Evidence map›Paper›PMID 27973968›Full record

ArticleScandinavian journal of rheumatology2017

Serum soluble tumour necrosis factor receptor-2 (sTNFR2) as a biomarker of kidney tissue damage and long-term renal outcome in lupus nephritis.

I Parodis, H Ding, A Zickert, L Arnaud, A Larsson, E Svenungsson, C Mohan, I Gunnarsson

Open access · greenAbstract read
In one paragraph

Article in Scandinavian journal of rheumatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 16% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Biomarkers of Lupus Nephritis Histopathology: Where Do We Stand?Arthritis & rheumatology (Hoboken, N.J.) · 2026
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Lupus Nephritis from Pathogenesis to New Therapies: An Update.International journal of molecular sciences · 2024
    Review
  6. Lupus Nephritis Biomarkers: A Critical Review.International journal of molecular sciences · 2024
    Review
  7. Article
  8. Review
  9. Searching for a prognostic index in lupus nephritis.European journal of medical research · 2023
    Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. 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

8 authors at 3 institutions in 2 countries.

I Parodisa Department of Medicine, Rheumatology Unit, Karolinska Institutet , Karolinska University Hospital , Stockholm , Sweden.ORCID http://orcid.org/0000-0002-4875-5395
H Dingb Department of Biomedical Engineering , University of Houston , Houston , Texas , USA.
A Zickerta Department of Medicine, Rheumatology Unit, Karolinska Institutet , Karolinska University Hospital , Stockholm , Sweden.
L Arnauda Department of Medicine, Rheumatology Unit, Karolinska Institutet , Karolinska University Hospital , Stockholm , Sweden.
A Larssonc Department of Medical Sciences/Clinical Chemistry , Uppsala University , Uppsala , Sweden .
E Svenungssona Department of Medicine, Rheumatology Unit, Karolinska Institutet , Karolinska University Hospital , Stockholm , Sweden.
C Mohanb Department of Biomedical Engineering , University of Houston , Houston , Texas , USA.
I Gunnarssona Department of Medicine, Rheumatology Unit, Karolinska Institutet , Karolinska University Hospital , Stockholm , Sweden.
Karolinska University Hospital · SEUniversity of Houston · USUppsala University · SE

Funding

Foreboding Lupus Nephritis in Minority WomanR01DK081872 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI MOHAN, CHANDRA · 2009 to 2013
$2.4M
NIDDK NIH HHS R01 DK081872
6 · The paper itself

Abstract

objectivesWe investigated the performance of soluble tumour necrosis factor receptor-2 (sTNFR2) as a biomarker of renal activity, damage, treatment response, and long-term outcome in lupus nephritis (LN).

methodSerum sTNFR2 levels were assessed in 64 LN patients (52 proliferative, 12 membranous) before and after induction treatment, and in 314 non-lupus controls. In LN patients, renal biopsies were performed at baseline and post-treatment. Patients with ≥ 50% reduced proteinuria, normal or improved estimated glomerular filtration rate (eGFR) by ≥ 25%, and inactive urinary sediment were considered clinical responders (CRs). Patients with ≥ 50% improved renal activity index were considered histopathological responders (HRs). Long-term renal outcome was determined using the chronic kidney disease (CKD) stage after a median follow-up of 11.3 years.

resultssTNFR2 levels were elevated in LN patients versus controls both at baseline (p < 0.001) and post-treatment (p < 0.001), and decreased following treatment (p < 0.001). Baseline sTNFR2 correlated with Chronicity Index scores in both baseline (r = 0.34, p = 0.006) and post-treatment (r = 0.43, p < 0.001) biopsies. In membranous LN, baseline sTNFR2 levels were higher in CRs (p = 0.048) and HRs (p = 0.03) than in non-responders, and decreased only in CRs (p = 0.03). Both baseline (p = 0.02) and post-treatment (p = 0.03) sTNFR2 levels were associated with decreasing eGFR throughout long-term follow-up, and post-treatment levels were higher in patients with long-term follow-up CKD stage ≥ 3 versus 1-2 (p = 0.008).

conclusionsOur data suggest serum sTNFR2 as a marker of kidney tissue damage and a predictor of long-term prognosis in LN, and merit further evaluation of sTNFR2 as a predictor of clinical and histopathological treatment outcomes in membranous LN.

Indexed as

AdolescentAdrenal Cortex HormonesAdultAgedAged, 80 and overAzathioprineBiomarkersCohort StudiesCyclophosphamideFemaleGlomerular Filtration RateHumansImmunosuppressive AgentsLupus NephritisMaleMiddle AgedAdrenal Cortex HormonesAzathioprineBiomarkersCyclophosphamideImmunosuppressive AgentsMycophenolic AcidReceptors, Tumor Necrosis Factor, Type IIRituximab

Identifiers

PMID27973968
PMCPMC7839322
OpenAlexW2566328311

What OpenQuestion holds

Textmetadata
LicenceTDM
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.