Evidence map›Paper›PMID 17675665›Full record

ReviewJournal of the American Society of Nephrology : JASN2007

New approaches to the treatment of dense deposit disease.

Richard J H Smith, Jessy Alexander, Paul N Barlow, Marina Botto, Thomas L Cassavant, H Terence Cook, Santiago Rodriguez de Córdoba, Gregory S Hageman, T Sakari Jokiranta, William J Kimberling and 19 more

Open access · greenAbstract readReview
In one paragraph

Review in Journal of the American Society of Nephrology : JASN, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 125 papers.

0numbers the graph read from it
0cells of the map it votes in
125citing papers in PubMed
7.3field-weighted citation impact, top 2% of its field
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

125 citing papers in PubMed, 229 citations in OpenAlex.

  1. Glycosaminoglycans and Their Role in Capillary Walls.Advances in experimental medicine and biology · 2026
    Review
  2. Article
  3. Observational
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Clinical and pathological features of 52 patients with glomerulonephritis with dominant C3.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
    Article
  11. The role of complement in kidney disease.Nature reviews. Nephrology · 2023
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Complement: The Road Less Traveled.Journal of immunology (Baltimore, Md. : 1950) · 2023
    Review
  17. Review
  18. Review
  19. Article
  20. Article

65 more citing papers are in PubMed but not listed here.

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

29 authors at 4 institutions in 7 countries.

Richard J H SmithDepartment of Internal Medicine and Otolaryngology, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA. richard-smith@uiowa.edu
Jessy Alexander
Paul N Barlow
Marina Botto
Thomas L Cassavant
H Terence Cook
Santiago Rodriguez de Córdoba
Gregory S Hageman
T Sakari Jokiranta
William J Kimberling
John D Lambris
Lynne D Lanning
Vicki Levidiotis
Christoph Licht
Hans U Lutz
Seppo Meri
Matthew C Pickering
Richard J Quigg
Angelique L Rops
David J Salant
Sanjeev Sethi
Joshua M Thurman
Hope F Tully
Sean P Tully
Johan van der Vlag
Patrick D Walker
Reinhard Würzner
Peter F Zipfel
Dense Deposit Disease Focus Group
Boston University · USUniversity of Helsinki · FIUniversity of Iowa · USInnsbruck Medical University · AT

Funding

Development of Complement Modulating Therapeutics for AMDR24EY017404 · NEI · UNIVERSITY OF UTAH · PI HAGEMAN, GREGORY S · 2006 to 2010
$14.8M
AGE-RELATED MACULOPATHY: CELLULAR AND MOLECULAR ANALYSESR01EY011515 · NEI · UNIVERSITY OF IOWA · PI HAGEMAN, GREGORY S · 1996 to 2005
$3.2M
Hinxton Retreat Workshop on Membranoproliferative Glomerulonephritis Type IIR13DK077416 · NIDDK · UNIVERSITY OF IOWA · PI SMITH, RICHARD J. H. · 2006 to 2006
$10k
Medical Research Council G0001089NEI NIH HHS R01 EY011515NEI NIH HHS R24 EY017404NIDDK NIH HHS R13 DK077416NIDDK NIH HHS R13 DK077416-01Wellcome Trust
6 · The paper itself

Abstract

The development of clinical treatment protocols usually relies on evidence-based guidelines that focus on randomized, controlled trials. For rare renal diseases, such stringent requirements can represent a significant challenge. Dense deposit disease (DDD; also known as membranoproliferative glomerulonephritis type II) is a prototypical rare disease. It affects only two to three people per million and leads to renal failure within 10 yr in 50% of affected children. On the basis of pathophysiology, this article presents a diagnostic and treatment algorithm for patients with DDD. Diagnostic tests should assess the alternative pathway of complement for abnormalities. Treatment options include aggressive BP control and reduction of proteinuria, and on the basis of pathophysiology, animal data, and human studies, plasma infusion or exchange, rituximab, sulodexide, and eculizumab are additional options. Criteria for treatment success should be prevention of progression as determined by maintenance or improvement in renal function. A secondary criterion should be normalization of activity levels of the alternative complement pathway as measured by C3/C3d ratios and C3NeF levels. Outcomes should be reported to a central repository that is now accessible to all clinicians. As the understanding of DDD increases, novel therapies should be integrated into existing protocols for DDD and evaluated using an open-label Bayesian study design.

Indexed as

AnimalsComplement Pathway, AlternativeDisease Models, AnimalDisease ProgressionGlomerulonephritis, MembranoproliferativeHumansKidney

Identifiers

PMID17675665
PMCPMC4853920
OpenAlexW2145540059

What OpenQuestion 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 OpenQuestion graph.