Evidence map›Paper›PMID 39279154›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2025

Hypoxia Promotes the Expression of ADAM9 by Tubular Epithelial Cells, Which Enhances Transforming Growth Factor β1 Activation and Promotes Tissue Fibrosis in Patients With Lupus Nephritis.

Masataka Umeda, Kohei Karino, Abhigyan Satyam, Nobuya Yoshida, Ryo Hisada, Rhea Bhargava, Theodoros Vichos, Ana Laura Kunzler, Takashi Igawa, Kunihiro Ichinose and 7 more

Abstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Review
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  5. Review
  6. Article
  7. Urinary extracellular vesicle RNAs as novelClinical kidney journal · 2025
    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

17 authors.

Masataka UmedaBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, and Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.ORCID 0000-0002-6647-7130
Kohei KarinoBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
Abhigyan SatyamBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0001-9838-4572
Nobuya YoshidaBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
Ryo HisadaBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
Rhea BhargavaBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
Theodoros VichosBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
Ana Laura KunzlerBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
Takashi IgawaNagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Kunihiro IchinoseNagasaki University Graduate School of Biomedical Sciences, Nagasaki, and Shimane University Faculty of Medicine, Izumo, Japan.ORCID 0000-0001-8794-7106
Kenta TorigoeNagasaki University Hospital, Nagasaki, Japan.
Tomoya NishinoNagasaki University Hospital, Nagasaki, Japan.
Takahiro MaedaNagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Caroline A OwenBrigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-4377-3591
Reza AbdiBrigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Atsushi KawakamiNagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
George C TsokosBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0001-9589-2360

Funding

Project 2 - BWHP01AI179405 · NIAID · BETH ISRAEL DEACONESS MEDICAL CENTER · PI George C Tsokos · 2024 to 2026
$8.9M
Gene Transcription In SLER01AI049954 · NIAID · HENRY M. JACKSON FDN FOR THE ADV MIL/MED · PI George C Tsokos · 2002 to 2026
$5.8M
Gene transcription in SLER37AI049954 · NIAID · BETH ISRAEL DEACONESS MEDICAL CENTER · PI TSOKOS, GEORGE C · 2013 to 2022
$4.8M
Intracellular complement activation in Lupus Nephritis PodocytesR21AI151367 · NIAID · BETH ISRAEL DEACONESS MEDICAL CENTER · PI SATYAM, ABHIGYAN · 2021 to 2022
$481k
Gilead SciencesJapanese Society for the Promotion of Science KAKENHI 21K20905Japanese Society for the Promotion of Science KAKENHI 22K16362NIAID NIH HHS P01 AI179405NIAID NIH HHS R01 AI049954NIAID NIH HHS R21 AI151367NIAID NIH HHS R37 AI049954NIH HHS 1R21-AI-151367-01A1NIH HHS P01-AI-179405NIH HHS R37-AI-49954
6 · The paper itself

Abstract

objectiveEnhanced expression of transforming growth factor (TGF) β in the kidneys of patients with lupus nephritis (LN) can lead to progressive fibrosis, resulting in end-organ damage. ADAM9 activates TGFβ1 by cleaving the latency-associated peptide (LAP). We hypothesized that ADAM9 in the kidney may accelerate fibrogenesis by activating TGFβ1.

methodsWe assessed the expression of ADAM9 in the kidneys of mice and humans who were lupus prone. In vitro experiments were conducted using tubular epithelial cells (TECs) isolated from mice and explored the mechanisms responsible for the up-regulation of ADAM9 and the subsequent activation of TGFβ1. To assess the role of ADAM9 in the development of tubular-intestinal fibrosis in individuals with LN, we generated MRL/lpr mice who were Adam9 deficient.

resultsADAM9 was highly expressed in tubules from MRL/lpr mice. The transcription factor hypoxia-inducible factor-1α was found to promote the transcription of ADAM9 in TECs. TECs from mice who were Adam9 deficient and exposed to the hypoxia mimetic agent dimethyloxalylglycine failed to cleave the LAP to produce bioactive TGFβ1 from latent TGFβ1. Coculture of TECs from mice who were Adam9 deficient with fibroblasts in the presence of dimethyloxalylglycine and latent TGFβ1 produced decreased amounts of type I collagen and α-smooth muscle actin (SMA) by fibroblasts. MRL/lpr mice who were Adam9 deficient showed reduced interstitial fibrosis. At the translational level, ADAM9 expression in tissues and urine of patients with LN was found to increase.

conclusionHypoxia promotes the expression of ADAM9 by TECs, which is responsible for the development of interstitial fibrosis in patients with LN by enhancing the TGFβ1 activation, which promotes fibroblasts to produce collagen and α-SMA.

Indexed as

ADAM ProteinsEpithelial CellsHypoxiaKidney TubulesLupus NephritisMembrane ProteinsTransforming Growth Factor beta1ActinsAnimalsCell HypoxiaFemaleFibrosisHumansHypoxia-Inducible Factor 1, alpha SubunitMiceMice, Inbred MRL lprActinsADAM9 protein, humanAdam9 protein, mouseADAM ProteinsHypoxia-Inducible Factor 1, alpha SubunitMembrane ProteinsTransforming Growth Factor beta1

Identifiers

PMID39279154
PMCPMC11785507

What Socratic holds

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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.