthierDivision of Nephrology, Department of Medicine, and.
Anna A MenshikhDivision of Nephrology, Department of Medicine, and.
William E SnyderDivision of Nephrology, Department of Medicine, and.
Teebro RahmanDivision of Nephrology, Department of Medicine, and.
Veronika SanderDepartment of Molecular Medicine and Pathology, University of Auckland, Auckland, New Zealand.
Haichun YangDepartment of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Alan J DavidsonDepartment of Molecular Medicine and Pathology, University of Auckland, Auckland, New Zealand.
Mark P de CaesteckerDivision of Nephrology, Department of Medicine, and.

Funding

Vanderbilt University Biomolecular Multimodal Imaging Center for 3-Dimensional Tissue MappingU54DK120058 · NIDDK · VANDERBILT UNIVERSITY · PI HARRIS, RAYMOND C. · 2018 to 2021
$5.7M
Early-Stage Preclinical Validation of Carbon Monoxide Prodrugs for Acute Kidney InjuryR01DK128823 · NIDDK · GEORGIA STATE UNIVERSITY · PI LEO E OTTERBEIN, Binghe Wang · 2022 to 2026
$3.5M
Therapeutic Optimization of Productive Repair After Acute Kidney InjuryUC2DK126122 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DAVIDSON, ALAN, DE CAESTECKER, MARK P. · 2020 to 2024
$3.2M
Mechanisms and therapeutic manipulation of retinoic acid signaling in Acute Kidney InjuryR01DK112688 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DE CAESTECKER, MARK P. · 2017 to 2020
$1.7M
NIDDK NIH HHS R01 DK112688NIDDK NIH HHS R01 DK128823NIDDK NIH HHS U54 DK120058NIDDK NIH HHS UC2 DK126122
6 · The paper itself

Abstract

Urinary obstruction causes injury to the renal medulla, impairing the ability to concentrate urine and increasing the risk of progressive kidney disease. However, the regenerative capacity of the renal medulla after reversal of obstruction is poorly understood. To investigate this, we developed a mouse model of reversible urinary obstruction. Despite robust regeneration and complete histological recovery of the renal medulla, these mice exhibited a permanent defect in urinary concentrating capacity. However, there were lasting changes in the composition, organization, and transcriptional profiles of epithelial, endothelial, and interstitial cells. Persistent inflammatory responses were also seen in patients with renal stone disease, but there were also adaptive responses to the increasingly hypoxic environment of the renal medulla that occurred only after reversal of obstruction. These findings indicate that while partial repair occurs after reversal of urinary obstruction, there are lasting structural and functional changes across all major cellular compartments of the renal medulla. These changes reflect shared and distinct responses to different renal medullary injuries in humans and mice.

Indexed as

Kidney MedullaUreteral ObstructionAnimalsDisease Models, AnimalFemaleHumansKidney Concentrating AbilityMaleMiceMice, Inbred C57BLRegenerationExpression profilingFibrosisNephrologyUrology

Identifiers

PMID39847447
PMCPMC11949033

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.