Evidence map›Paper›PMID 37685683›Full record

ArticleJournal of clinical medicine2023

Plasma Cell-Free DNA and Caspase-3 Levels in Patients with Chronic Kidney Disease.

Anna Clementi, Grazia Maria Virzì, Sabrina Milan Manani, Massimo de Cal, Giovanni Giorgio Battaglia, Claudio Ronco, Monica Zanella

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06392425 (Role of Serum ADAM 17), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 13% 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.

NCT06392425 not yet recruitingnot on this mapstarted 2024, after this paper: background citation

Role of Serum ADAM 17 (A Disintegrin And Metalloprotease 17) and Caspase 3 in Patients With Chronic Kidney Disease

TypeobservationalSponsorAssiut UniversityRan2024 to 2027Enrolled90ConditionsChronic Kidney DiseasesArmscaspase 3 and ADAM 17 biomarkers
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

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  3. Article
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  5. Article
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 2 institutions in 1 country.

Anna ClementiDepartment of Nephrology and Dialysis, Santa Marta and Santa Venera Hospital, 95024 Acireale, Italy.
Grazia Maria VirzìIRRIV-International Renal Research Institute, 36100 Vicenza, Italy.ORCID 0000-0001-7934-9800
Sabrina Milan MananiIRRIV-International Renal Research Institute, 36100 Vicenza, Italy.
Massimo de CalIRRIV-International Renal Research Institute, 36100 Vicenza, Italy.ORCID 0000-0002-6383-4868
Giovanni Giorgio BattagliaDepartment of Nephrology and Dialysis, Santa Marta and Santa Venera Hospital, 95024 Acireale, Italy.
Claudio RoncoIRRIV-International Renal Research Institute, 36100 Vicenza, Italy.
Monica ZanellaIRRIV-International Renal Research Institute, 36100 Vicenza, Italy.
Ospedale San Bortolo · ITInternational Renal Research Institute of Vicenza · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCell-free plasma DNA (cfDNA) is circulating extracellular DNA arising from cell death mechanisms (apoptosis, necrosis, etc.). It is commonly existent in healthy individuals, but its ranks increase in diverse clinical circumstances, such as kidney disease, sepsis, myocardial infarction, trauma and cancer. In patients with advanced chronic kidney disease, cfDNA is connected to inflammation, and it has been associated with higher mortality. Caspase-3 plays a dominant role in apoptosis, a mechanism of programmed cell death involved in the pathogenesis and progression of chronic kidney disease (CKD). The aim of this pilot study was the evaluation of cfDNA levels and caspase-3 concentrations in patients with chronic kidney disease, in order to investigate the potential role of these molecules, deriving from inflammatory and apoptotic mechanisms, in the progression of renal damage.

methodsWe compared cfDNA and caspase-3 levels in 25 CKD patients and in 10 healthy subjects, evaluating their levels based on CKD stage. We also explored correlations between cfDNA and caspase-3 levels in CKD patients and between cfDNA and caspase-3 levels and serum creatinine and urea in this population.

resultsWe observed that cfDNA and caspase-3 levels were higher in patients with CKD compared to healthy subjects, in particular in patients with advanced renal disease (CKD stage 5). A positive correlation between cfDNA and caspase-3 levels and between cfDNA and caspase-3 and creatinine and urea were also noticed.

conclusionsPatients with chronic kidney disease show higher levels of cfDNA and caspase-3 levels compared to the control group. Based on these preliminary results, we speculated that the worsening of renal damage and the increase in uremic toxin concentration could be associated with higher levels of cfDNA and caspase-3 levels, thus reflecting the potential role of inflammation and apoptosis in the progression of CKD. Future studies should focus on the validation of these promising preliminary results.

Indexed as

caspase-3cell free DNAchronic kidney disease

Identifiers

PMID37685683
PMCPMC10488719
OpenAlexW4386250794

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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.