Evidence map›Paper›PMID 31048445›Full record

SynthesisBMJ open2019

Genetic associations between genes in the renin-angiotensin-aldosterone system and renal disease: a systematic review and meta-analysis.

Laura Jane Smyth, Marisa Cañadas-Garre, Ruaidhri C Cappa, Alexander P Maxwell, Amy Jayne McKnight

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
7.4field-weighted citation impact, top 2% 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.

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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Pooled it
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  12. Relevance between COVID-19 and host genetics of immune response.Saudi journal of biological sciences · 2021
    Review
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  19. Natural history of COVID-19 and current knowledge on treatment therapeutic options.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2020
    Review
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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

5 authors at 1 institution in 1 country.

Laura Jane SmythEpidemiology and Public Health Research Group, Queen's University Belfast Centre for Public Health, Belfast, UK.ORCID 0000-0001-6419-4826
Marisa Cañadas-GarreEpidemiology and Public Health Research Group, Queen's University Belfast Centre for Public Health, Belfast, UK.
Ruaidhri C CappaEpidemiology and Public Health Research Group, Queen's University Belfast Centre for Public Health, Belfast, UK.
Alexander P MaxwellEpidemiology and Public Health Research Group, Queen's University Belfast Centre for Public Health, Belfast, UK.
Amy Jayne McKnightEpidemiology and Public Health Research Group, Queen's University Belfast Centre for Public Health, Belfast, UK.
Queen's University Belfast · GB

Funding

Medical Research Council MC_PC_15025
6 · The paper itself

Abstract

backgroundChronic kidney disease (CKD) is defined by abnormalities in kidney structure and/or function present for more than 3 months. Worldwide, both the incidence and prevalence rates of CKD are increasing. The renin-angiotensin-aldosterone system (RAAS) regulates fluid and electrolyte balance through the kidney. RAAS activation is associated with hypertension, which is directly implicated in causation and progression of CKD. RAAS blockade, using drugs targeting individual RAAS mediators and receptors, has proven to be renoprotective.

objectivesTo assess genomic variants present within RAAS genes, DESIGN AND DATA SOURCES: A systematic review and meta-analysis of observational research was performed to evaluate the RAAS gene polymorphisms in CKD using both PubMed and Web of Science databases with publication date between the inception of each database and 31 December 2018. Eligible articles included case-control studies of a defined kidney disease and included genotype counts. ELIGIBILITY CRITERIA: Any paper was removed from the analysis if it was not written in English or Spanish, was a non-human study, was a paediatric study, was not a case-control study, did not have a renal disease phenotype, did not include data for the genes, was a gene expression-based study or had a pharmaceutical drug focus.

resultsA total of 3531 studies were identified, 114 of which met the inclusion criteria. Genetic variants reported in at least three independent publications for populations with the same ethnicity were determined and quantitative analyses performed. Three variants returned significant results in populations with different ethnicities at p<0.05:

conclusionsFurther biological pathway and functional analyses of the RAAS gene polymorphisms will help define how variation in components of the RAAS pathway contributes to CKD.

Indexed as

AngiotensinogenPeptidyl-Dipeptidase AReceptor, Angiotensin, Type 1FemaleGenotypeHumansMaleObservational Studies as TopicPolymorphism, GeneticRenal Insufficiency, ChronicRenin-Angiotensin SystemACE protein, humanAGT protein, humanAGTR1 protein, humanAngiotensinogenPeptidyl-Dipeptidase AReceptor, Angiotensin, Type 1CKDkidneymeta-analysisRAAS, renin-angiotensin-aldosterone system

Identifiers

PMID31048445
PMCPMC6501980
OpenAlexW2942776405

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.