Evidence map›Paper›PMID 27590021›Full record

ArticlePediatric nephrology (Berlin, Germany)2017

International validation of a urinary biomarker panel for identification of active lupus nephritis in children.

Eve Mary Dorothy Smith, Andrea Lyn Jorgensen, Angela Midgley, Louise Oni, Beatrice Goilav, Chaim Putterman, Dawn Wahezi, Tamar Rubinstein, Diana Ekdawy, Rachel Corkhill and 6 more

Open access · hybridAbstract readMulticenter StudyValidation Study
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
7.2field-weighted citation impact, top 3% 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

23 citing papers in PubMed, 59 citations in OpenAlex.

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  11. Kidney outcomes for children with lupus nephritis.Pediatric nephrology (Berlin, Germany) · 2021
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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

16 authors at 7 institutions in 2 countries.

Eve Mary Dorothy SmithDepartment of Women's and Children's Health, Institute of Translational Medicine, Institute of Child Health in the Park, Alder Hey Children's Hospital and University of Liverpool, Eaton Road, Liverpool, L12 2AP, UK. esmith8@liverpool.ac.uk.
Andrea Lyn JorgensenDepartment of Biostatistics, Institute of Translational Medicine, University of Liverpool, Liverpool, UK.
Angela MidgleyDepartment of Women's and Children's Health, Institute of Translational Medicine, Institute of Child Health in the Park, Alder Hey Children's Hospital and University of Liverpool, Eaton Road, Liverpool, L12 2AP, UK.
Louise OniDepartment of Women's and Children's Health, Institute of Translational Medicine, Institute of Child Health in the Park, Alder Hey Children's Hospital and University of Liverpool, Eaton Road, Liverpool, L12 2AP, UK.
Beatrice GoilavDivision of Nephrology, Children's Hospital at Montefiore and Albert Einstein College of Medicine, Bronx, NY, USA.
Chaim PuttermanDivision of Rheumatology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA.
Dawn WaheziDivision of Pediatric Rheumatology, Children's Hospital at Montefiore and Albert Einstein College of Medicine, Bronx, NY, USA.
Tamar RubinsteinDivision of Pediatric Rheumatology, Children's Hospital at Montefiore and Albert Einstein College of Medicine, Bronx, NY, USA.
Diana EkdawyDepartment of Women's and Children's Health, Institute of Translational Medicine, Institute of Child Health in the Park, Alder Hey Children's Hospital and University of Liverpool, Eaton Road, Liverpool, L12 2AP, UK.
Rachel CorkhillDepartment of Women's and Children's Health, Institute of Translational Medicine, Institute of Child Health in the Park, Alder Hey Children's Hospital and University of Liverpool, Eaton Road, Liverpool, L12 2AP, UK.
Caroline Ann JonesDepartment of Paediatric Nephrology, Alder Hey Children's NHS Foundation Trust, Liverpool, UK.
Stephen David MarksDepartment of Paediatric Nephrology, Great Ormond Street Hospital, London, UK.
Paul NewlandBiochemistry Department, Alder Hey Children's NHS Foundation Trust, Liverpool, UK.
Clarissa PilkingtonDepartment of Paediatric Rheumatology, Great Ormond Street Hospital, London, UK.
Kjell TullusDepartment of Paediatric Nephrology, Great Ormond Street Hospital, London, UK.
Michael William BeresfordDepartment of Women's and Children's Health, Institute of Translational Medicine, Institute of Child Health in the Park, Alder Hey Children's Hospital and University of Liverpool, Eaton Road, Liverpool, L12 2AP, UK.
Alder Hey Children's Hospital · GBUniversity of Liverpool · GBAlbert Einstein College of Medicine · USAlder Hey Children's NHS Foundation Trust · GBChildren's Hospital at Montefiore · USUniversity College London · GBGreat Ormond Street Hospital · GB

Funding

ExRNA composition in SLE patients and factors influencing exRNP abundance and thU19CA179564 · NCI · ROCKEFELLER UNIVERSITY · PI TUSCHL, THOMAS · 2013 to 2017
$7.1M
Arthritis Research UK 20417Arthritis Research UK 20747Department of HealthMedical Research Council MC_PC_14110Medical Research Council MR/M01665X/1NCI NIH HHS U19 CA179564
6 · The paper itself

Abstract

backgroundConventional markers of juvenile-onset systemic lupus erythematosus (JSLE) disease activity fail to adequately identify lupus nephritis (LN). While individual novel urine biomarkers are good at detecting LN flares, biomarker panels may improve diagnostic accuracy. The aim of this study was to assess the performance of a biomarker panel to identify active LN in two international JSLE cohorts.

methodsNovel urinary biomarkers, namely vascular cell adhesion molecule-1 (VCAM-1), monocyte chemoattractant protein 1 (MCP-1), lipocalin-like prostaglandin D synthase (LPGDS), transferrin (TF), ceruloplasmin, alpha-1-acid glycoprotein (AGP) and neutrophil gelatinase-associated lipocalin (NGAL), were quantified in a cross-sectional study that included participants of the UK JSLE Cohort Study (Cohort 1) and validated within the Einstein Lupus Cohort (Cohort 2). Binary logistic regression modelling and receiver operating characteristic curve analysis [area under the curve (AUC)] were used to identify and assess combinations of biomarkers for diagnostic accuracy.

resultsA total of 91 JSLE patients were recruited across both cohorts, of whom 31 (34 %) had active LN and 60 (66 %) had no LN. Urinary AGP, ceruloplasmin, VCAM-1, MCP-1 and LPGDS levels were significantly higher in those patients with active LN than in non-LN patients [all corrected p values (p

conclusionIn two international JSLE cohorts, urinary AGP, ceruloplasmin, LPGDS and TF demonstrate an 'excellent' ability for accurately identifying active LN in children.

Indexed as

AdolescentBiomarkersCeruloplasminChemokine CCL2ChildCross-Sectional StudiesEnglandEnzyme-Linked Immunosorbent AssayFemaleHumansIntramolecular OxidoreductasesLipocalin-2LipocalinsLogistic ModelsLupus NephritisMaleBiomarkersCeruloplasminChemokine CCL2Intramolecular OxidoreductasesLipocalin-2LipocalinsOrosomucoidprostaglandin R2 D-isomeraseVascular Cell Adhesion Molecule-1BILAGGlomerulonephritisLupus nephritisSystemic lupus erythematosusUrine biomarkers

Identifiers

PMID27590021
PMCPMC5203828
OpenAlexW2508177203

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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.