Evidence map›Paper›PMID 41064099›Full record

ArticleKidney diseases (Basel, Switzerland)

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Yanzi Zhang, Jisu Xue, Jianyu Chen, Jiahui Chen, Xiaoling Zhong, Yunpeng Xu, Weiying Liu, Tingfei Xie, Xiaolu Sui, Aisha Zhang and 1 more

Abstract read
In one paragraph

Article in Kidney diseases (Basel, Switzerland). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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.

Yanzi ZhangDepartment of Nephrology, The People's Hospital of Baoan Shenzhen, The Second Affiliated Hospital of Shenzhen University, Shenzhen Hospital of Guangdong Provincial People's Hospital, The Affiliated Baoan Hospital of Southern Medical University, Shenzhen Baoan Clinical Medical School of Guangdong Medical University, The 8th People's Hospital of Shenzhen, Baoan Clinical Research Center for Kidney Disease, Shenzhen, China.
Jisu XueDepartment of Endocrinology, The People's Hospital of Baoan Shenzhen, The Second Affiliated Hospital of Shenzhen University, Shenzhen, China.
Jianyu ChenDepartment of Nephrology, Affiliated Bao'an Hospital of Shenzhen, The Second School of Clinical Medicine, Southern Medical University, Shenzhen, China.
Jiahui ChenDepartment of Nephrology, Shenzhen Baoan Clinical Medical School of Guangdong Medical University, Zhanjiang, China.
Xiaoling ZhongDepartment of Nephrology, Shenzhen Baoan Clinical Medical School of Guangdong Medical University, Zhanjiang, China.
Yunpeng XuDepartment of Nephrology, The People's Hospital of Baoan Shenzhen, The Second Affiliated Hospital of Shenzhen University, Shenzhen Hospital of Guangdong Provincial People's Hospital, The Affiliated Baoan Hospital of Southern Medical University, Shenzhen Baoan Clinical Medical School of Guangdong Medical University, The 8th People's Hospital of Shenzhen, Baoan Clinical Research Center for Kidney Disease, Shenzhen, China.
Weiying LiuDepartment of Nephrology, The People's Hospital of Baoan Shenzhen, The Second Affiliated Hospital of Shenzhen University, Shenzhen Hospital of Guangdong Provincial People's Hospital, The Affiliated Baoan Hospital of Southern Medical University, Shenzhen Baoan Clinical Medical School of Guangdong Medical University, The 8th People's Hospital of Shenzhen, Baoan Clinical Research Center for Kidney Disease, Shenzhen, China.
Tingfei XieDepartment of Nephrology, Affiliated Bao'an Hospital of Shenzhen, The Second School of Clinical Medicine, Southern Medical University, Shenzhen, China.
Xiaolu SuiDepartment of Nephrology, The People's Hospital of Baoan Shenzhen, The Second Affiliated Hospital of Shenzhen University, Shenzhen Hospital of Guangdong Provincial People's Hospital, The Affiliated Baoan Hospital of Southern Medical University, Shenzhen Baoan Clinical Medical School of Guangdong Medical University, The 8th People's Hospital of Shenzhen, Baoan Clinical Research Center for Kidney Disease, Shenzhen, China.
Aisha ZhangDepartment of Nephrology, The People's Hospital of Baoan Shenzhen, The Second Affiliated Hospital of Shenzhen University, Shenzhen Hospital of Guangdong Provincial People's Hospital, The Affiliated Baoan Hospital of Southern Medical University, Shenzhen Baoan Clinical Medical School of Guangdong Medical University, The 8th People's Hospital of Shenzhen, Baoan Clinical Research Center for Kidney Disease, Shenzhen, China.
Jihong ChenDepartment of Nephrology, The People's Hospital of Baoan Shenzhen, The Second Affiliated Hospital of Shenzhen University, Shenzhen Hospital of Guangdong Provincial People's Hospital, The Affiliated Baoan Hospital of Southern Medical University, Shenzhen Baoan Clinical Medical School of Guangdong Medical University, The 8th People's Hospital of Shenzhen, Baoan Clinical Research Center for Kidney Disease, Shenzhen, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Diabetic nephropathy (DN) is a major cause of end-stage renal disease, characterized by podocyte injury and impaired autophagy. Epitranscriptomic mechanisms, particularly N6-methyladenosine (m6A) RNA modifications, have emerged as critical regulators in kidney disease, but their role in autophagy regulation within podocytes remains poorly understood. The aim of this study was to investigate the role of the m6A demethylase FTO in regulating podocyte autophagy and the pathogenesis of diabetic kidney disease (DKD), with a focus on its downstream effector ATF3. Methods: The study employed a multitiered approach involving human kidney biopsies from DN patients, in vitro podocyte models under high-glucose conditions, and podocyte-specific FTO knockout (iPFKO) mice. Key assessments included m6A immunoprecipitation sequencing to identify m6A-modified transcripts, RNA stability assays, Western blotting, immunofluorescence, transmission electron microscopy, and histological analysis. Autophagy flux was evaluated using LC3-II/LC3-I ratios and p62 accumulation. Results: FTO was selectively upregulated in podocytes from human DN samples and high-glucose-treated cells. FTO overexpression led to global m6A hypomethylation, especially affecting autophagy-related transcripts. ATF3 was identified as a hypomethylated, stabilized transcript whose expression was enhanced by FTO. Elevated ATF3 suppressed transcription of autophagy genes (e.g., LC3, ULK1, ATG5, Beclin1), impairing autophagy flux. FTO knockdown or ATF3 inhibition restored autophagy in vitro. In iPFKO mice, FTO deletion reduced ATF3 expression, preserved autophagy, and attenuated proteinuria, glomerular damage, and foot process effacement under diabetic conditions. Conclusions: FTO impairs podocyte autophagy in DKD via m6A demethylation-mediated stabilization of ATF3. Targeting the FTO-ATF3 axis may offer a promising therapeutic strategy to preserve podocyte integrity and mitigate DKD progression.

Indexed as

ATF3Diabetic nephropathyFTOm6A RNA modificationsPodocyte autophagy

Identifiers

PMID41064099
PMCPMC12503846

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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.