Evidence mapPaperPMID 27263398Full record

ReviewNature reviews. Nephrology2016

Obesity-related glomerulopathy: clinical and pathologic characteristics and pathogenesis.

Vivette D D'Agati, Avry Chagnac, Aiko P J de Vries, Moshe Levi, Esteban Porrini, Michal Herman-Edelstein, Manuel Praga

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Nephrology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04626323 (Open, Randomized, Unicenter Study Comparing Metabolic Surgery With Intensive Medical Therapy to Treat Diabetic Kidney Disease), which is not on this map. Cited by 376 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
376citing papers in PubMed, 7 pooled it
35.5field-weighted citation impact, top 1% of its field
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.

NCT04626323 phase2unknown statusnot on this mapstarted 2021, after this paper: background citation

Open, Randomized, Unicenter Study Comparing Metabolic Surgery With Intensive Medical Therapy to Treat Diabetic Kidney Disease

TypeinterventionalSponsorHospital Alemão Oswaldo CruzRan2021 to 2024Enrolled60ConditionsDiabetes Mellitus, Type 2, Kidney Disease, Chronic, Kidney InjuryArmsRoux-en-Y gastric bypass, Best medical treatment
3 · Its place in the literature

Who cites it

376 citing papers in PubMed, 7 syntheses or guidelines pooled it, 681 citations in OpenAlex.

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  10. N-methyl-D-aspartate receptor inhibition protects against obesity-induced kidney disease.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
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316 more citing papers are in PubMed but not listed here.

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

7 authors at 6 institutions in 4 countries.

Vivette D D'AgatiDepartment of Pathology, Columbia University Medical Center, 630 W. 168 Street, Room VC14-224, New York, New York 10032, USA.
Avry ChagnacDepartment of Nephrology and Hypertension, Rabin Medical Center, 39 Jabotinsky Street, 4941492, Petah Tikva, Israel and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Aiko P J de VriesDepartment of Medicine, Division of Nephrology, Leiden University Medical Center and Leiden University, Room C7-036, PO Box 9600, 2300 RC, Leiden, Netherlands.
Moshe LeviDepartment of Medicine, Physiology, and Biophysics and Bioengineering, Division of Renal Diseases and Hypertension, University of Colorado, Denver, CO and University of Colorado Hospital, 12605 E 16 Ave, Aurora, Colorado 80045, USA.
Esteban PorriniCenter for Biomedical Research of the Canary Islands CIBICAN, University of La Laguna; Nephrology Service, Hospital Universitario de Canarias, c/OFRA s/n, 38320, La Laguna, Tenerife, Spain.
Michal Herman-EdelsteinFelsenstein Medical Research Center and Department of Nephrology, Rabin Medical Center, 39 Jabotinsky Street, 4941492, Petah Tikva, Israel and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Manuel PragaDepartment of Medicine, Complutense University, Instituto de Investigación, Hospital 12 de Octubre, Madrid, Spain and Department of Nephrology, Hospital 12 de Octubre. Avda de Córdoba s/n. 28041 Madrid, Spain.
Rabin Medical Center · ILColumbia University Irving Medical Center · USLeiden University Medical Center · NLResearch Institute Hospital 12 de Octubre · ESUniversidad de La Laguna · ESUniversity of Colorado Denver · US

Funding

NIDDK NIH HHS R01 DK098336
6 · The paper itself

Abstract

The prevalence of obesity-related glomerulopathy is increasing in parallel with the worldwide obesity epidemic. Glomerular hypertrophy and adaptive focal segmental glomerulosclerosis define the condition pathologically. The glomerulus enlarges in response to obesity-induced increases in glomerular filtration rate, renal plasma flow, filtration fraction and tubular sodium reabsorption. Normal insulin/phosphatidylinositol 3-kinase/Akt and mTOR signalling are critical for podocyte hypertrophy and adaptation. Adipokines and ectopic lipid accumulation in the kidney promote insulin resistance of podocytes and maladaptive responses to cope with the mechanical forces of renal hyperfiltration. Although most patients have stable or slowly progressive proteinuria, up to one-third develop progressive renal failure and end-stage renal disease. Renin-angiotensin-aldosterone blockade is effective in the short-term but weight loss by hypocaloric diet or bariatric surgery has induced more consistent and dramatic antiproteinuric effects and reversal of hyperfiltration. Altered fatty acid and cholesterol metabolism are increasingly recognized as key mediators of renal lipid accumulation, inflammation, oxidative stress and fibrosis. Newer therapies directed to lipid metabolism, including SREBP antagonists, PPARα agonists, FXR and TGR5 agonists, and LXR agonists, hold therapeutic promise.

Indexed as

Glomerulosclerosis, Focal SegmentalHumansKidney DiseasesKidney GlomerulusObesity

Identifiers

PMID27263398
OpenAlexW2415080161

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

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 Socratic graph.