Evidence map›Paper›PMID 40710374›Full record

ArticleCells2025

Prolyl Hydroxylase Inhibitor-Mediated HIF Activation Drives Transcriptional Reprogramming in Retinal Pigment Epithelium: Relevance to Chronic Kidney Disease.

Tamás Gáll, Dávid Pethő, Annamária Nagy, Szilárd Póliska, György Balla, József Balla

Abstract read
In one paragraph

Article in Cells, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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

6 authors.

Tamás GállDepartment of Internal Medicine, Division of Nephrology, Faculty of Medicine, University of Debrecen, H-4032 Debrecen, Hungary.
Dávid PethőDepartment of Internal Medicine, Division of Nephrology, Faculty of Medicine, University of Debrecen, H-4032 Debrecen, Hungary.ORCID 0000-0001-7549-5691
Annamária NagyDepartment of Internal Medicine, Division of Nephrology, Faculty of Medicine, University of Debrecen, H-4032 Debrecen, Hungary.
Szilárd PóliskaGenomic Medicine and Bioinformatic Core Facility, Department of Biochemistry and Molecular Biology, Faculty of Medicine, University of Debrecen, H-4032 Debrecen, Hungary.ORCID 0000-0002-9722-251X
György BallaHUN-REN-UD Vascular Biology and Myocardium Pathophysiology Research Group, Hungarian Academy of Sciences, University of Debrecen, H-4032 Debrecen, Hungary.
József BallaDepartment of Internal Medicine, Division of Nephrology, Faculty of Medicine, University of Debrecen, H-4032 Debrecen, Hungary.ORCID 0000-0001-7923-2645

Funding

European Union and the European Social Fund EFOP-3.6.2-16-2017-00006 (LIVE LONGER)Hungarian Government grants OTKA-K 132828 (J.B.Hungarian Research Network 11003National Research, Development and Innovation Fund TKP2021-EGA-18National Research, Development and Innovation Office under the National Research Excellence Programme ADVANCED 149734the Ministry of Innovation and Technology of Hungary from the National Research, Development and Innovation Fund TKP2020-NKA-04
6 · The paper itself

Abstract

Chronic kidney disease (CKD)-associated anemia is a global health concern and is linked to vascular and ocular complications. Hypoxia-inducible factor (HIF) stabilizers, or HIF prolyl hydroxylase inhibitors (PHIs), are promising candidates for the treatment of CKD-associated anemia. Since hypoxia and angiogenesis are involved in eye diseases, this study examined the effects of HIF-PHIs on metabolism and gene expression in retinal pigment epithelium (RPE) cells. Results revealed that PHIs differentially induced angiogenic (VEGFA, ANG) and glycolytic (PDK1, GLUT1) gene expression, with Roxadustat causing the strongest transcriptional changes. However, Roxadustat-induced angiogenic signals did not promote endothelial tube formation. Moreover, it did not induce oxidative stress, inflammation, or significant antioxidant gene responses in ARPE-19 cells. Roxadustat also reduced the inflammatory cytokine response to tumor necrosis factor-α, including IL-6, IL-8, and MCP-1, and did not exacerbate VEGF expression under high-glucose conditions. Overall, Roxadustat triggered complex gene expression changes without promoting inflammation or oxidative stress in RPE cells. Despite these findings, ophthalmologic monitoring is advised during PHI treatment in CKD patients receiving HIF-PHIs.

Indexed as

Hypoxia-Inducible Factor 1, alpha SubunitProlyl-Hydroxylase InhibitorsRenal Insufficiency, ChronicRetinal Pigment EpitheliumTranscription, GeneticCell LineGene Expression RegulationGlycineHumansIsoquinolinesOxidative StressGlycineHypoxia-Inducible Factor 1, alpha SubunitIsoquinolinesProlyl-Hydroxylase Inhibitorsroxadustatangiogenesischronic kidney diseaseglycolytic responseHIF-prolyl-hydroxylase inhibitorhyperglycemiahypoxiaoxidative stressVEGFA

Identifiers

PMID40710374
PMCPMC12293706

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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.