Evidence map›Paper›PMID 26185203›Full record

ReviewJournal of the American Society of Nephrology : JASN2015

Kidney Disease Caused by Dysregulation of the Complement Alternative Pathway: An Etiologic Approach.

An S De Vriese, Sanjeev Sethi, Jens Van Praet, Karl A Nath, Fernando C Fervenza

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of the American Society of Nephrology : JASN, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% 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

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 84 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Complement Profiling in Glomerular Disease: Insights from Laser Microdissection and Mass Spectrometry.Clinical journal of the American Society of Nephrology : CJASN · 2026
    Review
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  8. Article
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  10. Article
  11. Article
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  16. Article
  17. A rare cause of postinfectious glomerulonephritis: Answers.Pediatric nephrology (Berlin, Germany) · 2021
    Article
  18. Review
  19. Review
  20. 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

5 authors at 2 institutions in 2 countries.

An S De VrieseDivision of Nephrology, AZ Sint-Jan Brugge-Oostende AV, Brugge, Belgium; and an.devriese@azsintjan.be.
Sanjeev SethiDivisions of Anatomic Pathology and.
Jens Van PraetDivision of Nephrology, AZ Sint-Jan Brugge-Oostende AV, Brugge, Belgium; and.
Karl A NathNephrology and Hypertension, Mayo Clinic College of Medicine, Rochester, Minnesota.
Fernando C FervenzaNephrology and Hypertension, Mayo Clinic College of Medicine, Rochester, Minnesota.
AZ Sint-Jan · BEMayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Kidney diseases caused by genetic or acquired dysregulation of the complement alternative pathway (AP) are traditionally classified on the basis of clinical presentation (atypical hemolytic uremic syndrome as thrombotic microangiopathy), biopsy appearance (dense deposit disease and C3 GN), or clinical course (atypical postinfectious GN). Each is characterized by an inappropriate activation of the AP, eventuating in renal damage. The clinical diversity of these disorders highlights important differences in the triggers, the sites and intensity of involvement, and the outcome of the AP dysregulation. Nevertheless, we contend that these diseases should be grouped as disorders of the AP and classified on an etiologic basis. In this review, we define different pathophysiologic categories of AP dysfunction. The precise identification of the underlying abnormality is the key to predict the response to immune suppression, plasma infusion, and complement-inhibitory drugs and the outcome after transplantation. In a patient with presumed dysregulation of the AP, the collaboration of the clinician, the renal pathologist, and the biochemical and genetic laboratory is very much encouraged, because this enables the elucidation of both the underlying pathogenesis and the optimal therapeutic approach.

Indexed as

AnimalsAutoantibodiesComplement C3b Inactivator ProteinsComplement C3-C5 ConvertasesComplement Factor HComplement Pathway, AlternativeGlomerulonephritis, MembranoproliferativeHereditary Complement Deficiency DiseasesHumansKidney DiseasesAutoantibodiesComplement C3b Inactivator ProteinsComplement C3-C5 ConvertasesComplement Factor HcomplementGNhemolytic uremic syndrome

Identifiers

PMID26185203
PMCPMC4657846
OpenAlexW2135358108

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.