Evidence map›Paper›PMID 25857295›Full record

Trial reportJournal of nephrology2015

Interfering parameters in the determination of urinary globotriaosylceramide (Gb3) in patients with chronic kidney disease.

Martina Gaggl, Marlene Hofer, Stefanie Weidner, Julia Kleinert, Günter Fauler, Manfred Wallner, Peter Kotanko, Eduard Paschke, Gere Sunder-Plassmann

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Journal of nephrology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Article
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

9 authors at 5 institutions in 2 countries.

Martina GagglDepartment of Medicine III, Division of Nephrology and Dialysis, Medical University Vienna, Vienna, Austria. martina.gaggl@meduniwien.ac.at.
Marlene HoferDepartment of Medicine III, Division of Nephrology and Dialysis, Medical University Vienna, Vienna, Austria.
Stefanie WeidnerDepartment of Medicine III, Division of Nephrology and Dialysis, Medical University Vienna, Vienna, Austria.
Julia KleinertDepartment of Medicine III, Division of Nephrology and Dialysis, Medical University Vienna, Vienna, Austria.
Günter FaulerClinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University Graz, Graz, Austria.
Manfred WallnerDepartment of Internal Medicine IV, Section of Nephrology, Klinikum Wels-Grieskirchen, Wels, Austria.
Peter KotankoRenal Research Institute, New York, NY, USA.
Eduard PaschkeDepartment of Pediatrics, Medical University Graz, Graz, Austria.
Gere Sunder-PlassmannDepartment of Medicine III, Division of Nephrology and Dialysis, Medical University Vienna, Vienna, Austria.
Medical University of Vienna · ATKlinikum Wels-Grieskirchen · ATMedical University of Graz · ATRenal Research Institute · USUniversity of Graz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGlobotriaosylceramide (Gb3, CD77) represents a pivotal part of the cell membrane. Measuring the urinary Gb3 content can be used to screen patients with chronic kidney disease (CKD) for Fabry disease, a disorder caused by hampered Gb3 degradation. However, little is known about factors influencing urinary Gb3 excretion other than Fabry disease. The aim of the present study was to identify routine diagnostic parameters as predictors of urinary Gb3 excretion in patients with CKD.

methodsOur study included 609 subjects with CKD stage I-V. We analyzed the influence of age, gender, renal function, urinary cell content and chemical characteristics on urinary Gb3 concentrations (total Gb3, Gb3-24 isoform, and Gb3-24:18 isoform ratio), determined by direct electrospray ionization mass spectrometry.

resultsIn 609 subjects the median total urinary Gb3 was 233 ng/mg and the Gb3-24:18 isoform ratio was 1.2. Twenty-one patients, none of whom had Fabry disease, had a Gb3-24:18 isoform ratio ≥2.3. Females excreted a higher total amount of Gb3, but the Gb3-24:18 isoform ratio was comparable to males. Renal function and age had no influence on total Gb3, Gb3 isoforms or the ratio. Only a distinct load of bacteria and leukocytes was associated with an increased Gb3 excretion. Urinary leukocytes, erythrocytes, bacteria, or protein content did not affect the Gb3-24:18 isoform ratio.

conclusionThe Gb3-24:18 isoform ratio is unaffected by several potential influencing variables and may thus be applied for screening for Fabry disease in unselected cohorts of patients presenting with CKD.

Indexed as

Bacterial LoadAdultAgedAge FactorsBiomarkersCreatinineFabry DiseaseFemaleHematuriaHumansLeukocytesMaleMiddle AgedNail-Patella SyndromeNephritis, HereditaryProtein IsoformsBiomarkersCreatinineglobotriaosylceramideProtein IsoformsTrihexosylceramidesChronic kidney diseaseFabry diseaseGlobotriaosylceramideLysosomal storage disorder

Identifiers

PMID25857295
OpenAlexW2061219794

What OpenQuestion holds

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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.