Evidence mapPaperPMID 40423627Full record

ReviewAmerican journal of physiology. Heart and circulatory physiology2025

Endothelial dysfunction in chronic kidney disease: a clinical perspective.

Monique E Cho, Vienna E Brunt, Yan-Ting Shiu, Kanokwan Bunsawat

Abstract readReview
In one paragraph

Review in American journal of physiology. Heart and circulatory physiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing 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

36 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Review
  6. Observational
  7. International journal of molecular sciences · 2026
    Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. 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

4 authors.

Monique E ChoDivision of Nephrology and Hypertension, Department of Internal Medicine, University of Utah, Salt Lake City, Utah, United States.
Vienna E BruntDivision of Renal Diseases and Hypertension, University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States.ORCID 0000-0002-1941-7936
Yan-Ting ShiuDivision of Nephrology and Hypertension, Department of Internal Medicine, University of Utah, Salt Lake City, Utah, United States.ORCID 0000-0001-5881-8268
Kanokwan BunsawatDivision of Geriatrics, Department of Internal Medicine, University of Utah, Salt Lake City, Utah, United States.ORCID 0000-0002-5950-6634

Funding

BLRD VA I01 BX006078BLRD VA I01 BX006269HHS | NIH | NIDDK | Division of Diabetes, Endocrinology, and Metabolic Diseases (DEM) R01DK129299NHLBI NIH HHS R00 HL151818NIDDK NIH HHS R01 DK129299RRD VA IK2 RX003670U.S. Department of Veterans Affairs (VA) I01BX006078U.S. Department of Veterans Affairs (VA) I01BX006269U.S. Department of Veterans Affairs (VA) IK2RX003670
6 · The paper itself

Abstract

Chronic kidney disease (CKD) is a progressive, multisystemic disorder that augments the risks of cardiovascular (CV) morbidity and mortality as kidney function declines. The endothelium plays a key role in modulating vascular tone, integrity, and homeostasis by producing and releasing a variety of endothelium-derived relaxing factors, including nitric oxide (NO). Endothelial dysfunction is a salient pathogenic mechanism underlying the development and progression of CKD and is characterized by reduced production of vasodilators and increased production of vasoconstrictors (e.g., endothelin-1). Factors such as the uremic milieu, inflammation, and oxidative stress are putative contributors of endothelial dysfunction and reduced NO bioavailability that ultimately impact functional and structural integrity of the vasculature. Because endothelial dysfunction is an independent predictor of CV morbidity and mortality in patients with CKD, several clinical studies have examined disease-related changes in endothelium-dependent vasodilation across the arterial tree. This review will focus on the clinical evidence regarding CKD-associated endothelial dysfunction involving both the micro- and macrovasculature, briefly discussing underlying physiological mechanisms, and summarizing available and emerging pharmacotherapies along with a brief summary of exercise training as a lifestyle intervention.

Indexed as

Cardiovascular DiseasesEndothelium, VascularRenal Insufficiency, ChronicVasodilationAnimalsHumansNitric OxideNitric Oxideendotheliumnitric oxideoxidative stressrenal diseaseuremia

Identifiers

PMID40423627
PMCPMC12180289

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.