Evidence map›Paper›PMID 40461472›Full record

ArticleNature communications2025

Three dimensional multiscalar neurovascular nephron connectivity map of the human kidney across the lifespan.

Liam McLaughlin, Bo Zhang, Siddharth Sharma, Amanda L Knoten, Madhurima Kaushal, Jeffrey M Purkerson, Heidie L Huyck, Gloria S Pryhuber, Joseph P Gaut, Sanjay Jain

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 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.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Liam McLaughlin *Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0009-0001-6184-4149
Bo Zhang *Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0001-8895-2206
Siddharth SharmaDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Amanda L KnotenDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Madhurima KaushalDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Jeffrey M PurkersonDepartment of Pediatrics, University of Rochester Medical Center, Rochester, NY, USA.
Heidie L HuyckDepartment of Pediatrics, University of Rochester Medical Center, Rochester, NY, USA.ORCID http://orcid.org/0000-0001-9453-0747
Gloria S PryhuberDepartment of Pediatrics, University of Rochester Medical Center, Rochester, NY, USA.ORCID http://orcid.org/0000-0002-9185-3994
Joseph P GautDepartment of Pathology & Immunology, Washington University School of Medicine, St. Louis, MO, USA.
Sanjay JainDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA. sanjayjain@wustl.edu.ORCID http://orcid.org/0000-0003-2804-127X

Funding

BioRepository for INvestigation of Diseases of the Lung (BRINDL) - Phase IIIU01HL148861 · NHLBI · UNIVERSITY OF ROCHESTER · PI GLORIA S PRYHUBER · 2019 to 2026
$9.7M
Kidney single cell and spatial molecular atlas project - KIDSSMAPU54DK134301 · NIDDK · WASHINGTON UNIVERSITY · PI ASHKAR, TAREK MAURICE, JAIN, SANJAY · 2022 to 2025
$7.8M
Research Project 2: Molecular analysis of developing post-natal mouse kidney in health and FSGSP50DK133943 · NIDDK · WASHINGTON UNIVERSITY · PI MICHAEL I RAUCHMAN · 2022 to 2026
$4.9M
NHLBI NIH HHS U01 HL148861NIDDK NIH HHS P50 DK133943NIDDK NIH HHS U54 DK134301U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) U01HL148861U.S. Department of Health & Human Services | NIH | National Institute of Diabetes and Digestive and Kidney Diseases (National Institute of Diabetes & Digestive & Kidney Diseases) P50DK133943U.S. Department of Health & Human Services | NIH | National Institute of Diabetes and Digestive and Kidney Diseases (National Institute of Diabetes & Digestive & Kidney Diseases) U54DK134301
6 · The paper itself

Abstract

The human kidney maintains homeostasis through a complex network of up to a million nephrons, its fundamental tissue units. Using innovative tissue processing and light sheet fluorescence microscopy, we mapped the 3D neurovascular connectivity of nephrons to understand how their structural organization enables coordinated functions like filtration, absorption, and blood pressure regulation. Our analysis revealed developmental changes in glomerular orientation, density, volume, and innervation from birth through aging. We discovered an extensive nerve network connecting different nephron segments and organizing glomeruli into distinct communities. These communities are linked through "mother glomeruli" that serve as control centers, creating a repeating pattern throughout the cortex. This sophisticated neural organization, which is underdeveloped in newborn kidneys and disrupted in conditions like diabetes and hydronephrosis, appears to facilitate synchronized responses to maintain fluid balance. The findings provide insights into how the kidney's structural architecture enables coordinated function across its numerous nephrons.

Indexed as

KidneyNephronsAdolescentAdultAgedAgingChildChild, PreschoolFemaleHumansImaging, Three-DimensionalInfantInfant, NewbornKidney GlomerulusMaleMicroscopy, Fluorescence

Identifiers

PMID40461472
PMCPMC12134253

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.