Evidence map›Paper›PMID 42483682›Full record

ArticleFrontiers in endocrinology2026

Inverse association of circulating kallikrein-related peptidase 7 with renal function and mortality risk in patients with chronic kidney disease.

Robin Schürfeld, Fabian Baalmann, Ekaterine Baratashvili, Benjamin Sandner, Anette Bachmann, Juliane Weiner, Marleen Würfel, Ralph Wendt, Martin Haussmann, Ingolf Bast and 14 more

Abstract read
In one paragraph

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

0numbers the graph read from it
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

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

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

24 authors.

Robin Schürfeld *Medical Department III - Endocrinology, Nephrology, Rheumatology, University of Leipzig, Leipzig, Germany.
Fabian Baalmann *Medical Department III - Endocrinology, Nephrology, Rheumatology, University of Leipzig, Leipzig, Germany.
Ekaterine BaratashviliMedical Department III - Endocrinology, Nephrology, Rheumatology, University of Leipzig, Leipzig, Germany.
Benjamin SandnerMedical Department III - Endocrinology, Nephrology, Rheumatology, University of Leipzig, Leipzig, Germany.
Anette BachmannMedical Department III - Endocrinology, Nephrology, Rheumatology, University of Leipzig, Leipzig, Germany.
Juliane WeinerMedical Department III - Endocrinology, Nephrology, Rheumatology, University of Leipzig, Leipzig, Germany.
Marleen WürfelMedical Department III - Endocrinology, Nephrology, Rheumatology, University of Leipzig, Leipzig, Germany.
Ralph WendtDepartment of Nephrology, Hospital St. Georg Leipzig, Leipzig, Germany.
Martin HaussmannMedical Department III - Endocrinology, Nephrology, Rheumatology, University of Leipzig, Leipzig, Germany.
Ingolf BastNierenzentrum Leipzig, Outpatient Care Units, Leipzig, Germany.
Joachim BeigeDepartment of Nephrology, Hospital St. Georg Leipzig, Leipzig, Germany.
Joanna KosackaMedical Department III - Endocrinology, Nephrology, Rheumatology, University of Leipzig, Leipzig, Germany.
Nora KlötingMedical Department III - Endocrinology, Nephrology, Rheumatology, University of Leipzig, Leipzig, Germany.
Knut KrohnMedical Faculty, University of Leipzig, Leipzig, Germany.
Toralf KirstenInstitute for Medical Informatics, Statistics and Epidemiology, Leipzig University, Leipzig, Germany.
Ming-Zhi ZhangDivision of Nephrology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN, United States.
Raymond C HarrisDivision of Nephrology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN, United States.
Berend IsermannInstitute of Laboratory Medicine, Clinical Chemistry and Molecular Diagnostics (ILM), University Hospital Leipzig, Leipzig, Germany.
Peter KovacsMedical Department III - Endocrinology, Nephrology, Rheumatology, University of Leipzig, Leipzig, Germany.
Matthias BlüherMedical Department III - Endocrinology, Nephrology, Rheumatology, University of Leipzig, Leipzig, Germany.
Michael StumvollMedical Department III - Endocrinology, Nephrology, Rheumatology, University of Leipzig, Leipzig, Germany.
Anke TönjesMedical Department III - Endocrinology, Nephrology, Rheumatology, University of Leipzig, Leipzig, Germany.
John T Heiker *Helmholtz Institute for Metabolic, Obesity and Vascular Research (HI-MAG) of the Helmholtz Zentrum München at the University of Leipzig and University Hospital Leipzig, Leipzig, Germany.
Thomas Ebert *Medical Department III - Endocrinology, Nephrology, Rheumatology, University of Leipzig, Leipzig, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Kallikrein-related peptidase 7 (KLK7) is a protease implicated in metabolic disease and obesity. Patients with chronic kidney disease (CKD) exhibit several cardio-metabolic comorbidities and increased mortality. The goal of this study was to investigate the associations of KLK7 levels with renal function and clinical outcomes in patients with CKD. Methods: Baseline KLK7 serum levels were cross-sectionally related to renal and cardiometabolic markers in the Leipzig-CKD cohort (n=542). Longitudinal Cox Regression analyses (n=472) were performed to associate baseline circulating KLK7 concentrations and risk of major adverse renal (MARE) and cardiovascular (MACE) events, as well as all-cause mortality. Additionally, mRNA expression of Results: KLK7 levels were inversely associated with markers of renal function, i.e. estimated glomerular filtration rate (eGFR), and inflammation, i.e. C-reactive protein, in multivariable regression. Longitudinal analyses associated higher baseline KLK7 with lower all-cause (adjusted HR [95% CI]: 0.65 [0.49-0.86], p=0.003) and non-cardiovascular (adjusted HR [95% CI]: 0.56 [0.40-0.78], p=0.001) mortality over a median follow-up of 7.6 years. A KLK7 threshold of 1383.6 pg/ml stratified patients into low- and high-risk groups for mortality. No associations were found for MARE or MACE. In tissues of CKD and control mice, no significant changes in Discussion: Circulating KLK7 associates inversely with renal function and inflammation, likely reflecting reduced renal clearance. Higher circulating KLK7 independently predicts lower all-cause mortality, whereas baseline KLK7 was not related to composite renal and CV outcomes.

Indexed as

KallikreinsKidneyRenal Insufficiency, ChronicAgedAnimalsBiomarkersCardiovascular DiseasesCross-Sectional StudiesFemaleGlomerular Filtration RateHumansLongitudinal StudiesMaleMiceMiddle AgedRisk FactorsBiomarkersKallikreinsKLK7 protein, humanadipose tissuechronic kidney diseasedialysiskallikrein-related peptidase 7mortality

Identifiers

PMID42483682
PMCPMC13384942

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