Evidence map›Paper›PMID 30093081›Full record

ArticleKidney international2018

JAK-STAT signaling is activated in the kidney and peripheral blood cells of patients with focal segmental glomerulosclerosis.

Jianling Tao, Laura Mariani, Sean Eddy, Holden Maecker, Neeraja Kambham, Kshama Mehta, John Hartman, Weiqi Wang, Matthias Kretzler, Richard A Lafayette

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Kidney international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04571658 (Implementing Precision Medicine for Glomerular Diseases in the Nephrotic Syndrome Study Network), which is not on this map. Cited by 63 papers.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed
5.4field-weighted citation impact, top 3% 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.

NCT04571658 narecruitingnot on this mapstarted 2022, after this paper: background citation

Implementing Precision Medicine for Glomerular Diseases in the Nephrotic Syndrome Study Network (NEPTUNE)

TypeinterventionalSponsorUniversity of MichiganRan2022 to 2029Enrolled375ConditionsNephrotic Syndrome in Children, Focal Segmental Glomerulosclerosis, Minimal Change Disease, Minimal Change Nephrotic SyndromeArmsCommunication
3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 94 citations in OpenAlex.

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  9. Association of Janus kinase 1 and 2 expression with clinical indices in diabetic kidney disease.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2026
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  20. The role of PI3K/Akt signaling pathway in chronic kidney disease.International urology and nephrology · 2024
    Review

3 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

10 authors at 2 institutions in 1 country.

Jianling TaoStanford University Medical Center, Stanford, California, USA.
Laura MarianiUniversity of Michigan School of Medicine, Ann Arbor, Michigan, USA.
Sean EddyUniversity of Michigan School of Medicine, Ann Arbor, Michigan, USA.
Holden MaeckerStanford University Medical Center, Stanford, California, USA.
Neeraja KambhamStanford University Medical Center, Stanford, California, USA.
Kshama MehtaStanford University Medical Center, Stanford, California, USA.
John HartmanUniversity of Michigan School of Medicine, Ann Arbor, Michigan, USA.
Weiqi WangStanford University Medical Center, Stanford, California, USA.
Matthias KretzlerUniversity of Michigan School of Medicine, Ann Arbor, Michigan, USA.
Richard A LafayetteStanford University Medical Center, Stanford, California, USA. Electronic address: czar@stanford.edu.
Stanford Medicine · USUniversity of Michigan · US

Funding

Training Program in Clinical & Translationa Research in Human Glomerular DiseaseU54DK083912 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KRETZLER, MATTHIAS · 2009 to 2023
$20.3M
NIDDK NIH HHS U54 DK083912
6 · The paper itself

Abstract

Focal segmental glomerular sclerosis (FSGS) is a devastating disease with limited treatment options and poor prognosis. Activated JAK-STAT signaling has been implicated in other kidney diseases. Since new technologies allow us to better evaluate changes in systemic and renal JAK-STAT activity as it relates to kidney function, we examined this in 106 patients with biopsy-proven FSGS compared to 47 healthy control individuals. Peripheral immune function was assessed in peripheral blood mononuclear cells by phosphoflow studies before and after cytokine stimulation. Kidney JAK-STAT activity was measured by immunofluorescence and by transcriptomics. A STAT1 activity score was calculated by evaluating message status of downstream targets of pSTAT 1. Peripheral blood mononuclear cells were found to be upregulated in terms of pSTAT production at baseline in FSGS and to have limited reserve to respond to various cytokines. Increased staining for components of the JAK-STAT system in FSGS by microscopy was found. Furthermore, we found transcriptomic evidence for activation of JAK-STAT that increased pSTAT 1 and pSTAT 3 in glomerular and tubulointerstitial sections of the kidney. Some of these changes were associated with the likelihood of remission of proteinuria and progression of disease. JAK-STAT signaling is altered in patients with FSGS as compared to healthy controls with activated peripheral immune cells, increased message in the kidney and increased activated proteins in the kidney. Thus, our findings support immune activation in this disease and point to the JAK-STAT pathway as a potential target for treatment of FSGS.

Indexed as

AdolescentAdultAgedCase-Control StudiesFemaleGene Expression ProfilingGlomerulosclerosis, Focal SegmentalHumansJanus Kinase 1Janus Kinase 2Kidney GlomerulusLeukocytes, MononuclearMaleMiddle AgedPhosphorylationSignal TransductionJAK1 protein, humanJAK2 protein, humanJanus Kinase 1Janus Kinase 2STAT1 protein, humanSTAT1 Transcription FactorSTAT3 protein, humanSTAT3 Transcription Factorcell signalingfocal segmental glomerulosclerosisgene expressionlymphocytes

Identifiers

PMID30093081
PMCPMC6744284
OpenAlexW2886500019

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.