Evidence map›Paper›PMID 18836458›Full record

ArticleNature medicine2008

Molecular mimicry in pauci-immune focal necrotizing glomerulonephritis.

Renate Kain, Markus Exner, Ricarda Brandes, Reinhard Ziebermayr, Dawn Cunningham, Carol A Alderson, Agnes Davidovits, Ingrid Raab, Renate Jahn, Oliver Ashour and 6 more

Open access · greenAbstract read
In one paragraph

Article in Nature medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 168 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
168citing papers in PubMed, 3 pooled it
31.3field-weighted citation impact, top 1% 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

168 citing papers in PubMed, 3 syntheses or guidelines pooled it, 456 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Targeting B Cells and Plasma Cells in Glomerular Disease.Journal of the American Society of Nephrology : JASN · 2025
    Review
  7. Article
  8. Autoantibodies in the Pathogenesis of Podocytopathies.Journal of the American Society of Nephrology : JASN · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 4 countries.

Renate KainDepartment of Pathology, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Wien, Austria. renate.kain@meduniwien.ac.at
Markus Exner
Ricarda Brandes
Reinhard Ziebermayr
Dawn Cunningham
Carol A Alderson
Agnes Davidovits
Ingrid Raab
Renate Jahn
Oliver Ashour
Susanne Spitzauer
Gere Sunder-Plassmann
Minoru Fukuda
Per Klemm
Andrew J Rees
Dontscho Kerjaschki
Medical University of Vienna · ATUniversity of Aberdeen · GBSanford Burnham Prebys Medical Discovery Institute · USTechnical University of Denmark · DK

Funding

Polylactosamines in Development and CancerR01CA048737 · NCI · SANFORD BURNHAM PREBYS MEDICAL DISCOVERY INSTITUTE · PI FUKUDA, MINORU · 1989 to 2007
$3.1M
NCI NIH HHS R01 CA048737NCI NIH HHS R01CA48737
6 · The paper itself

Abstract

Pauci-immune focal necrotizing glomerulonephritis (FNGN) is a severe inflammatory disease associated with autoantibodies to neutrophil cytoplasmic antigens (ANCA). Here we characterize autoantibodies to lysosomal membrane protein-2 (LAMP-2) and show that they are a new ANCA subtype present in almost all individuals with FNGN. Consequently, its prevalence is nearly twice that of the classical ANCAs that recognize myeloperoxidase or proteinase-3. Furthermore, antibodies to LAMP-2 cause pauci-immune FNGN when injected into rats, and a monoclonal antibody to human LAMP-2 (H4B4) induces apoptosis of human microvascular endothelium in vitro. The autoantibodies in individuals with pauci-immune FNGN commonly recognize a human LAMP-2 epitope (designated P(41-49)) with 100% homology to the bacterial adhesin FimH, with which they cross-react. Rats immunized with FimH develop pauci-immune FNGN and also develop antibodies to rat and human LAMP-2. Finally, we show that infections with fimbriated pathogens are common before the onset of FNGN. Thus, FimH-triggered autoimmunity to LAMP-2 provides a previously undescribed clinically relevant molecular mechanism for the development of pauci-immune FNGN.

Indexed as

Adhesins, Escherichia coliAmino Acid SequenceAnimalsAntibodies, Antineutrophil CytoplasmicAutoantibodiesEnzyme-Linked Immunosorbent AssayEpitopesFimbriae ProteinsGlomerulonephritisGram-Negative Bacterial InfectionsHumansImmunizationImmunoglobulin GLysosomal-Associated Membrane Protein 2Lysosomal Membrane ProteinsMolecular Sequence DataAdhesins, Escherichia coliAntibodies, Antineutrophil CytoplasmicAutoantibodiesEpitopesFimbriae ProteinsfimH protein, E coliImmunoglobulin GLAMP2 protein, humanLysosomal-Associated Membrane Protein 2Lysosomal Membrane Proteins

Identifiers

PMID18836458
PMCPMC2751601
OpenAlexW2167369293

What OpenQuestion holds

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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.