Evidence map›Paper›PMID 33079302›Full record

ArticleClinical rheumatology2021

Urinary levels of ceruloplasmin and monocyte chemoattractant protein-1 correlate with extra-capillary proliferation and chronic damage in patients with lupus nephritis.

Tomás Urrego-Callejas, Simón Sandoval Álvarez, Luis F Arias, Blanca Ortiz Reyes, Adriana L Vanegas-García, Luis A González, Carlos H Muñoz-Vahos, Gloria Vásquez, Luis F Quintana, José A Gómez-Puerta

Abstract read
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In one paragraph

Article in Clinical rheumatology, 2021. 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
2.1field-weighted citation impact, top 12% 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, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Lupus Nephritis Biomarkers: A Critical Review.International journal of molecular sciences · 2024
    Review
  5. Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. 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 at 3 institutions in 2 countries.

Tomás Urrego-CallejasGrupo de Inmunología Celular e Inmunogenética, Universidad de Antioquia, Medellín, Colombia.
Simón Sandoval ÁlvarezGrupo de Inmunología Celular e Inmunogenética, Universidad de Antioquia, Medellín, Colombia.
Luis F AriasDepartamento de Patología, Universidad de Antioquia y Hospital Universitario de San Vicente Fundación, Medellín, Colombia.
Blanca Ortiz ReyesGrupo de Inmunología Celular e Inmunogenética, Universidad de Antioquia, Medellín, Colombia.
Adriana L Vanegas-GarcíaGrupo de Reumatología, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.
Luis A GonzálezGrupo de Reumatología, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.
Carlos H Muñoz-VahosGrupo de Reumatología, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.
Gloria VásquezGrupo de Inmunología Celular e Inmunogenética, Universidad de Antioquia, Medellín, Colombia.
Luis F QuintanaCentro de Referencia en Enfermedad Glomerular Compleja del Sistema Nacional de Salud (CSUR), Servicio de Nefrología y Trasplante Renal, Hospital Clinic, Barcelona, Spain.
José A Gómez-PuertaGrupo de Inmunología Celular e Inmunogenética, Universidad de Antioquia, Medellín, Colombia. jagomez@clinic.cat.ORCID https://orcid.org/0000-0001-8177-702X
Universidad de Antioquia · COHospital Universitario de San Vicente Fundación · COSistema Nacional de Salud

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimThere are few studies of urinary biomarkers and histopathologic features in lupus nephritis (LN). The aim was to analyze the correlation between a wide panel of urinary biomarkers and serum concentrations of anti C1q antibodies with histological items of activity and chronicity on kidney biopsy in LN patients.

methodsPatients with systemic lupus erythematosus (SLE) according to American College of Rheumatology (ACR) criteria were included. LN diagnosis was based on ACR criteria. Histologic features of activity and chronicity indices were analyzed according to the Austin classification. Serum Anti C1q levels were determined by commercial ELISA. Urinary levels of transferrin, ceruloplasmin (CP), VCAM-1, TWEAK, monocyte chemoattractant protein-1 (MCP-1), neutrophil gelatinase-associated lipocalin (NGAL), and alpha-1-acid glycoprotein were measured by commercial ELISA.

resultsWe included 120 SLE patients (81% female, mean age 33.1 ± 9.3 years, 59.4% Mestizo, 37.8% Afro-Latin American): 64% had LN. Kidney biopsy was performed in 55 patients, but only 37 were made in our center. Anti C1q antibodies were associated with endocapillary proliferation. In patients with cellular crescents, urinary concentrations of CP were significantly higher. In patients with a chronicity index (CI) ≥ 4, fibrous crescents, tubular atrophy, and interstitial fibrosis, urinary MCP-1 levels were higher.

conclusionsIn SLE patients, serum anti C1q antibodies and urinary CP were associated with activity on kidney biopsy and MCP-1 with chronic damage. This panel of biomarkers could be validated in larger, multi-ethnic population as a complementary tool for better stratification of LN patients. Key Points • Urinary biomarkers are complementary useful tools for the assessment of SLE patients. • Urinary levels of CP correlated with activity findings on kidney biopsy in LN patients. • Urinary levels of MCP-1 correlated with chronic damage, especially with fibrous crescents, tubular atrophy, and interstitial fibrosis.

Indexed as

Lupus Erythematosus, SystemicLupus NephritisAdultBiomarkersCell ProliferationCeruloplasminChemokine CCL2FemaleHumansMaleYoung AdultBiomarkersCCL2 protein, humanCeruloplasminChemokine CCL2ActivityAnti C1q antibodiesBiomarkersChronicityKidney biopsyLupus nephritisSystemic lupus erythematosus

Identifiers

PMID33079302
OpenAlexW3093108287

What OpenQuestion holds

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Registered trials

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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.