Evidence map›Paper›PMID 32734194›Full record

ArticleKidney medicine

Monoclonal IgG4/2κ Deposition Following Eculizumab Therapy for Recurrent Atypical Hemolytic Uremic Syndrome in Kidney Transplantation.

Priyamvada Singh, Hui Chen, Craig E Gordon, Sandeep Ghai, J Mark Sloan, Karen Quillen, Sara Moradi, Vipul Chitalia, Amitabh Gautam, Joel Henderson and 1 more

Erratum issuedOpen access · goldAbstract readCase Reports
In one paragraph

Article in Kidney medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 49% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Priyamvada SinghRenal Section, Department of Medicine, Boston University School of Medicine, Boston, MA.
Hui ChenDepartment of Pathology & Laboratory Medicine, Boston University School of Medicine, Boston, MA.
Craig E GordonRenal Section, Department of Medicine, Boston University School of Medicine, Boston, MA.
Sandeep GhaiRenal Section, Department of Medicine, Boston University School of Medicine, Boston, MA.
J Mark SloanHematology, Oncology Section, Department of Medicine, Boston University School of Medicine, Boston, MA.
Karen QuillenHematology, Oncology Section, Department of Medicine, Boston University School of Medicine, Boston, MA.
Sara MoradiDepartment of Pathology & Laboratory Medicine, Boston University School of Medicine, Boston, MA.
Vipul ChitaliaRenal Section, Department of Medicine, Boston University School of Medicine, Boston, MA.
Amitabh GautamDepartment of Surgery, Boston University School of Medicine, Boston, MA.
Joel HendersonDepartment of Pathology & Laboratory Medicine, Boston University School of Medicine, Boston, MA.
Jean M FrancisDepartment of Pathology & Laboratory Medicine, Boston University School of Medicine, Boston, MA.
Boston University · US

Funding

Thrombotic complication of uremia: role of prothrombotic uremic solutesR01HL132325 · NHLBI · BOSTON MEDICAL CENTER · PI CHITALIA, VIPUL C · 2016 to 2019
$1.7M
NHLBI NIH HHS R01 HL132325
6 · The paper itself

Abstract

Eculizumab is an emerging therapy for atypical hemolytic uremic syndrome (aHUS). Early identification and treatment of recurrent aHUS after kidney transplantation requires a high clinical suspicion but results in improved graft function and patient outcome. We present a patient who developed recurrent aHUS after kidney transplantation that responded to eculizumab therapy. A kidney biopsy was performed to confirm resolution of thrombotic microangiopathy 8 weeks after eculizumab treatment initiation and revealed no features of thrombotic microangiopathy. Instead, the biopsy revealed monoclonal immunoglobulin G (IgG)4/2κ deposition in the glomerular tufts, vasculature, and atrophic tubular basement membranes. IgG4/2κ deposits are a rare pathologic finding following eculizumab therapy, and the long-term effect of these deposits on kidney function remains unknown.

Indexed as

aHUSEculizumabthrombotic microangiopathy

Identifiers

PMID32734194
PMCPMC7380410
OpenAlexW2944688499

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.