Evidence map›Paper›PMID 24489644›Full record

ArticlePloS one2014

Periodontal disease bacteria specific to tonsil in IgA nephropathy patients predicts the remission by the treatment.

Yasuyuki Nagasawa, Kenichiro Iio, Shinji Fukuda, Yasuhiro Date, Hirotsugu Iwatani, Ryohei Yamamoto, Arata Horii, Hidenori Inohara, Enyu Imai, Takeshi Nakanishi and 3 more

Abstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
–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

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Review
  5. Review
  6. Renal failure · 2025
    Article
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  8. Article
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  13. [Research Progress in the Correlation Between Oral Microbiota and Chronic Kidney Disease].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2023
    Review
  14. Review
  15. Relationship between IgA Nephropathy andInternational journal of molecular sciences · 2021
    Article
  16. Article
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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

13 authors.

Yasuyuki NagasawaDepartment of Geriatric Medicine and Nephrology, Osaka University, Graduate School of Medicine, Yamada-oka, Suita, Osaka, Japan ; Division of Kidney and Dialysis, Department of Internal Medicine, Hyogo College of Medicine, Mukogawa-Cho, Nishinomiya, Japan.
Kenichiro IioDepartment of Geriatric Medicine and Nephrology, Osaka University, Graduate School of Medicine, Yamada-oka, Suita, Osaka, Japan.
Shinji FukudaLaboratory for Epithelial Immunobiology, RIKEN Research Center for Allergy and Immunology, Suehiro-cho, Tsurumi-ku, Yokohama, Kanagawa, Japan ; Graduate School of Nanobioscience, Yokohama City University, Suehiro-cho, Tsurumi-ku, Yokohama, Kanagawa, Japan ; Institute for Advanced Biosciences, Keio University, Mizukami, Kakuganji, Tsuruoka, Yamagata, Japan.
Yasuhiro DateLaboratory for Epithelial Immunobiology, RIKEN Research Center for Allergy and Immunology, Suehiro-cho, Tsurumi-ku, Yokohama, Kanagawa, Japan ; Department of Life Science and Medical Bioscience, Waseda University, Wakamatsu-cho, Shinjuku-ku, Tokyo, Japan.
Hirotsugu IwataniDepartment of Geriatric Medicine and Nephrology, Osaka University, Graduate School of Medicine, Yamada-oka, Suita, Osaka, Japan.
Ryohei YamamotoDepartment of Geriatric Medicine and Nephrology, Osaka University, Graduate School of Medicine, Yamada-oka, Suita, Osaka, Japan.
Arata HoriiDepartment of Otolaryngology, Osaka University, Graduate School of Medicine, Yamada-oka, Suita, Osaka, Japan.
Hidenori InoharaDepartment of Otolaryngology, Osaka University, Graduate School of Medicine, Yamada-oka, Suita, Osaka, Japan.
Enyu ImaiDepartment of Geriatric Medicine and Nephrology, Osaka University, Graduate School of Medicine, Yamada-oka, Suita, Osaka, Japan.
Takeshi NakanishiDivision of Kidney and Dialysis, Department of Internal Medicine, Hyogo College of Medicine, Mukogawa-Cho, Nishinomiya, Japan.
Hiroshi OhnoLaboratory for Epithelial Immunobiology, RIKEN Research Center for Allergy and Immunology, Suehiro-cho, Tsurumi-ku, Yokohama, Kanagawa, Japan ; Graduate School of Nanobioscience, Yokohama City University, Suehiro-cho, Tsurumi-ku, Yokohama, Kanagawa, Japan.
Hiromi RakugiDepartment of Geriatric Medicine and Nephrology, Osaka University, Graduate School of Medicine, Yamada-oka, Suita, Osaka, Japan.
Yoshitaka IsakaDepartment of Geriatric Medicine and Nephrology, Osaka University, Graduate School of Medicine, Yamada-oka, Suita, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmunoglobulin (Ig)A nephropathy (IgAN) is the most common form of primary glomerulonephritis in the world. Some bacteria were reported to be the candidate of the antigen or the pathogenesis of IgAN, but systematic analysis of bacterial flora in tonsil with IgAN has not been reported. Moreover, these bacteria specific to IgAN might be candidate for the indicator which can predict the remission of IgAN treated by the combination of tonsillectomy and steroid pulse. METHODS AND

findingsWe made a comprehensive analysis of tonsil flora in 68 IgAN patients and 28 control patients using Denaturing gradient gel electrophoresis methods. We also analyzed the relationship between several bacteria specific to the IgAN and the prognosis of the IgAN. Treponema sp. were identified in 24% IgAN patients, while in 7% control patients (P = 0.062). Haemophilus segnis were detected in 53% IgAN patients, while in 25% control patients (P = 0.012). Campylobacter rectus were identified in 49% IgAN patients, while in 14% control patients (P = 0.002). Multiple Cox proportional-hazards model revealed that Treponema sp. or Campylobactor rectus are significant for the remission of proteinuria (Hazard ratio 2.35, p = 0.019). There was significant difference in remission rates between IgAN patients with Treponema sp. and those without the bacterium (p = 0.046), and in remission rates between IgAN patients with Campylobacter rectus and those without the bacterium (p = 0.037) by Kaplan-Meier analysis. Those bacteria are well known to be related with the periodontal disease. Periodontal bacteria has known to cause immune reaction and many diseases, and also might cause IgA nephropathy.

conclusionThis insight into IgAN might be useful for diagnosis of the IgAN patients and the decision of treatment of IgAN.

Indexed as

AdultAggregatibacter segnisCampylobacter rectusFemaleGlomerulonephritis, IGAHumansKaplan-Meier EstimateMaleMiddle AgedPalatine TonsilPeriodontal DiseasesProportional Hazards ModelsSteroidsTreponemaSteroids

Identifiers

PMID24489644
PMCPMC3904818

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Registered trials

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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.