Evidence map›Paper›PMID 39201294›Full record

ReviewInternational journal of molecular sciences2024

Pathophysiological Mechanisms of Peritoneal Fibrosis and Peritoneal Membrane Dysfunction in Peritoneal Dialysis.

Yasuhiko Ito, Ting Sun, Mitsuhiro Tawada, Hiroshi Kinashi, Makoto Yamaguchi, Takayuki Katsuno, Hangsoo Kim, Masashi Mizuno, Takuji Ishimoto

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Article
  7. [Mesothelial impairment induced by peritoneal dialysis and its potential protective strategies].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2026
    Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Journal of inflammation research · 2026
    Article
  14. Review
  15. Article
  16. Anti-fibrotic effect ofFrontiers in bioengineering and biotechnology · 2026
    Article
  17. Review
  18. Article
  19. Article
  20. Review
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

9 authors.

Yasuhiko ItoDepartment of Nephrology and Rheumatology, Aichi Medical University, Nagakute 480-1195, Japan.
Ting SunDepartment of Nephrology and Rheumatology, Aichi Medical University, Nagakute 480-1195, Japan.ORCID 0000-0003-1627-5343
Mitsuhiro TawadaDepartment of Nephrology, Imaike Jin Clinic, Nagoya 464-0850, Japan.
Hiroshi KinashiDepartment of Nephrology and Rheumatology, Aichi Medical University, Nagakute 480-1195, Japan.
Makoto YamaguchiDepartment of Nephrology and Rheumatology, Aichi Medical University, Nagakute 480-1195, Japan.
Takayuki KatsunoDepartment of Nephrology and Rheumatology, Aichi Medical University Medical Center, Okazaki 444-2148, Japan.
Hangsoo KimDepartment of Nephrology, Nagoya University Graduate School of Medicine, Nagoya 466-8550, Japan.ORCID 0009-0009-9248-3356
Masashi MizunoDepartment of Nephrology, Nagoya University Graduate School of Medicine, Nagoya 466-8550, Japan.
Takuji IshimotoDepartment of Nephrology and Rheumatology, Aichi Medical University, Nagakute 480-1195, Japan.ORCID 0000-0002-9861-5331

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The characteristic feature of chronic peritoneal damage in peritoneal dialysis (PD) is a decline in ultrafiltration capacity associated with pathological fibrosis and angiogenesis. The pathogenesis of peritoneal fibrosis is attributed to bioincompatible factors of PD fluid and peritonitis. Uremia is associated with peritoneal membrane inflammation that affects fibrosis, neoangiogenesis, and baseline peritoneal membrane function. Net ultrafiltration volume is affected by capillary surface area, vasculopathy, peritoneal fibrosis, and lymphangiogenesis. Many inflammatory cytokines induce fibrogenic growth factors, with crosstalk between macrophages and fibroblasts. Transforming growth factor (TGF)-β and vascular endothelial growth factor (VEGF)-A are the key mediators of fibrosis and angiogenesis, respectively. Bioincompatible factors of PD fluid upregulate TGF-β expression by mesothelial cells that contributes to the development of fibrosis. Angiogenesis and lymphangiogenesis can progress during fibrosis via TGF-β-VEGF-A/C pathways. Complement activation occurs in fungal peritonitis and progresses insidiously during PD. Analyses of the human peritoneal membrane have clarified the mechanisms by which encapsulating peritoneal sclerosis develops. Different effects of dialysates on the peritoneal membrane were also recognized, particularly in terms of vascular damage. Understanding the pathophysiologies of the peritoneal membrane will lead to preservation of peritoneal membrane function and improvements in technical survival, mortality, and quality of life for PD patients.

Indexed as

Peritoneal DialysisPeritoneal FibrosisPeritoneumAnimalsHumansNeovascularization, PathologicPeritonitisTransforming Growth Factor betaVascular Endothelial Growth Factor ATransforming Growth Factor betaVascular Endothelial Growth Factor AD/P CrEPSinflammationPD dialysateperitoneal fibrosisperitoneal membrane dysfunction

Identifiers

PMID39201294
PMCPMC11354376

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.