Evidence map›Paper›PMID 29422906›Full record

ReviewFrontiers in immunology2018

The Complement System in Dialysis: A Forgotten Story?

Felix Poppelaars, Bernardo Faria, Mariana Gaya da Costa, Casper F M Franssen, Willem J van Son, Stefan P Berger, Mohamed R Daha, Marc A Seelen

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in immunology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

67 citing papers in PubMed, 121 citations in OpenAlex.

  1. Trial
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  14. Dialysis and cognitive impairment.Nature reviews. Nephrology · 2025
    Review
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  17. Article
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7 more citing papers are in PubMed but not listed here.

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 1 institution in 2 countries.

Felix PoppelaarsDepartment of Internal Medicine, Division of Nephrology, University Medical Center Groningen, Groningen, Netherlands.
Bernardo FariaDepartment of Internal Medicine, Division of Nephrology, University Medical Center Groningen, Groningen, Netherlands.
Mariana Gaya da CostaDepartment of Internal Medicine, Division of Nephrology, University Medical Center Groningen, Groningen, Netherlands.
Casper F M FranssenDepartment of Internal Medicine, Division of Nephrology, University Medical Center Groningen, Groningen, Netherlands.
Willem J van SonDepartment of Internal Medicine, Division of Nephrology, University Medical Center Groningen, Groningen, Netherlands.
Stefan P BergerDepartment of Internal Medicine, Division of Nephrology, University Medical Center Groningen, Groningen, Netherlands.
Mohamed R DahaDepartment of Internal Medicine, Division of Nephrology, University Medical Center Groningen, Groningen, Netherlands.
Marc A SeelenDepartment of Internal Medicine, Division of Nephrology, University Medical Center Groningen, Groningen, Netherlands.
University Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Significant advances have lead to a greater understanding of the role of the complement system within nephrology. The success of the first clinically approved complement inhibitor has created renewed appreciation of complement-targeting therapeutics. Several clinical trials are currently underway to evaluate the therapeutic potential of complement inhibition in renal diseases and kidney transplantation. Although, complement has been known to be activated during dialysis for over four decades, this area of research has been neglected in recent years. Despite significant progress in biocompatibility of hemodialysis (HD) membranes and peritoneal dialysis (PD) fluids, complement activation remains an undesired effect and relevant issue. Short-term effects of complement activation include promoting inflammation and coagulation. In addition, long-term complications of dialysis, such as infection, fibrosis and cardiovascular events, are linked to the complement system. These results suggest that interventions targeting the complement system in dialysis could improve biocompatibility, dialysis efficacy, and long-term outcome. Combined with the clinical availability to safely target complement in patients, the question is not if we should inhibit complement in dialysis, but when and how. The purpose of this review is to summarize previous findings and provide a comprehensive overview of the role of the complement system in both HD and PD.

Indexed as

Renal DialysisAnimalsComplement ActivationComplement System ProteinsDialysis SolutionsHemodiafiltrationHumansKidney Failure, ChronicMorbidityMortalityPeritoneal DialysisComplement System ProteinsDialysis Solutionscomplementdialysishemodialysiskidneyperitoneal dialysis

Identifiers

PMID29422906
PMCPMC5788899
OpenAlexW2787022210

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.