Evidence map›Paper›PMID 40636314›Full record

ArticleKidney medicine2025

Association of Plasma KIM-1, TNFR-1, and TNFR-2 With Cardiovascular Outcomes and All-Cause Mortality in Individuals With Chronic Kidney Disease: An Ancillary Analysis of SPRINT.

Nicholas Wettersten, Ronit Katz, Simon B Ascher, Rebecca Scherzer, Alexander L Bullen, Teresa K Chen, Kasey Campos, Pranav S Garimella, Michelle M Estrella, Michael G Shlipak and 1 more

Abstract read
In one paragraph

Article in Kidney medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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

11 authors.

Nicholas WetterstenCardiology Section, Veterans Affairs San Diego Healthcare System, La Jolla, CA.
Ronit KatzDivision of Nephrology, Department of Medicine, University of Washington, Seattle, WA.
Simon B AscherDepartment of Internal Medicine, University of California Davis, Sacramento, CA.
Rebecca ScherzerKidney Health Research Collaborative, Department of Medicine, San Francisco VA Health Care System, University of California, San Francisco, CA.
Alexander L BullenNephrology Section, Veterans Affairs San Diego Healthcare System, La Jolla, CA.
Teresa K ChenKidney Health Research Collaborative, Department of Medicine, San Francisco VA Health Care System, University of California, San Francisco, CA.
Kasey CamposKidney Health Research Collaborative, Department of Medicine, San Francisco VA Health Care System, University of California, San Francisco, CA.
Pranav S GarimellaDivision of Nephrology-Hypertension, Department of Medicine, University of California San Diego, San Diego, CA.
Michelle M EstrellaNephrology Section, Veterans Affairs San Francisco Healthcare System, San Francisco, CA.
Michael G ShlipakKidney Health Research Collaborative, Department of Medicine, San Francisco VA Health Care System, University of California, San Francisco, CA.
Joachim H IxNephrology Section, Veterans Affairs San Diego Healthcare System, La Jolla, CA.

Funding

CSRD VA IK2 CX002105
6 · The paper itself

Abstract

Rationale & Objective: Among individuals with chronic kidney disease (CKD), higher blood levels of kidney injury molecule-1 (KIM-1) and soluble tumor necrosis factor receptors (TNFR-1 and TNFR-2) have been associated with greater risk of CKD progression. Their associations with risk of cardiovascular disease (CVD) and all-cause mortality in individuals with CKD remain uncertain. Study Design: An observational cohort study. Setting & Participants: Systolic Blood Pressure Intervention Trial participants with hypertension and CKD (eGFR <60 mL/min/1.73 m Predictors: Plasma KIM-1, TNFR-1, and TNFR-2. Outcomes: A composite CVD outcome (acute coronary syndrome/myocardial infarction, stroke, heart failure, and CVD death) and all-cause mortality. Analytic Approach: Cox proportional hazards models, adjusting for CVD risk factors, eGFR, and urine albumin-to-creatinine ratio. Results: Total of 2,350 participants with a mean age of 73 ± 9 years, eGFR of 46 ± 10 mL/min/1.73m Limitations: No individuals with diabetes or stroke. Conclusions: In individuals with hypertension and nondiabetic CKD, associations of higher plasma KIM-1, TNFR-1, and TNFR-2 concentrations with CVD events were not independent of eGFR and albuminuria, whereas higher levels of plasma KIM-1 and TNFR-1 were independently associated with greater risk of all-cause mortality.

Indexed as

cardiovascular riskchronic kidney diseaseInflammationkidney injurymortality

Identifiers

PMID40636314
PMCPMC12240176

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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.