Evidence map›Paper›PMID 42196315›Full record

ReviewInternational journal of molecular sciences2026

Endothelial Glycocalyx in Kidney Transplantation: Molecular Mechanisms, Biomarkers, and Therapeutic Opportunities.

Pavel Navratil, Minh Nguyet Tranova, Adam Haluska, Michal Lesko, Igor Gunka, David Astapenko

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 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

6 authors.

Pavel NavratilDepartment of Urology, University Hospital Hradec Kralove, 500 05 Hradec Kralove, Czech Republic.ORCID 0000-0002-0705-017X
Minh Nguyet TranovaDepartment of Urology, University Hospital Hradec Kralove, 500 05 Hradec Kralove, Czech Republic.
Adam HaluskaFaculty of Medicine in Hradec Kralove, Charles University, 500 03 Hradec Kralove, Czech Republic.
Michal LeskoFaculty of Medicine in Hradec Kralove, Charles University, 500 03 Hradec Kralove, Czech Republic.
Igor GunkaFaculty of Medicine in Hradec Kralove, Charles University, 500 03 Hradec Kralove, Czech Republic.
David AstapenkoFaculty of Medicine in Hradec Kralove, Charles University, 500 03 Hradec Kralove, Czech Republic.ORCID 0000-0003-1715-0091

Funding

Charles University COOPERATIO, research area SURGMinistry of Health UHHK, 00179906
6 · The paper itself

Abstract

The endothelial glycocalyx (EG) is a dynamic endothelial surface layer composed of proteoglycans, glycosaminoglycans, glycoproteins, and adsorbed plasma proteins that regulates permeability, mechanotransduction, leukocyte trafficking, coagulation, and nitric oxide signaling. In kidney transplantation (KT), the EG is exposed to cumulative injury from recipient uremia, donor instability, preservation, machine perfusion, reperfusion, rejection, and immunosuppressive toxicity. This narrative review summarizes EG biology in KT, with emphasis on biomolecular findings relevant to ischemia-reperfusion injury, delayed graft function, rejection, and chronic allograft injury. Particular attention is given to syndecan-1, heparan sulfate, heparanase, soluble thrombomodulin, matrix metalloproteinases, angiopoietin-2/Tie2 signaling, selectins, miR-126, extracellular vesicles, and urinary or perfusate-derived readouts. Current evidence is biologically coherent but uneven: human data are largely observational, whereas many therapeutic concepts remain preclinical or exploratory. Glycocalyx-centered phenotyping may eventually improve risk stratification and trial enrichment, but clinical implementation will require standardized sampling, sample-source-aware biomarker panels, prospective validation, and clear separation between mechanistic plausibility and proven clinical utility.

Indexed as

BiomarkersGlycocalyxKidney TransplantationAngiopoietin-2AnimalsDelayed Graft FunctionExtracellular VesiclesGlucuronidaseGraft RejectionHeparanaseHeparan SulfateHumansMicroRNAsReperfusion InjurySyndecan-1ThrombomodulinAngiopoietin-2BiomarkersGlucuronidaseHeparanaseHeparan SulfateMicroRNAsSyndecan-1Thrombomodulinangiopoietin-2endothelial glycocalyxextracellular vesiclesheparanaseischemia–reperfusion injurykidney transplantationmachine perfusionmiR-126syndecan-1thrombomodulin

Identifiers

PMID42196315
PMCPMC13206947

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.