Evidence map›Paper›PMID 30066158›Full record

ArticleClinical and experimental nephrology2019

Comprehensive evaluation of the significance of immunofluorescent findings on clinicopathological features in IgA nephropathy.

Ritsuko Katafuchi, Hiroshi Nagae, Kosuke Masutani, Kazuhiko Tsuruya, Koji Mitsuiki

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Article in Clinical and experimental nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 50 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Ritsuko KatafuchiKidney Unit, National Fukuoka-Higashi Medical Center, 1-1-1, Chidori, Koga, Fukuoka, 811-3195, Japan. rkatafuchi@jcom.home.ne.jp.
Hiroshi NagaeKidney Unit, National Fukuoka-Higashi Medical Center, 1-1-1, Chidori, Koga, Fukuoka, 811-3195, Japan.
Kosuke MasutaniDivision of Nephrology and Rheumatology, Department of Internal Medicine, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Kazuhiko TsuruyaDepartment of Nephrology, Nara Medical University, Nara, Japan.
Koji MitsuikiKidney Unit, Fukuoka Red Cross Hospital, Fukuoka, Japan.
Fukuoka Higashi Medical Center · JPFukuoka University · JPJapanese Red Cross Fukuoka Hospital · JPNara Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe clinicopathological significance of immunofluorescent findings in IgA nephropathy remains controversial.

methodsThe relations of the deposition of IgA, IgG, IgM, C3, C1q and fibrinogen (Fib) with pathological findings, baseline clinical findings, and renal outcome were evaluated in 688 patients with IgA nephropathy. Pathological features included cellular or fibrocellular crescents, endocapillary or mesangial hypercellularity, segmental or global glomerulosclerosis and the Oxford classification.

resultsThe median age at biopsy was 30 years. There were 289 men. With 74 months median follow-up, 32% of patients received steroids. Twelve percent of patients developed end-stage renal disease (ESRD). The degree of IgA was closely related to the degree of C3, IgG and IgM deposition. The degree of IgA, C3, IgG and Fib deposition was significantly related to the percentage of glomeruli with crescent, endocapillary and mesangial hypercellularity. IgM deposition showed significant association with crescent, mesangial hypercellularity, segmental sclerosis, global glomerulosclerosis and tubular atrophy/interstitial fibrosis. In the patients treated with steroids, the risk for ESRD in patients with 2-3+ IgA deposition was significantly lower with reference of 1+ IgA deposition.

conclusionWe found the different roles of glomerular immune reactants' deposition in the inflammatory process from acute to chronic stage. IgA deposition together with IgG, Fib and C3 may produce acute inflammatory injury. IgM deposition might occur in the early stage of inflammation and remains until late sclerotic stage. The prominent deposition of IgA related to low risk for ESRD in patients who received steroids might suggest effectiveness of steroids in such patients.

Indexed as

Fluorescent Antibody TechniqueAdultBiomarkersBiopsyComplement C3Disease ProgressionFemaleFibrinogenGlomerulonephritis, IGAHumansImmunoglobulin AImmunoglobulin GKidney Failure, ChronicKidney GlomerulusMalePredictive Value of TestsBiomarkersC3 protein, humanComplement C3FibrinogenImmunoglobulin AImmunoglobulin GSteroidsComplement depositionIgA depositionIgA nephropathyIgG depositionImmunofluorescent study

Identifiers

PMID30066158
OpenAlexW2887317495

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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.