Evidence map›Paper›PMID 39934147›Full record

ArticleNature communications2025

CerS6 links ceramide metabolism to innate immune responses in diabetic kidney disease.

Zijing Zhu, Yun Cao, Yonghong Jian, Hongtu Hu, Qian Yang, Yiqun Hao, Houhui Jiang, Zilv Luo, Xueyan Yang, Weiwei Li and 5 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  14. Podocyte Metabolic Reprogramming and Targeted Therapy.Journal of the American Society of Nephrology : JASN · 2026
    Review
  15. Article
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  17. Article
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  19. New Insights into the Role of Mitochondrial Dysfunction in Diabetic Kidney Disease in the Omics Era.Diabetes, metabolic syndrome and obesity : targets and therapy · 2026
    Review
  20. 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

15 authors.

Zijing Zhu *Division of Nephrology, Renmin Hospital of Wuhan University, Wuhan, China.
Yun Cao *Division of Nephrology, Renmin Hospital of Wuhan University, Wuhan, China.
Yonghong Jian *Division of Nephrology, Renmin Hospital of Wuhan University, Wuhan, China.
Hongtu Hu *Division of Nephrology, Renmin Hospital of Wuhan University, Wuhan, China.
Qian YangDivision of Nephrology, Renmin Hospital of Wuhan University, Wuhan, China.
Yiqun HaoDivision of Nephrology, Renmin Hospital of Wuhan University, Wuhan, China.
Houhui JiangDivision of Nephrology, Renmin Hospital of Wuhan University, Wuhan, China.
Zilv LuoDivision of Nephrology, Renmin Hospital of Wuhan University, Wuhan, China.
Xueyan YangDivision of Nephrology, Renmin Hospital of Wuhan University, Wuhan, China.
Weiwei LiDivision of Nephrology, Renmin Hospital of Wuhan University, Wuhan, China.
Jijia HuDivision of Nephrology, Renmin Hospital of Wuhan University, Wuhan, China.
Hongyan LiuDivision of Nephrology, Renmin Hospital of Wuhan University, Wuhan, China.
Wei LiangDivision of Nephrology, Renmin Hospital of Wuhan University, Wuhan, China.
Guohua DingDivision of Nephrology, Renmin Hospital of Wuhan University, Wuhan, China. ghxding@whu.edu.cn.ORCID http://orcid.org/0000-0001-7477-5798
Zhaowei ChenDivision of Nephrology, Renmin Hospital of Wuhan University, Wuhan, China. chenzhaowei@whu.edu.cn.ORCID http://orcid.org/0000-0001-7165-4325

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82070713National Natural Science Foundation of China (National Science Foundation of China) 82100704National Natural Science Foundation of China (National Science Foundation of China) 82270710National Natural Science Foundation of China (National Science Foundation of China) 82300767National Natural Science Foundation of China (National Science Foundation of China) 82300768Natural Science Foundation of Hubei Province (Hubei Provincial Natural Science Foundation) 2023AFB702Natural Science Foundation of Hubei Province (Hubei Provincial Natural Science Foundation) 2023KZ01258
6 · The paper itself

Abstract

Ectopic lipid deposition, mitochondrial injury, and inflammatory responses contribute to the development of diabetic kidney disease (DKD); however, the mechanistic link between these processes remains unclear. In this study, we demonstrate that the ceramide synthase 6 (CerS6) is primarily localized in podocytes of the glomeruli and is upregulated in two different models of diabetic mice. Podocyte-specific CerS6 knockout ameliorates glomerular injury and inflammatory responses in male diabetic mice and in male mice with adriamycin-induced nephropathy. In contrast, podocyte-specific overexpression of CerS6 sufficiently induces proteinuria. Mechanistically, CerS6-derived ceramide (d18:1/16:0) can bind to the mitochondrial channel protein VDAC1 at Glu59 residue, initiating mitochondrial DNA (mtDNA) leakage, activating the cGAS-STING signaling pathway, and ultimately promoting an immune-inflammatory response in the kidney. Importantly, CERS6 expression is increased in podocytes from kidney biopsies of patients with DKD and focal segmental glomerulosclerosis (FSGS), and the expression level of CERS6 is correlated negatively with glomerular filtration rate and positively with proteinuria. Thus, our findings suggest that targeting CerS6 may be a potential therapeutic strategy for proteinuric kidney diseases.

Indexed as

CeramidesDiabetic NephropathiesImmunity, InnateMembrane ProteinsSphingosine N-AcyltransferaseAnimalsDiabetes Mellitus, ExperimentalGlomerulosclerosis, Focal SegmentalHumansKidneyKidney GlomerulusMaleMiceMice, Inbred C57BLMice, KnockoutPodocytesCeramidesCERS6 protein, humanCERS6 protein, mouseMembrane ProteinsSphingosine N-AcyltransferaseVoltage-Dependent Anion Channel 1

Identifiers

PMID39934147
PMCPMC11814332

What OpenQuestion holds

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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.