Evidence map›Paper›PMID 30065042›Full record

ArticleAnnals of the rheumatic diseases2018

Intrarenal activation of adaptive immune effectors is associated with tubular damage and impaired renal function in lupus nephritis.

Cristina Pamfil, Zuzanna Makowska, Aurélie De Groof, Gaëlle Tilman, Sepideh Babaei, Christine Galant, Pauline Montigny, Nathalie Demoulin, Michel Jadoul, Selda Aydin and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Annals of the rheumatic diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.9field-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

22 citing papers in PubMed, 57 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. p16Lupus science & medicine · 2023
    Article
  7. Review
  8. Article
  9. Article
  10. Transcriptome Studies in Lupus Nephritis.Archivum immunologiae et therapiae experimentalis · 2022
    Review
  11. New Treatment Options in Lupus Nephritis.Archivum immunologiae et therapiae experimentalis · 2022
    Review
  12. High p16RMD open · 2021
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Machine Learning to QuantifyFrontiers in immunology · 2020
    Article
  18. The role of Stim1 in the progression of lupus nephritis in mice.International journal of clinical and experimental pathology · 2020
    Article
  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

14 authors at 3 institutions in 2 countries.

Cristina Pamfil *Department of Rheumatology, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Zuzanna Makowska *Pharmaceuticals, Research and Development, Bayer AG, Berlin, Germany.
Aurélie De GroofPôle de pathologies rhumatismales systémiques et inflammatoires, Institut de Recherche Expérimentale et Clinique, Université catholique de Louvain, Brussels, Belgium.
Gaëlle TilmanDepartment of Rheumatology, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Sepideh BabaeiPharmaceuticals, Research and Development, Bayer AG, Berlin, Germany.
Christine GalantPôle de pathologies rhumatismales systémiques et inflammatoires, Institut de Recherche Expérimentale et Clinique, Université catholique de Louvain, Brussels, Belgium.
Pauline MontignyDepartment of Rheumatology, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Nathalie DemoulinDepartment of Nephrology, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Michel JadoulDepartment of Nephrology, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Selda AydinDepartment of Pathology, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Ralf LeschePharmaceuticals, Research and Development, Bayer AG, Berlin, Germany.
Fiona McDonaldPharmaceuticals, Research and Development, Bayer AG, Berlin, Germany.
Frédéric A HoussiauDepartment of Rheumatology, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Bernard R LauwerysDepartment of Rheumatology, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Cliniques Universitaires Saint-Luc · BEBayer (Germany) · DEUCLouvain · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesChronic renal impairment remains a feared complication of lupus nephritis (LN). The present work aimed at identifying mechanisms and markers of disease severity in renal tissue samples from patients with LN.

methodsWe performed high-throughput transcriptomic studies (Illumina HumanHT-12 v4 Expression BeadChip) on archived kidney biopsies from 32 patients with LN and eight controls (pretransplant donors). Histological staging (glomerular and tubular scores) and immunohistochemistry experiments were performed on the same and on a replication set of 37 LN kidney biopsy samples.

resultsA group of LN samples was identified by unsupervised clustering studies based on their gene expression features, that is, the overexpression of transcripts involved in antigen presentation, T and B cell activation. These samples were characterised by a significantly lower estimated glomerular filtration rate (eGFR) at the time of biopsy (T0) compared with the other systemic lupus erythematosus samples. Yet, apparent disease duration at T0, double-stranded DNA antibody titres at T0 and other relevant characteristics (serum C3, proteinuria, histological scores, numbers of previous flares) were not different between groups.Immunohistochemistry studies confirmed the association between interstitial infiltration by adaptive immune effectors and decreased renal function in the same and in a replication group of LN kidney biopsies. This was associated with transcriptomic, histological and immunohistochemical evidence of renal tubular cell involvement.

conclusionInterstitial infiltration of LN kidney biopsies by adaptive immune effectors is associated with impaired renal tubular cell function and decreased eGFR. These results open new perspectives in evaluating and treating patients with LN, focusing on intrarenal mechanisms of immune cell activation.

Indexed as

AdultFemaleHumansKidney TubulesLupus NephritisMaleRenal InsufficiencyTranscriptomelupus nephritissystemic lupus erythematosusT cells

Identifiers

PMID30065042
PMCPMC6241616
OpenAlexW2885491735

What OpenQuestion holds

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LicenceCC BY
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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.