Evidence map›Paper›PMID 22135313›Full record

ArticleJournal of the American Society of Nephrology : JASN2012

APOL1 risk variants predict histopathology and progression to ESRD in HIV-related kidney disease.

Derek M Fine, Walter G Wasser, Michelle M Estrella, Mohamed G Atta, Michael Kuperman, Revital Shemer, Arun Rajasekaran, Shay Tzur, Lorraine C Racusen, Karl Skorecki

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 3 pooled it
4.4field-weighted citation impact, top 5% 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

73 citing papers in PubMed, 3 syntheses or guidelines pooled it, 120 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Kidney international reports · 2026
    Article
  5. Review
  6. Review
  7. Review
  8. The New England journal of medicine · 2025
    Article
  9. Review
  10. The metabolic effects of APOL1 in humans.Pflugers Archiv : European journal of physiology · 2023
    Review
  11. Article
  12. Updates on HIV and Kidney Disease.Current HIV/AIDS reports · 2023
    Review
  13. Article
  14. Review
  15. Genetic Variants ofKidney international reports · 2022
    Article
  16. Kidney international reports · 2022
    Article
  17. Review
  18. Article
  19. Article
  20. Article

13 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

10 authors at 5 institutions in 3 countries.

Derek M FineDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA. dfine1@jhmi.edu
Walter G Wasser
Michelle M Estrella
Mohamed G Atta
Michael Kuperman
Revital Shemer
Arun Rajasekaran
Shay Tzur
Lorraine C Racusen
Karl Skorecki
Johns Hopkins University · USRappaport Family Institute for Research in the Medical Sciences · ILHadassah Medical Center · ILKasturba Medical College, Manipal · INRambam Health Care Campus · IL

Funding

Burden of Chronic Kidney Disease in HIV InfectionK23DK081317 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI ESTRELLA, MICHELLE M · 2009 to 2013
$835k
NIDDK NIH HHS 1K23DK081317NIDDK NIH HHS K23 DK081317
6 · The paper itself

Abstract

With earlier institution of antiretroviral therapy, kidney diseases other than HIV-associated nephropathy (HIVAN) predominate in HIV-infected persons. Outcomes for these diseases are typically worse among those infected with HIV, but the reasons for this are not clear. Here, we examined the role of APOL1 risk variants in predicting renal histopathology and progression to ESRD in 98 HIV-infected African Americans with non-HIVAN kidney disease on biopsy. We used survival analysis to determine time to ESRD associated with APOL1 genotype. Among the 29 patients with two APOL1 risk alleles, the majority (76%) had FSGS and 10% had hypertensive nephrosclerosis. In contrast, among the 54 patients with one APOL1 risk allele, 47% had immune-complex GN as the predominant lesion and only 23% had FSGS. Among the 25 patients with no APOL1 risk allele, 40% had immune-complex GN and 12% had FSGS. In 310 person-years of observation, 29 patients progressed to ESRD. In adjusted analyses, individuals with two APOL1 risk alleles had a nearly three-fold higher risk for ESRD compared with those with one or zero risk alleles (P=0.03). In summary, these data demonstrate an association between APOL1 variants and renal outcomes in non-HIVAN kidney disease, suggesting a possible use for APOL1 genotyping to help guide the care of HIV-infected patients.

Indexed as

AdultAIDS-Associated NephropathyAllelesApolipoprotein L1ApolipoproteinsDisease ProgressionFemaleHumansKidneyKidney Failure, ChronicLipoproteins, HDLMaleMiddle AgedRiskAPOL1 protein, humanApolipoprotein L1ApolipoproteinsLipoproteins, HDL

Identifiers

PMID22135313
PMCPMC3269183
OpenAlexW2148951685

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.