Evidence map›Paper›PMID 30868298›Full record

ArticleVirchows Archiv : an international journal of pathology2019

Clinicopathological characteristics of thrombospondin type 1 domain-containing 7A-associated membranous nephropathy.

Shigeo Hara, Takahiro Tsuji, Yuichiro Fukasawa, Satoshi Hisano, Satoshi Morito, Toshiki Hyodo, Shunsuke Goto, Shinichi Nishi, Akihiro Yoshimoto, Tomoo Itoh

Abstract read
In one paragraph

Article in Virchows Archiv : an international journal of pathology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Questions and Caveats in Antigen-Defined Membranous Nephropathy.Journal of the American Society of Nephrology : JASN · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. The Role of Anti-PLAInternational journal of environmental research and public health · 2022
    Review
  16. Article
  17. Article
  18. Article
  19. Effects of phospholipase AClinical and experimental nephrology · 2021
    Article
  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

10 authors.

Shigeo HaraDepartment of Diagnostic Pathology, Kobe City Medical Center General Hospital, 2-1-1, Minatojima minamimachi, Chuo-ku, Kobe, 650-0047, Japan. shigeo_hara@kcho.jp.ORCID http://orcid.org/0000-0001-9293-2064
Takahiro TsujiDepartment of Pathology, Sapporo City General Hospital, Sapporo, Japan.
Yuichiro FukasawaDepartment of Pathology, Sapporo City General Hospital, Sapporo, Japan.
Satoshi HisanoDepartment of Pathology, Fukuoka University, Fukuoka, Japan.
Satoshi MoritoDepartment of Pathology, Rakuwakai Otowa Hospital, Yamashina, Japan.
Toshiki HyodoDepartment of Diagnostic Pathology, Kobe University Graduate School of Medicine, Kobe, Japan.
Shunsuke GotoDepartment of Nephrology, Kobe University Graduate School of Medicine, Kobe, Japan.
Shinichi NishiDepartment of Nephrology, Kobe University Graduate School of Medicine, Kobe, Japan.
Akihiro YoshimotoDepartment of Nephrology, Kobe City Medical Center General Hospital, Kobe, Japan.
Tomoo ItohDepartment of Diagnostic Pathology, Kobe University Graduate School of Medicine, Kobe, Japan.

Funding

Ministry of Education, Culture, Sports, Science and Technology (JP) 17K08741
6 · The paper itself

Abstract

Thrombospondin type 1 domain-containing 7A (THSD7A) is a recently identified target antigen of idiopathic membranous nephropathy (iMN). The clinicopathological characteristics of THSD7A-associated MN are poorly characterised due to low prevalence among MN patients. Among 469 consecutive cases of pathologically confirmed MN diagnosed at four centres in Japan, 14 cases were confirmed positive for THSD7A by immunohistochemistry (3.0%). The prevalence of THSD7A-associated MN tended to be higher in northern Japan. Most cases demonstrated nephrotic-range proteinuria (12/14 cases, 86%). In two patients, cancer was detected at the time of renal biopsy (small-cell carcinoma of the lung and prostatic adenocarcinoma with neuroendocrine differentiation). Both tumours were negative for THSD7A. Four patients had concurrent or previous incidence of allergic diseases, including one patient with Kimura's disease. Pathological analysis of kidney biopsy tissue revealed slight mesangial cell proliferation in three cases and spike formation in one case. Immunofluorescence studies demonstrated that IgG subclass was mainly IgG4-dominant/codominant (12/13, 92% cases), while the case with prostatic cancer had an IgG2-dominant distribution. The immunostaining profile for components of the lectin complement pathways was not significant in three cases including two patients with malignancy. One case was dual positive for THSD7A and PLA2R. Of 10 cases with known clinical follow-up data, 6 demonstrated reduced serum creatinine and 8 presented reduced proteinuria. In summary, although the major IgG phenotype was usually IgG4-dominant/codominant, clinical background was otherwise heterogeneous. Further investigation of regional differences in THSD7A-associated MN prevalence may reveal genetic and environmental risk factor and associated pathogenic mechanisms.

Indexed as

AutoantibodiesFemaleFluorescent Antibody TechniqueGlomerulonephritis, MembranousHumansImmunohistochemistryIncidenceMiddle AgedPrevalenceRisk FactorsThrombospondinsAutoantibodiesThrombospondinsTHSD7A protein, humanAllergic disorderIgG subclassMalignancyMembranous nephropathyTHSD7A

Identifiers

PMID30868298
PMCPMC6581930

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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.