Evidence map›Paper›PMID 30094012›Full record

ArticleClinical kidney journal2018

Membranoproliferative glomerulonephritis and C3 glomerulopathy in children: change in treatment modality? A report of a case series.

Giuseppina Spartà, Ariana Gaspert, Thomas J Neuhaus, Marcus Weitz, Nilufar Mohebbi, Urs Odermatt, Peter F Zipfel, Carsten Bergmann, Guido F Laube

Abstract read
In one paragraph

Article in Clinical kidney journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. The newClinical kidney journal · 2019
    Article
  6. Recurrent andFrontiers in immunology · 2019
    Review
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

9 authors.

Giuseppina SpartàPediatric Nephrology Unit, University Children's Hospital Zurich, Zurich, Switzerland.
Ariana GaspertDepartment of Pathology and Molecular Pathology, University Hospital Zurich, Zurich, Switzerland.
Thomas J NeuhausChildren's Hospital of Lucerne, Cantonal Hospital Lucerne, Lucerne, Switzerland.
Marcus WeitzPediatric Nephrology Unit, University Children's Hospital Zurich, Zurich, Switzerland.
Nilufar MohebbiDivision of Nephrology, University Hospital Zurich, Zurich, Switzerland.
Urs OdermattNephrology Unit, Cantonal Hospital Lucerne, Lucerne, Switzerland.
Peter F ZipfelLeibniz Institute for Natural Product Research and Infection Biology e. V. Hans-Knöll-Institute, Jena, Germany.
Carsten BergmannBioscientia Center of Human Genetics, Ingelheim am Rhein, Germany.
Guido F LaubePediatric Nephrology Unit, University Children's Hospital Zurich, Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMembranoproliferative glomerulonephritis (MPGN) with immune complexes and C3 glomerulopathy (C3G) in children are rare and have a variable outcome, with some patients progressing to end-stage renal disease (ESRD). Mutations in genes encoding regulatory proteins of the alternative complement pathway and of complement C3 (C3) have been identified as concausative factors.

methodsThree children with MPGN type I, four with C3G, i.e. three with C3 glomerulonephritis (C3GN) and one with dense deposit disease (DDD), were followed. Clinical, autoimmune data, histological characteristics, estimated glomerular filtration rate (eGFR), proteinuria, serum C3, genetic and biochemical analysis were assessed.

resultsThe median age at onset was 7.3 years and the median eGFR was 72 mL/min/1.73 m

conclusionsIn children with MPGN type I and C3G, the outcomes of renal function and response to treatment modality show great variability independent from histological diagnosis at disease onset. In case of severe clinical presentation at disease onset, early genetic and biochemical analysis of the alternative pathway dysregulation is recommended. Treatment with eculizumab appears to be an option to slow disease progression in single cases.

Indexed as

C3 glomerulopathycomplement dysregulationeculizumabMPGNpaediatrics

Identifiers

PMID30094012
PMCPMC6070093

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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.