Evidence map›Paper›PMID 41862496›Full record

ArticleNature communications2026

An epithelial morphogenetic program for maximal urine concentration.

Jane N Warshaw, Sunhee Oh, Christopher P Chaney, Bryanna L Felan, Jacqueline B Pham, Chitkale Hiremath, Kenya Geshow, Hao Liu, Alejandra M Rivera, Rain Wong and 7 more

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Jane N WarshawDepartment of Cell Biology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Sunhee OhDepartment of Cell Biology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Christopher P ChaneyDepartment of Internal Medicine, Division of Nephrology, University of Texas Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0002-4144-4180
Bryanna L FelanDepartment of Cell Biology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Jacqueline B PhamDepartment of Cell Biology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Chitkale HiremathDepartment of Cell Biology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Kenya GeshowDepartment of Cell Biology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Hao LiuDepartment of Internal Medicine, Division of Nephrology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Alejandra M RiveraDepartment of Cell Biology, University of Texas Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0009-0004-2323-2522
Rain WongDepartment of Cell Biology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Song ZhangDepartment of Health Data Science and Biostatistics, Peter O'Donnell Jr. School of Public Health, University of Texas Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0002-9364-4053
Kevin M DeanLyda Hill Department of Bioinformatics, University of Texas Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0003-0839-2320
Reto P FiolkaLyda Hill Department of Bioinformatics, University of Texas Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0002-4636-5000
Michael T DellingerDepartment of Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Jonathan M WhittamoreThe Charles and Jane Pak Center for Mineral Metabolism and Clinical Research, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Thomas J CarrollDepartment of Internal Medicine, Division of Nephrology, University of Texas Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0002-8322-4928
Denise K MarcianoDepartment of Cell Biology, University of Texas Southwestern Medical Center, Dallas, TX, USA. denise.marciano@utsouthwestern.edu.ORCID http://orcid.org/0000-0003-0612-4664

Funding

UTSW-UNC Center for Cell Signaling AnalysisRM1GM145399 · NIGMS · UT SOUTHWESTERN MEDICAL CENTER · PI Kevin Michael Dean, Klaus M. Hahn · 2022 to 2026
$6.2M
The Role of Nephronectin in Glomerular Development and FunctionR01DK118032 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI MARCIANO, DENISE K · 2018 to 2022
$1.8M
Elucidating novel mechanisms in the pathogenesis of Alport syndromeR01DK141873 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI DENISE K MARCIANO · 2024 to 2026
$1.3M
U.S. Department of Health & Human Services | NIH | National Institute of Diabetes and Digestive and Kidney Diseases (National Institute of Diabetes & Digestive & Kidney Diseases) R01DK118032U.S. Department of Health & Human Services | NIH | National Institute of Diabetes and Digestive and Kidney Diseases (National Institute of Diabetes & Digestive & Kidney Diseases) R01DK141873U.S. Department of Health & Human Services | NIH | National Institute of General Medical Sciences (NIGMS) RM1GM145399
6 · The paper itself

Abstract

Mammals achieve the highest urine concentrations of any vertebrate, a feat that hinges on generating steep osmotic gradients within the renal medulla. Interestingly, the region with the highest osmolality, the inner medulla, is unique to mammals. Among the nephron's segments, the ascending thin limb (aTL) is the sole element exclusive to this zone and is thought to mediate passive salt reabsorption. However, the architecture and functional impact of the aTL have remained obscure. Here we uncover an unexpected morphogenetic program in the aTL, characterized by extensive apical-junctional interdigitations that greatly increase cell-to-cell contact area. Integrating single-nucleus transcriptomics with high-resolution imaging, we identify claudin-10b, a tight junction protein and paracellular cation pore, as a central driver of this architecture. Inducible deletion of claudin-10b specifically in the aTL abolishes membrane interdigitations and markedly reduces urine-concentrating ability, thereby establishing a direct link between segment-specific epithelial morphology and whole-organ function. Claudin-10b proves necessary for interdigitation formation, acting through transcellular adhesion and interaction with the tight-junction scaffold ZO1. These findings offer definitive evidence that the inner medulla and aTL are essential for maximal urinary concentration, while revealing a non-canonical, morphogenetic role for claudin-10b.

Indexed as

ClaudinsEpithelial CellsKidney Concentrating AbilityKidney MedullaLoop of HenleMorphogenesisAnimalsMiceNephronsTight JunctionsZonula Occludens-1 Proteinclaudin 10ClaudinsZonula Occludens-1 Protein

Identifiers

PMID41862496
PMCPMC13168693

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.