Evidence map›Paper›PMID 31820418›Full record

ArticleJournal of nephrology2020

Outcome of C3 glomerulopathy patients: largest single-centre experience from South Asia.

Ashwani Kumar, Ritambhra Nada, Raja Ramachandran, Amit Rawat, Karalanglin Tiewsoh, Reena Das, Charan Singh Rayat, Krishan Lal Gupta, Rakesh Kumar Vasishta

Abstract read
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Article in Journal of nephrology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

15 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. A Narrative Review of C3 Glomerulopathy: From Pathogenesis to Targeted Therapy.Canadian journal of kidney health and disease · 2026
    Review
  3. Observational
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Clinical and pathological features of 52 patients with glomerulonephritis with dominant C3.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
    Article
  11. Review
  12. Predictors of poor kidney outcome in children with C3 glomerulopathy.Pediatric nephrology (Berlin, Germany) · 2021
    Article
  13. Article
  14. Article
  15. 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

9 authors at 1 institution in 1 country.

Ashwani KumarDepartment of Histopathology, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Ritambhra NadaDepartment of Histopathology, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India. ritamduseja@yahoo.com.ORCID http://orcid.org/0000-0002-0086-7398
Raja RamachandranDepartment of Nephrology, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Amit RawatDepartment of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Karalanglin TiewsohDepartment of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Reena DasDepartment of Hematology, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Charan Singh RayatDepartment of Histopathology, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Krishan Lal GuptaDepartment of Nephrology, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Rakesh Kumar VasishtaDepartment of Histopathology, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Post Graduate Institute of Medical Education and Research · IN

Funding

Indian Council of Medical Research letter number 3/1/3/JRF-2012/HRD-01-10841Postgraduate Institute of Medical Education and Research, Chandigarh India Intramural grant-2016-18
6 · The paper itself

Abstract

backgroundC3 glomerulopathy (C3G) is related to dysfunction of alternative complement pathway (ACP) because of its hyperactivation. Triggering factors and genetic profile are likely to be different in developing countries as compared to the Western world. Data regarding C3G from South Asian is scanty. STUDY

designIn the present study, 115 patients of C3G from 2012 to 2017 were analyzed. Clinical details were reviewed; serological levels of C3, C4, complement factor H or B and autoantibody testing was done by nephelometry/ELISA. Limited genetics workup for CFH and CFHR5 genes was done.

resultsThe prevalence of C3G was 1.52%. There was no difference in demographic and histopathologic profiles of C3G patients. Majority of patients had low functional assay and C3 levels. C3 nephritic factor was present in 47.5% of DDD and 38.6% of C3GN. Autoantibodies to CFH were present more often in the patients of C3GN (29.5%) than DDD (12.5%). Autoantibodies to CFB were equally common in both groups. Past history of infections was present in one-third patients and monoclonal paraproteins were present only in two patients. No pathogenic variants were noted in CFH/CFHR5 gene. On follow-up (3.2 + 1.6 years), complete and partial remission was achieved in one-fourth patients and 26% had resistance disease. About 40% progressed to ESRD and 18 underwent renal transplantation of which nine had a post-transplant recurrence.

conclusionsIndian cohort had some differences in the immunological and genetic profile when compared to the Western literature; most significant was the absence of monoclonal immunoglobulins as a trigger for C3G.

Indexed as

Glomerulonephritis, MembranoproliferativeKidney DiseasesKidney TransplantationComplement C3 Nephritic FactorComplement Pathway, AlternativeHumansComplement C3 Nephritic FactorC3G-C3 glomerulopathyC3GN-C3 glomerulonephritisC3Nef-C3 nephritic factorDDD-dense deposit disease

Identifiers

PMID31820418
OpenAlexW2992580594

What OpenQuestion holds

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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.