Evidence map›Paper›PMID 34437422›Full record

ReviewToxins2021

Acute Kidney Injury and Organ Dysfunction: What Is the Role of Uremic Toxins?

Jesús Iván Lara-Prado, Fabiola Pazos-Pérez, Carlos Enrique Méndez-Landa, Dulce Paola Grajales-García, José Alfredo Feria-Ramírez, Juan José Salazar-González, Mario Cruz-Romero, Alejandro Treviño-Becerra

Open access · goldAbstract readReview
In one paragraph

Review in Toxins, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

12 citing papers in PubMed, 16 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Jesús Iván Lara-PradoDepartment of Nephrology, General Hospital No. 27, Mexican Social Security Institute, Mexico City 06900, Mexico.ORCID 0000-0001-9302-288X
Fabiola Pazos-PérezDepartment of Nephrology, Specialties Hospital, National Medical Center "21st Century", Mexican Social Security Institute, Mexico City 06720, Mexico.ORCID 0000-0001-6791-4147
Carlos Enrique Méndez-LandaDepartment of Nephrology, General Hospital No. 48, Mexican Social Security Institute, Mexico City 02750, Mexico.
Dulce Paola Grajales-GarcíaDepartment of Nephrology, General Hospital No. 27, Mexican Social Security Institute, Mexico City 06900, Mexico.
José Alfredo Feria-RamírezDepartment of Nephrology, General Hospital No. 29, Mexican Social Security Institute, Mexico City 07910, Mexico.
Juan José Salazar-GonzálezDepartment of Nephrology, Regional Hospital No. 1, Mexican Social Security Institute, Mexico City 03100, Mexico.
Mario Cruz-RomeroDepartment of Nephrology, Specialties Hospital, National Medical Center "21st Century", Mexican Social Security Institute, Mexico City 06720, Mexico.
Alejandro Treviño-BecerraNational Academy of Medicine, Mexico City 06720, Mexico.
Mexican Social Security Institute · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute kidney injury (AKI), defined as an abrupt increase in serum creatinine, a reduced urinary output, or both, is experiencing considerable evolution in terms of our understanding of the pathophysiological mechanisms and its impact on other organs. Oxidative stress and reactive oxygen species (ROS) are main contributors to organ dysfunction in AKI, but they are not alone. The precise mechanisms behind multi-organ dysfunction are not yet fully accounted for. The building up of uremic toxins specific to AKI might be a plausible explanation for these disturbances. However, controversies have arisen around their effects in organs other than the kidney, because animal models usually depict AKI as a kidney-specific injury. Meanwhile, humans present AKI frequently in association with multi-organ failure (MOF). Until now, medium-molecular-weight molecules, such as inflammatory cytokines, have been proven to play a role in endothelial and epithelial injury, leading to increased permeability and capillary leakage, mainly in pulmonary and intestinal tissues.

Indexed as

Acute Kidney InjuryAnimalsHumansMultiple Organ FailureProtein BindingUremic ToxinsUremic Toxinsacute kidney injurycardiovascular diseaselung injuryorgan failureuremic toxins

Identifiers

PMID34437422
PMCPMC8402563
OpenAlexW3192707661

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.