Evidence map›Paper›PMID 40563434›Full record

ReviewBiomolecules2025

Mechanisms of Acute Kidney Injury-Chronic Kidney Disease Transition: Unraveling Maladaptive Repair and Therapeutic Opportunities.

Dongxue Xu, Xiaoyu Zhang, Jingjing Pang, Yiming Li, Zhiyong Peng

Abstract readReview
In one paragraph

Review in Biomolecules, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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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

5 authors.

Dongxue XuDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan 430071, China.
Xiaoyu ZhangDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan 430071, China.
Jingjing PangDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan 430071, China.
Yiming LiDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan 430071, China.ORCID 0000-0003-0236-9840
Zhiyong PengDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan 430071, China.ORCID 0009-0005-5861-398X

Funding

National Natural Science Foundation of China 81772046National Natural Science Foundation of China 82241039the Program of Excellent Doctoral (Postdoctoral) of Zhongnan Hospital of Wuhan University ZNYB2020008Zhongnan Hospital of Wuhan University Science, Technology and Innovation Seed Fund CXPY2020012
6 · The paper itself

Abstract

Acute kidney injury (AKI) causes damage to the renal epithelium, initiating a reparative process intended to restore renal function. Although effective repair can result in the complete recovery of kidney function, this process is frequently incomplete. In instances where repair is unsuccessful, the kidney experiences maladaptive alterations that may progressively result in chronic kidney disease (CKD), a phenomenon referred to as failed repair. This condition is precipitated by hypotensive, septic, or toxic insults, which initiate a series of pathophysiological processes, including microcirculatory dysfunction, the activation of inflammatory responses, and the death of tubular epithelial cells. These events collectively compromise renal function and trigger a complex repair response. This review provides a comprehensive examination of the multifactorial mechanisms underlying the initiation and progression of AKI, the regenerative pathways facilitating structural recovery in severely damaged kidneys, and the critical transition from adaptive repair to maladaptive remodeling. Central to this transition are mechanisms such as epigenetic reprogramming, G2/M cell-cycle arrest, cellular senescence, mitochondrial dysfunction, metabolism reprogramming, and cell death, which collectively drive the progression of CKD. These mechanistic insights offer a robust foundation for the development of targeted therapeutic strategies aimed at enhancing adaptive renal repair.

Indexed as

Acute Kidney InjuryRenal Insufficiency, ChronicAnimalsDisease ProgressionEpigenesis, GeneticHumansKidneyRegenerationAKICKDmaladaptive repairtargeted therapeutictransition mechanisms

Identifiers

PMID40563434
PMCPMC12190426

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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.