Evidence map›Paper›PMID 40883684›Full record

ArticleBMC nephrology2025

Norepinephrine ameliorates sepsis-associated acute kidney injury through inhibiting damage of renal tubular epithelium induced by macrophage inflammatory response.

Yu Zeng, Qian Xiang, Yiyuan Yin, Zhaojin Zeng, Ziyuan Shen, Senhao Wei, Yao Yu, Deng Ying, Zhukai Cong

Abstract read
In one paragraph

Article in BMC nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Yu Zeng *Department of Anaesthesiology, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China.
Qian Xiang *Department of Anaesthesiology, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China.
Yiyuan Yin *Department of Critical Care Medicine, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China.
Zhaojin ZengDepartment of Critical Care Medicine, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China.
Ziyuan ShenDepartment of Anaesthesiology, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China.
Senhao WeiDepartment of Critical Care Medicine, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China.
Yao YuDepartment of Anaesthesiology, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China.
Deng YingDepartment of Anaesthesiology, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China. xueling9900@163.com.
Zhukai CongDepartment of Anaesthesiology, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China. bycongzhukai@bjmu.edu.cn.

Funding

fund of Peking University Third Hospital BYSYZHKC2023107National Natural Science Foundation of China 82301442the Clinical Medicine Plus X-Young Scholars Project PKU2024LCXQ003
6 · The paper itself

Abstract

backgroundNorepinephrine (NE) has been reported to not only regulate cardiovascular activity but also influence inflammatory responses. But its role in sepsis-associated acute kidney injury (SA-AKI) has yet to be elucidated.

methodsSA-AKI mouse model was induced by intraperitoneally instillation of lipopolysaccharide. After treatment with NE, haemodynamic changes, kidney pathological injury, kidney funcion, systemic and kidney inflammatory responses, were evaluated. Cytokine levels and nuclear factor κB (NF-κB), MAPKs and Akt signalling pathways of macrophages were measured in vitro. Intercellular tight junction and cell viability were detected to evaluate the effect of macrophage inflammatory response on renal tubular epithelium.

resultsNE enhanced cardiovascular haemodynamics, alleviated kidney histopathological injury and inflammatory cell infiltration, lowered the levels of kidney cytokines, NGAL, and KIM-1, as well as serum cytokines in SA-AKI mice. In vitro experiments indicated that NE suppressed the secretion of TNF-α, IL-6, and enhanced IL-10 secretion via a mechanism that involves inhibiting NF-κB rather than MAPKs or Akt activation of macrophage, and further alleviated the damage of renal tubule epithelium.

conclusionNE ameliorated SA-AKI via a mechanism that involves inhibiting NF-κB activation to suppress excessive inflammatory responses of macrophages, and improve the injury of renal tubule epithelium, on its basis of improvement of hemodynamic changes in septic mice. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Acute Kidney InjuryKidney TubulesMacrophagesNorepinephrineSepsisAnimalsCytokinesEpitheliumMaleMiceMice, Inbred C57BLNF-kappa BCytokinesNF-kappa BNorepinephrineMacrophageNF-κBNorepinephrineRenal tubule epitheliumSepsis-associated acute kidney injury

Identifiers

PMID40883684
PMCPMC12395834

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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.