Evidence map›Paper›PMID 28935926›Full record

ArticleScientific reports2017

Ultrasensitive Quantitation of Anti-Phospholipase A2 Receptor Antibody as A Diagnostic and Prognostic Indicator of Idiopathic Membranous Nephropathy.

Qiuhua Zhang, Biao Huang, Xiaobin Liu, Bin Liu, Yi Zhang, Zhijian Zhang, Jia Hua, Yun Fan, Ling Hu, Meijuan Meng and 4 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 10% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. PLA2R autoantibodies, a multifaceted biomarker in nephrotic syndrome and membranous nephropathy.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
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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

14 authors at 2 institutions in 1 country.

Qiuhua ZhangWuxi People's Hospital affiliated to Nanjing Medical University, Wuxi, 214000, China.
Biao HuangJiangsu Institute of Nuclear Medicine, Wuxi, 214063, China.
Xiaobin LiuWuxi People's Hospital affiliated to Nanjing Medical University, Wuxi, 214000, China.
Bin LiuWuxi People's Hospital affiliated to Nanjing Medical University, Wuxi, 214000, China.
Yi ZhangJiangsu Institute of Nuclear Medicine, Wuxi, 214063, China.
Zhijian ZhangWuxi People's Hospital affiliated to Nanjing Medical University, Wuxi, 214000, China.
Jia HuaWuxi People's Hospital affiliated to Nanjing Medical University, Wuxi, 214000, China.
Yun FanWuxi People's Hospital affiliated to Nanjing Medical University, Wuxi, 214000, China.
Ling HuWuxi People's Hospital affiliated to Nanjing Medical University, Wuxi, 214000, China.
Meijuan MengWuxi People's Hospital affiliated to Nanjing Medical University, Wuxi, 214000, China.
Mian WuWuxi People's Hospital affiliated to Nanjing Medical University, Wuxi, 214000, China.
Liang WangWuxi People's Hospital affiliated to Nanjing Medical University, Wuxi, 214000, China. wangliang_wuxi@126.com.
Zhigang HuWuxi People's Hospital affiliated to Nanjing Medical University, Wuxi, 214000, China. huzhigang@njmu.edu.cn.
Zhuxing SunWuxi People's Hospital affiliated to Nanjing Medical University, Wuxi, 214000, China. wuxisunzx@126.com.
Nanjing Medical University · CNWuxi People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anti-phospholipase A2 receptor antibody (PLA2R-Ab) is useful for affirming the diagnosis of idiopathic membranous nephropathy (IMN). Time-resolved fluoroimmunoassay (TRFIA) is highly sensitive and quantitative for measuring serum PLA2R-Ab immunoglobulin (IgG). We measured PLA2R-Ab levels with TRFIA in sera from 172 patients with IMN (n = 69), secondary MN (n = 9), and those with other glomerulonephritis (n = 94) at the time of renal biopsy compared to healthy controls (n = 286). Serum anti-PLA2R-IgG levels in healthy volunteers ranged from 0.09-0.91 mg/L. We set the cutoff value of the anti-PLA2R-IgG titer at 0.91 mg/L, with a sensitivity of 84.06% for diagnosing IMN. Increasing the cut-off value to 2.025 mg/L altered the sensitivity for diagnosing IMN to 71.01%, but with 100% specificity. IMN patients had significantly higher serum anti-PLA2R-IgG levels compared to those with secondary MN. PLA2R-Ab titers negatively correlated with estimated glomerular filtration rate (eGFR). Patinets with high titers had significantly lower serum albumin and eGFR, higher proteinuria and serum creatinine levels, accompanied by a lower complete remission rate. High titers of PLA2R-Ab were associated with poor prognosis of patients with IMN. TRFIA-based quantification of anti-PLA2R-IgG can be a reliable approach for the diagnosis and prognostication of patients with IMN.

Indexed as

AdultAgedAutoantibodiesBiomarkersFemaleFluoroimmunoassayGlomerular Filtration RateGlomerulonephritis, MembranousHumansImmunoglobulin GMaleMiddle AgedPrognosisReceptors, Phospholipase A2Sensitivity and SpecificityAutoantibodiesBiomarkersImmunoglobulin GReceptors, Phospholipase A2

Identifiers

PMID28935926
PMCPMC5608894
OpenAlexW2755309818

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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.