Evidence map›Paper›PMID 40008481›Full record

ArticleClinical and translational medicine2025

Irisin-mediated muscle-renal crosstalk as a protective mechanism against contrast-induced acute kidney injury via cGAS-STING signalling inhibition.

Long Peng, Suhua Li, Qiang Huang, Yuxiang Sun, Juan Sun, Ting Luo, Yanlin Wang, Zhaoyong Hu, Weiyan Lai, Hui Peng

Abstract read
In one paragraph

Article in Clinical and translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Review
  3. Irisin Restrains Oligodendroglial Ferroptosis to Preserve White Matter After Traumatic Brain Injury via AMPK Activation.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
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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.

Long PengDivision of Cardiovascular Medicine, Department of Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.ORCID 0000-0002-2716-4537
Suhua LiDivision of Cardiovascular Medicine, Department of Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.ORCID 0000-0002-8254-3855
Qiang HuangDivision of Nephrology, Department of Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.ORCID 0000-0002-2052-1140
Yuxiang SunDivision of Nephrology, Department of Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Juan SunDivision of Nephrology, Department of Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Ting LuoDivision of Nephrology, Department of Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Yanlin WangDivision of Nephrology, Department of Medicine, University of Connecticut School of Medicine, Farmington, Connecticut, USA.
Zhaoyong HuDivision of Nephrology, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.
Weiyan LaiDivision of Nephrology, Department of Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Hui PengDivision of Nephrology, Department of Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.

Funding

GuangDong Basic and Applied Basic Research Enterprise Joint Foundation 2021B1515230005Guangdong Basic and Applied Basic Research Foundation A2022361National Science Foundation of China 81873613National Science Foundation of China 82200384
6 · The paper itself

Abstract

backgroundContrast-induced acute kidney injury (CI-AKI) continues to pose a pressing clinical challenge during invasive cardiovascular procedures due to the limited availability of preventative strategies. We aimed to demonstrate that irisin, a myokine induced by exercise, protects against CI-AKI by inhibiting the cGAS-STING inflammatory pathway. METHODS AND

resultsWe explored the relationship between serum irisin levels and CI-AKI incidence in patients administered the contrast media iohexol. Notably, lower serum irisin levels were strongly associated with an increased incidence of CI-AKI following contrast media administration. To establish a causal link between serum irisin levels and CI-AKI, we utilised a mouse model that simulates exercise by overexpressing muscle-specific PGC-1α. This approach showed a significant reduction in tubular injury and mitochondrial dysfunction induced by iohexol via cGAS/STING suppression, thereby diminishing inflammation. Mechanistically, irisin was found to inhibit the activation of cGAS/STING, preventing double stranded DNA (dsDNA) leakage and reducing inflammation in tubular epithelial cells (TECs). Pharmacological inhibition of STING further corroborated these observations. Moreover, we identified integrin complex αV/β5 as the irisin receptor on TECs, which is essential for irisin-mediated suppression of cGAS-STING signalling and resolution of inflammation.

conclusionsOur data position irisin as a crucial factor in muscle‒kidney crosstalk, inhibiting cGAS-STING signalling and preventing dsDNA leakage via integrin αV/β5 in TECs, thus mitigating tubular injury and inflammation. These data underscore the potential of irisin as both a predictive biomarker for CI-AKI and a promising candidate for preventative strategies against CI-AKI. HIGHLIGHTS: Irisin mediated muscle-kidney crosstalk mitigated tubular injury and inflammation. Irisin inhibited the cGAS-STING signalling activation via integrin αV/β5 in tubular epithelial cells. Irisin was a predictive biomarker and a promising candidate for CI-AKI.

Indexed as

Acute Kidney InjuryContrast MediaFibronectinsMembrane ProteinsNucleotidyltransferasesAnimalsCyclic Guanosine Monophosphate-Adenosine Monophosphate SynthaseDisease Models, AnimalHumansMaleMiceSignal TransductionSTING ProteincGAS protein, humanContrast MediaCyclic Guanosine Monophosphate-Adenosine Monophosphate SynthaseFibronectinsFNDC5 protein, humanMembrane ProteinsNucleotidyltransferasesSTING1 protein, humanSTING ProteincGAS‐STINGcontrast‐induced acute kidney injuryinflammationirisinmPGC‐1α

Identifiers

PMID40008481
PMCPMC11862893

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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.