Evidence mapPaperPMID 41272309Full record

ReviewNature reviews. Nephrology2026

The glomerular endothelial glycocalyx as a therapeutic target in proteinuric kidney disease.

Monica Gamez, Raina D Ramnath, Matthew J Butler, Rebecca R Foster, Simon C Satchell

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. 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

5 authors.

Monica GamezBristol Renal, Bristol Medical School, University of Bristol, Bristol, UK.
Raina D RamnathBristol Renal, Bristol Medical School, University of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0001-8472-5081
Matthew J ButlerBristol Renal, Bristol Medical School, University of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0002-9814-8008
Rebecca R FosterBristol Renal, Bristol Medical School, University of Bristol, Bristol, UK.
Simon C SatchellBristol Renal, Bristol Medical School, University of Bristol, Bristol, UK. s.c.satchell@bristol.ac.uk.ORCID http://orcid.org/0000-0001-5276-4537

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endothelial glycocalyx lines every blood vessel throughout the body, and has key roles in vascular biology, including vascular permeability and inflammation. Accumulated evidence from the past 15 years shows that the glomerular endothelial glycocalyx is a vital component of the glomerular filtration barrier, which limits the filtration of macromolecules such as albumin. However, the contribution of endothelial glycocalyx to the pathogenesis of proteinuria and its potential as a therapeutic target have not been fully explored. Experimental disruption of the glomerular endothelial glycocalyx increases glomerular albumin permeability, and loss of endothelial glycocalyx integrity has been observed in diseases that compromise the glomerular filtration barrier, including diabetic kidney disease and other glomerular diseases. Strategies to protect the endothelial glycocalyx have successfully reduced proteinuria in animal models of proteinuric kidney disease, indicating that therapeutic modification of the endothelial glycocalyx can achieve important functional benefits. Moreover, drugs with recognized roles in renal medicine (for example, mineralocorticoid receptor antagonists) reduce albuminuria at least in part by protecting the endothelial glycocalyx. Recognition of the glomerular endothelial glycocalyx as a therapeutic target could aid the development of drugs that specifically target the endothelial glycocalyx with potentially greater benefits than those that do so incidentally.

Indexed as

GlycocalyxKidney DiseasesKidney GlomerulusProteinuriaAnimalsGlomerular Filtration BarrierHumans

Identifiers

What Socratic holds

Textmetadata
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.