Evidence map›Paper›PMID 41582005›Full record

ArticleRenal failure2026

Splicing of fibronectin gene contribute to the aneurysmal dilatation of arteriovenous fistula.

Hai Wang, Qihong Ni, Haozhe Qi, Xin Qian, Yinteng Chu, Yuli Wang, Yongjie Yao, Nan Shen, Weihao Deng, Xiangjiang Guo and 1 more

Abstract read
In one paragraph

Article in Renal failure, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Hai WangDepartment of Vascular Surgery, Renji Hospital, Shanghai JiaoTong University School of Medicine, Shanghai Municipality, China.
Qihong NiDepartment of Vascular Surgery, Renji Hospital, Shanghai JiaoTong University School of Medicine, Shanghai Municipality, China.
Haozhe QiDepartment of Vascular Surgery, Renji Hospital, Shanghai JiaoTong University School of Medicine, Shanghai Municipality, China.
Xin QianDepartment of Vascular Surgery, Renji Hospital, Shanghai JiaoTong University School of Medicine, Shanghai Municipality, China.
Yinteng ChuDepartment of Vascular Surgery, Renji Hospital, Shanghai JiaoTong University School of Medicine, Shanghai Municipality, China.
Yuli WangDepartment of Vascular Surgery, Renji Hospital, Shanghai JiaoTong University School of Medicine, Shanghai Municipality, China.
Yongjie YaoDepartment of Vascular Surgery, Renji Hospital, Shanghai JiaoTong University School of Medicine, Shanghai Municipality, China.
Nan ShenDepartment of Vascular Surgery, Renji Hospital, Shanghai JiaoTong University School of Medicine, Shanghai Municipality, China.
Weihao DengDepartment of Vascular Surgery, Guangzhou Women and Children's Medical Center, Guangzhou, Guangdong Province, China.
Xiangjiang GuoDepartment of Vascular Surgery, Renji Hospital, Shanghai JiaoTong University School of Medicine, Shanghai Municipality, China.
Lan ZhangDepartment of Vascular Surgery, Renji Hospital, Shanghai JiaoTong University School of Medicine, Shanghai Municipality, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with end-stage renal disease often require arteriovenous fistula (AVF) creation for hemodialysis. However, nearly 40% of patients develop aneurysmal dilatation of AVF (AVFA) after surgery, which can lead to prolonged bleeding at puncture sites, increased infection risk, and even potential rupture. Despite its high incidence, research on AVFA remains remarkably limited. This study makes an innovative discovery by establishing a link between AVFA formation and alternative splicing of fibronectin (FN), a crucial extracellular matrix component. Specifically, we demonstrate that increased inclusion of the EDA exon in FN within vascular smooth muscle cells triggers phenotypic switching to a synthetic state and extracellular matrix remodeling through the ITGB1/FAK/Src/RUNX2 pathway. These changes ultimately reduce vascular mechanical strength and contribute to AVFA development. Furthermore, we identify the splicing factor SRSF5 as a key regulator of EDA inclusion and characterize its potential binding sites, providing potential therapeutic targets for AVFA prevention.

Indexed as

Alternative SplicingAneurysmArteriovenous Shunt, SurgicalFibronectinsAnimalsDilatation, PathologicHumansKidney Failure, ChronicMuscle, Smooth, VascularRenal DialysisSerine-Arginine Splicing FactorsFibronectinsSerine-Arginine Splicing Factorsalternative splicingAneurysmal dilatation of arteriovenous fistulafibronectinserine and arginine rich splicing factor 5

Identifiers

PMID41582005
PMCPMC12833886

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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.