Evidence map›Paper›PMID 41448458›Full record

ArticleKidney international2026

Sodium-glucose co-transporter 2 inhibition improves age-dependent kidney microvascular rarefaction.

Anastasia Paulmann, Matthew D Cox, Tom Boewer, Hannah M Somers, Heath Fuqua, Ryan P Seaman, Joel H Graber, Anchal Mahajan, Cory P Johnson, Laura L Beverly-Staggs and 3 more

Abstract read
In one paragraph

Article in Kidney international, 2026. 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

13 authors.

Anastasia PaulmannMount Desert Island Biological Laboratory (MDIBL), Bar Harbor, Maine, USA; Division of Nephrology and Hypertension, Hannover Medical School (MHH), Hannover, Germany. Electronic address: apaulmann@mdibl.org.
Matthew D CoxMount Desert Island Biological Laboratory (MDIBL), Bar Harbor, Maine, USA; Mount Desert Island Biological Laboratory (MDIBL), Comparative Genomics and Data Science Core, Bar Harbor, Maine.
Tom BoewerMount Desert Island Biological Laboratory (MDIBL), Bar Harbor, Maine, USA; Division of Nephrology and Hypertension, Hannover Medical School (MHH), Hannover, Germany.
Hannah M SomersMount Desert Island Biological Laboratory (MDIBL), Bar Harbor, Maine, USA.
Heath FuquaMount Desert Island Biological Laboratory (MDIBL), Bar Harbor, Maine, USA; Mount Desert Island Biological Laboratory (MDIBL), Comparative Genomics and Data Science Core, Bar Harbor, Maine.
Ryan P SeamanMount Desert Island Biological Laboratory (MDIBL), Bar Harbor, Maine, USA; Mount Desert Island Biological Laboratory (MDIBL), Comparative Genomics and Data Science Core, Bar Harbor, Maine.
Joel H GraberMount Desert Island Biological Laboratory (MDIBL), Bar Harbor, Maine, USA; Mount Desert Island Biological Laboratory (MDIBL), Comparative Genomics and Data Science Core, Bar Harbor, Maine.
Anchal MahajanMount Desert Island Biological Laboratory (MDIBL), Bar Harbor, Maine, USA; Colby College, Waterville, Maine, USA.
Cory P JohnsonMount Desert Island Biological Laboratory (MDIBL), Bar Harbor, Maine, USA; Division of Nephrology and Hypertension, Hannover Medical School (MHH), Hannover, Germany.
Laura L Beverly-StaggsMount Desert Island Biological Laboratory (MDIBL), Bar Harbor, Maine, USA.
Sonia SandhiMount Desert Island Biological Laboratory (MDIBL), Bar Harbor, Maine, USA.
Heiko SchenkMount Desert Island Biological Laboratory (MDIBL), Bar Harbor, Maine, USA; Division of Nephrology and Hypertension, Hannover Medical School (MHH), Hannover, Germany.
Hermann HallerMount Desert Island Biological Laboratory (MDIBL), Bar Harbor, Maine, USA; Division of Nephrology and Hypertension, Hannover Medical School (MHH), Hannover, Germany.

Funding

The MDIBL Center for Comparative Biology of Tissue Repair, Regeneration and AgingP30GM154610 · NIGMS · MOUNT DESERT ISLAND BIOLOGICAL LAB · PI Frederic Xavier Bonnet · 2024 to 2026
$5.0M
NIGMS NIH HHS P30 GM154610
6 · The paper itself

Abstract

introductionAging is associated with progressive loss of kidney function and vascular structure, with and without chronic kidney disease. However, the mechanisms driving kidney vascular aging and potential therapeutic interventions remain poorly understood.

methodsAfrican turquoise killifish (Nothobranchius furzeri), a naturally short-lived vertebrate, were used to investigate the natural course of kidney aging. We inhibited the sodium-glucose co-transporter 2 using dapagliflozin (SGLT2i) to test a potential therapeutic intervention. Histological, immunofluorescent, and 3D vascular imaging were used to evaluate glomerular, tubular, vascular and functional changes. Single nuclei transcriptomic profiling was performed on whole kidneys to identify age, sex and treatment-associated molecular signatures.

resultsAged killifish kidneys exhibited hallmark features of kidney aging, including glomerulosclerosis, tubular atrophy, and vascular rarefaction. Functional changes included increased proteinuria and altered tubular transporter function. Transcriptomic profiling revealed a metabolic shift from oxidative phosphorylation to glycolysis and upregulation of pro-inflammatory pathways. Aged vasculature displayed a marked reduction in tight junctions and cell-cell contacts. SGLT2i attenuated age-related vascular rarefaction, preserved functional capillary networks, reduced albuminuria, preserved a youthful transcriptional profile and enhanced key intercellular signaling pathways.

conclusionsOur study establishes the killifish as a translational model for investigating kidney vascular aging. SGLT2i preserves kidney microvascular structure and function, reduces proteinuria, and maintains a more youthful transcriptome. These results support a vascular-protective role of SGLT2i in mitigating age-related kidney deterioration.

Indexed as

AgingBenzhydryl CompoundsGlucosidesKidneyMicrovesselsSodium-Glucose Transporter 2 InhibitorsAnimalsFemaleFundulidaeGene Expression ProfilingMaleBenzhydryl CompoundsdapagliflozinGlucosidesSodium-Glucose Transporter 2 InhibitorsAfrican turquoise killifishcell-cell communicationkidney agingmetabolic shiftmicrovascular rarefactionSGLT2 inhibition

Identifiers

PMID41448458
PMCPMC13085938

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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.