Evidence map›Paper›PMID 31862399›Full record

ArticleCellular signalling2020

Empagliflozin reduces high glucose-induced oxidative stress and miR-21-dependent TRAF3IP2 induction and RECK suppression, and inhibits human renal proximal tubular epithelial cell migration and epithelial-to-mesenchymal transition.

Nitin A Das, Andrea J Carpenter, Anthony Belenchia, Annayya R Aroor, Makoto Noda, Ulrich Siebenlist, Bysani Chandrasekar, Vincent G DeMarco

Open access · greenAbstract read
In one paragraph

Article in Cellular signalling, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 1 pooled it
7.0field-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

72 citing papers in PubMed, 1 synthesis or guideline pooled it, 100 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Acute vascular redox modulation by SGLT2 inhibition in non-diabetic patients.Cardiovascular diabetology. Endocrinology reports · 2026
    Article
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  18. Anti-Inflammatory Effects of SGLT2 Inhibitors: Focus on Macrophages.International journal of molecular sciences · 2025
    Review
  19. Review
  20. Oxidative Stress in Kidney Injury and Hypertension.Antioxidants (Basel, Switzerland) · 2024
    Review

12 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

8 authors at 5 institutions in 2 countries.

Nitin A DasCardiothoracic Surgery, University of Texas Health Science Center, San Antonio, TX, USA. Electronic address: DasN@uthscsa.edu.
Andrea J CarpenterCardiothoracic Surgery, University of Texas Health Science Center, San Antonio, TX, USA. Electronic address: CarpenterA2@uthscsa.edu.
Anthony BelenchiaResearch Service, Harry S. Truman Memorial Veterans Hospital, Columbia, MO, USA. Electronic address: belenchiaa@missouri.edu.
Annayya R AroorResearch Service, Harry S. Truman Memorial Veterans Hospital, Columbia, MO, USA; Diabetes and Cardiovascular Center, University of Missouri School of Medicine, Columbia, MO, USA; Division of Endocrinology and Metabolism, Department of Medicine, University of Missouri, Columbia, MO, USA. Electronic address: aroora@missouri.edu.
Makoto NodaMolecular Oncology, Kyoto University Graduate School of Medicine, Sakyo-ku, Kyoto, Japan.
Ulrich SiebenlistLaboratory of Molecular Immunology, NIAID, NIH, Bethesda, MD 20892, USA. Electronic address: ulrich.siebenlist@nih.gov.
Bysani ChandrasekarResearch Service, Harry S. Truman Memorial Veterans Hospital, Columbia, MO, USA; Division of Cardiology, Department of Medicine, University of Missouri Columbia, MO, USA; Dalton Cardiovascular Research Center, University of Missouri, Columbia, MO, USA; Department of Medical Pharmacology and Physiology, University of Missouri, Columbia, MO, USA. Electronic address: chandrasekarb@missouri.edu.
Vincent G DeMarcoResearch Service, Harry S. Truman Memorial Veterans Hospital, Columbia, MO, USA; Dalton Cardiovascular Research Center, University of Missouri, Columbia, MO, USA; Department of Medical Pharmacology and Physiology, University of Missouri, Columbia, MO, USA; Diabetes and Cardiovascular Center, University of Missouri School of Medicine, Columbia, MO, USA; Division of Endocrinology and Metabolism, Department of Medicine, University of Missouri, Columbia, MO, USA. Electronic address: demarcov@missouri.edu.
Harry S. Truman Memorial Veterans' Hospital · USThe University of Texas Health Science Center at San Antonio · USUniversity of Missouri Hospital · USKyoto University · JPNational Institutes of Health · US

Funding

Functions of IL-17 Family Cytokines in Health and DiseaseZIAAI001095 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI SIEBENLIST, ULRICH · 2009 to 2020
$9.7M
TRAF3IP2 in Adverse Cardiac Remodeling and Heart FailureI01BX004220 · VA · HARRY S. TRUMAN MEMORIAL VA HOSPITAL · PI BYSANI, CHANDRASEKAR · 2018 to 2021
–
BLRD Research Career Scientist Award ApplicationIK6BX004016 · VA · HARRY S. TRUMAN MEMORIAL VA HOSPITAL · PI Chandrasekar Bysani · 2018 to 2026
–
BLRD VA I01 BX004220BLRD VA IK6 BX004016
6 · The paper itself

Abstract

Proximal tubular epithelial cells (PTEC) in the S1 segment of the kidney abundantly express sodium-glucose co-transporters (SGLT) that play a critical role in whole body glucose homeostasis. We recently reported suppression of RECK (Reversion Inducing Cysteine Rich Protein with Kazal Motifs), a membrane anchored endogenous MMP inhibitor and anti-fibrotic mediator, in the kidneys of db/db mice, a model of diabetic kidney disease (DKD), as well as in high glucose (HG) treated human kidney proximal tubule cells (HK-2). We further demonstrated that empagliflozin (EMPA), an SGLT2 inhibitor, reversed these effects. Little is known regarding the mechanisms underlying RECK suppression under hyperglycemic conditions, and its rescue by EMPA. Consistent with our previous studies, HG (25 mM) suppressed RECK expression in HK-2 cells. Further mechanistic investigations revealed that HG induced superoxide and hydrogen peroxide generation, oxidative stress-dependent TRAF3IP2 upregulation, NF-κB and p38 MAPK activation, inflammatory cytokine expression (IL-1β, IL-6, TNF-α, and MCP-1), miR-21 induction, MMP2 activation, and RECK suppression. Moreover, RECK gain-of-function inhibited HG-induced MMP2 activation and HK-2 cell migration. Similar to HG, advanced glycation end products (AGE) induced TRAF3IP2 and suppressed RECK, effects that were inhibited by EMPA. Importantly, EMPA treatment ameliorated all of these deleterious effects, and inhibited epithelial-to-mesenchymal transition (EMT) and HK-2 cell migration. Collectively, these findings indicate that hyperglycemia and associated AGE suppress RECK expression via oxidative stress/TRAF3IP2/NF-κB and p38 MAPK/miR-21 induction. Furthermore, these results suggest that interventions aimed at restoring RECK or inhibiting SGLT2 have the potential to treat kidney inflammatory response/fibrosis and nephropathy under chronic hyperglycemic conditions, such as DKD.

Indexed as

Adaptor Proteins, Signal TransducingAntigens, NeoplasmBenzhydryl CompoundsBiomarkersCell LineCell MovementCell SurvivalCytokinesEnzyme ActivationEpithelial CellsEpithelial-Mesenchymal TransitionGlucoseGlucosidesGlycation End Products, AdvancedGPI-Linked ProteinsHumansAdaptor Proteins, Signal TransducingAntigens, NeoplasmBenzhydryl CompoundsBiomarkersCytokinesempagliflozinGlucoseGlucosidesGlycation End Products, AdvancedGPI-Linked ProteinsHydrogen PeroxideInflammation MediatorsMatrix Metalloproteinase 2MicroRNAsMIRN21 microRNA, humanMitogen-Activated Protein KinasesMOK protein, humanNF-kappa Bp38 Mitogen-Activated Protein KinasesRECK protein, humanSerum Albumin, HumanSuperoxidesTRAF3IP2 protein, humanDiabetic kidney diseaseFibrosisInflammationSGLT2

Identifiers

PMID31862399
PMCPMC7493965
OpenAlexW2995674241

What Socratic holds

Textmetadata
LicenceTDM
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.