Evidence map›Paper›PMID 40730843›Full record

ArticleNature communications2025

Single urinary extracellular vesicle proteomics identifies complement receptor CD35 as a biomarker for sepsis-associated acute kidney injury.

Ning Li, Tao-Tao Tang, Menglei Gu, Yu-Qi Fu, Wei-Wei Qian, Nan Nan Ma, An-Ran Shen, Tingting Zhu, Run-Bo Huo, Tao Zhang and 4 more

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 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  20. A single-sEV analysis identifies plasma EPCAMExtracellular vesicles and circulating nucleic acids · 2025
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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

14 authors.

Ning Li *Institute of Nephrology, Southeast University School of Medicine, Zhong Da Hospital, Nanjing, China.
Tao-Tao Tang *Institute of Nephrology, Southeast University School of Medicine, Zhong Da Hospital, Nanjing, China.ORCID http://orcid.org/0000-0003-0220-3285
Menglei GuAffiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, Nanjing, China.
Yu-Qi FuInstitute of Nephrology, Southeast University School of Medicine, Zhong Da Hospital, Nanjing, China.
Wei-Wei QianDepartment of Urology, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Nan Nan MaDepartment of Urology, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
An-Ran ShenInstitute of Nephrology, Southeast University School of Medicine, Zhong Da Hospital, Nanjing, China.
Tingting ZhuInstitute of Nephrology, Southeast University School of Medicine, Zhong Da Hospital, Nanjing, China.
Run-Bo HuoJiangsu Provincial Key Laboratory of Critical Care Medicine, Department of Critical Care Medicine, Southeast University School of Medicine, Zhongda Hospital, Nanjing, China.
Tao ZhangDepartment of Urology, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.ORCID http://orcid.org/0000-0002-4920-3963
Jian-Feng XieJiangsu Provincial Key Laboratory of Critical Care Medicine, Department of Critical Care Medicine, Southeast University School of Medicine, Zhongda Hospital, Nanjing, China.
Lu ZhangAffiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, Nanjing, China.
Bi-Cheng LiuInstitute of Nephrology, Southeast University School of Medicine, Zhong Da Hospital, Nanjing, China.ORCID http://orcid.org/0000-0002-4584-1853
Lin-Li LvInstitute of Nephrology, Southeast University School of Medicine, Zhong Da Hospital, Nanjing, China. lvlinli@seu.edu.cn.ORCID http://orcid.org/0000-0003-4118-4304

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sepsis-associated acute kidney injury (SA-AKI) portends severe health burden due to significant morbidity and mortality, while early diagnosis remains challenging. In this study, proximity-dependent barcoding assay (PBA) is established to profile the surface proteome of single urinary extracellular vesicle (uEV). Principle uEV clusters with unique function and origination are profiled in SA-AKI in a screening cohort. Complement receptor CD35 on single uEV (CD35-uEV) displays high diagnostic accuracy for SA-AKI (AUC-ROC 0.89 in validation cohort, n = 134). Besides, CD35-uEV enables identification of subclinical AKI (AUC-ROC 0.84 in prospective cohort, n = 72). Moreover, CD35-uEV correlates closely with AKI severity which also predicts persistent AKI (AUC-ROC 0.77), mortality risks (AUC-ROC 0.70) and progression to AKD (AUC-ROC 0.66). Multi-omics profiling reveals that CD35-uEV are predominantly released from injured podocytes exhibiting diminished CD35 expression. Overall, this study identifies a single uEV biomarker related to injured podocyte for early diagnosis and risk stratification of SA-AKI.

Indexed as

Acute Kidney InjuryExtracellular VesiclesReceptors, Complement 3bSepsisAdultAgedBiomarkersFemaleHumansMaleMiddle AgedPodocytesProspective StudiesProteomicsROC CurveBiomarkersReceptors, Complement 3b

Identifiers

PMID40730843
PMCPMC12307914

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.