Evidence map›Paper›PMID 19189134›Full record

ArticlePediatric nephrology (Berlin, Germany)2009

Minimal change nephrotic syndrome associated with immune dysregulation, polyendocrinopathy, enteropathy, X-linked syndrome.

Yuya Hashimura, Kandai Nozu, Hirokazu Kanegane, Toshio Miyawaki, Akira Hayakawa, Norishige Yoshikawa, Koichi Nakanishi, Minoru Takemoto, Kazumoto Iijima, Masafumi Matsuo

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In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing 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

45 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Trends in pediatric nephrotic syndrome.World journal of nephrology · 2021
    Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Podocytopathies.Nature reviews. Disease primers · 2020
    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

10 authors.

Yuya HashimuraDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Kandai Nozu
Hirokazu Kanegane
Toshio Miyawaki
Akira Hayakawa
Norishige Yoshikawa
Koichi Nakanishi
Minoru Takemoto
Kazumoto Iijima
Masafumi Matsuo

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several studies have suggested that T cell-producing permeability factors might lead to proteinuria in minimal change nephrotic syndrome (MCNS). However, it is still unclear whether T-cell abnormalities cause MCNS. Immune dysregulation, polyendocrinopathy, enteropathy, X-linked (IPEX) syndrome is a rare disorder of the immune regulation system, which leads to severe autoimmune phenomena including autoimmune enteropathy, atopic dermatitis with high levels of serum immunoglobulin E (IgE), type 1 diabetes mellitus (T1DM), and severe infection such as sepsis, which frequently result in death within the first 2 years of life. This disease is caused by mutations in the FOXP3 gene that result in the defective development of regulatory T (Treg) cells. This report describes a 5-year-old boy with IPEX syndrome with a 3 bp deletion in the FOXP3 gene (c.748-750delAAG, p.250K.del) and a paucity of CD4(+) CD25(+) FOXP3(+) T cells. The boy's condition was complicated by MCNS in addition to many IPEX-related manifestations, such as atopic dermatitis, T1DM, enteropathy, sepsis and hemolytic anemia. This is the first report of IPEX syndrome complicated by MCNS, and our findings imply that Treg cell dysfunction may be crucial for the development of MCNS.

Indexed as

Genetic Diseases, X-LinkedPolyendocrinopathies, AutoimmuneProtein-Losing EnteropathiesCD4-Positive T-LymphocytesChild, PreschoolCyclosporineDNAForkhead Transcription FactorsGene DeletionHumansImmunosuppressive AgentsInterleukin-2 Receptor alpha SubunitMaleMethylprednisoloneNephrotic SyndromeSecondary PreventionCyclosporineDNAForkhead Transcription FactorsFOXP3 protein, humanImmunosuppressive AgentsInterleukin-2 Receptor alpha SubunitMethylprednisolone

Identifiers

What OpenQuestion holds

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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.