Evidence map›Paper›PMID 30273365›Full record

ArticlePloS one2018

A novel biomarker of laminin turnover is associated with disease progression and mortality in chronic kidney disease.

Signe Holm Nielsen, Daniel Guldager Kring Rasmussen, Susanne Brix, Anthony Fenton, Mark Jesky, Charles J Ferro, Morten Karsdal, Federica Genovese, Paul Cockwell

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Serum Biomarkers of Renal Fibrosis: A Systematic Review.International journal of molecular sciences · 2022
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Comprehensive analysis ofFrontiers in molecular biosciences · 2022
    Article
  7. Article
  8. Article
  9. Article
  10. Extracellular Matrix in Kidney Fibrosis: More Than Just a Scaffold.The journal of histochemistry and cytochemistry : official journal of the Histochemistry Society · 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 at 4 institutions in 2 countries.

Signe Holm NielsenNordic Bioscience, Biomarkers and Research, Herlev, Denmark.ORCID 0000-0002-4612-1014
Daniel Guldager Kring RasmussenNordic Bioscience, Biomarkers and Research, Herlev, Denmark.
Susanne BrixDepartment of Biotechnology and Biomedicine, Technical University of Denmark, Kgs. Lyngby, Denmark.
Anthony FentonDepartment of Renal Medicine, Queen Elizabeth Hospital, Birmingham, United Kingdom.
Mark JeskyDepartment of Renal Medicine, Queen Elizabeth Hospital, Birmingham, United Kingdom.
Charles J FerroDepartment of Renal Medicine, Queen Elizabeth Hospital, Birmingham, United Kingdom.
Morten KarsdalNordic Bioscience, Biomarkers and Research, Herlev, Denmark.
Federica GenoveseNordic Bioscience, Biomarkers and Research, Herlev, Denmark.
Paul CockwellDepartment of Renal Medicine, Queen Elizabeth Hospital, Birmingham, United Kingdom.
Queen Elizabeth Hospital Birmingham · GBNordic Bioscience (Denmark) · DKTechnical University of Denmark · DKUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with chronic kidney disease (CKD) have increased risk of development of end-stage renal disease (ESRD) and early mortality. Fibrosis is the central pathogenic process in CKD and is caused by dysregulated extracellular matrix (ECM) remodeling. The laminin γ1 chain (LAMC1) is a core structural protein present in the basement membrane of several organs, including the kidneys. We hypothesized that dysregulation of LAMC1 remodeling could be associated with a higher risk of adverse clinical outcomes in patients with CKD.

methodsA novel immunoassay targeting LG1M, a specific MMP-9-generated neo-epitope fragment of LAMC1, was developed and used to measure the levels of the fragment in urine and serum from 492 patients from the Renal Impairment in Secondary Care (RIISC) study, a prospective cohort of patients with high-risk CKD. Patients were monitored for a median follow-up time of 3.5 years. Associations between serum and urine LG1M levels and progression of CKD at 12 months were assessed by a multivariable logistic regression model. The association with ESRD or mortality was assessed by Kaplan-Meier survival curves and Cox proportional hazards regression.

resultsForty-six (11%) of the 416 patients who reached 12-month follow-up had progression of CKD; during the study follow-up, 125 patients (25.4%) developed ESRD and 71 patients (14.4%) died. Serum and urine levels of LG1M correlated with baseline eGFR (r = -0.43, p<0.0001 and r = -0.17, p = 0.0002, respectively). Serum levels of LG1M were higher in patients with one-year progression of CKD compared to those who did not progress (p<0.01). Baseline serum levels of LG1M were associated with development of ESRD (HR 3.2, 95% CI 1.99-5.2 for patients in the highest LG1M tertile compared to patient in the lowest tertile). Baseline urinary levels of LG1M (uLG1M) were significantly associated with mortality (HR 5.0, 95% CI 2.8-8.9, p<0.0001 for patients in the highest LG1M tertile compared to patients in the lowest tertile). Urine LG1M was retained in the model for prediction of mortality (HR per standard deviation of uLG1M: 1.01, 95% CI 1.00-1.02, p = 0.001).

conclusionsLG1M, a marker of basement membrane remodeling, is increased in serum and urine of patients with CKD and levels are associated with one-year disease progression, development of ESRD, and mortality.

Indexed as

AgedBiomarkersCohort StudiesDisease ProgressionEpitopesExtracellular MatrixFemaleHumansKidney Failure, ChronicLamininLogistic ModelsMaleMatrix Metalloproteinase 9Middle AgedProportional Hazards ModelsProspective StudiesBiomarkersEpitopesLamininlaminin gamma 1Matrix Metalloproteinase 9MMP9 protein, human

Identifiers

PMID30273365
PMCPMC6166934
OpenAlexW2895193251

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.