Evidence map›Paper›PMID 33275196›Full record

ArticleJournal of nephrology2021

Urinary vitronectin identifies patients with high levels of fibrosis in kidney grafts.

Laura Carreras-Planella, David Cucchiari, Laura Cañas, Javier Juega, Marcella Franquesa, Josep Bonet, Ignacio Revuelta, Fritz Diekmann, Omar Taco, Ricardo Lauzurica and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

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  4. Discovery of Donor-Derived Exosomal DNA as an Exploratory Biomarker of Kidney Graft Rejection: A Cross-Sectional Study.Transplant international : official journal of the European Society for Organ Transplantation · 2026
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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

11 authors at 7 institutions in 1 country.

Laura Carreras-PlanellaREMAR-IVECAT Group, "Germans Trias i Pujol Research Institute (IGTP)" Health Science Research Institute, Campus Can RutiCarretera de Can Ruti, Camí de les Escoles s/n, 08916, Badalona, Spain.
David CucchiariDepartament de Nefrologia i Trasplantament Renal, Institut Clínic de Nefrologia i Urologia (ICNU), Hospital Clínic de Barcelona, Barcelona, Spain.
Laura CañasREMAR-IVECAT Group, "Germans Trias i Pujol Research Institute (IGTP)" Health Science Research Institute, Campus Can RutiCarretera de Can Ruti, Camí de les Escoles s/n, 08916, Badalona, Spain.
Javier JuegaREMAR-IVECAT Group, "Germans Trias i Pujol Research Institute (IGTP)" Health Science Research Institute, Campus Can RutiCarretera de Can Ruti, Camí de les Escoles s/n, 08916, Badalona, Spain.
Marcella FranquesaREMAR-IVECAT Group, "Germans Trias i Pujol Research Institute (IGTP)" Health Science Research Institute, Campus Can RutiCarretera de Can Ruti, Camí de les Escoles s/n, 08916, Badalona, Spain.
Josep BonetREMAR-IVECAT Group, "Germans Trias i Pujol Research Institute (IGTP)" Health Science Research Institute, Campus Can RutiCarretera de Can Ruti, Camí de les Escoles s/n, 08916, Badalona, Spain.
Ignacio RevueltaDepartament de Nefrologia i Trasplantament Renal, Institut Clínic de Nefrologia i Urologia (ICNU), Hospital Clínic de Barcelona, Barcelona, Spain.
Fritz DiekmannDepartament de Nefrologia i Trasplantament Renal, Institut Clínic de Nefrologia i Urologia (ICNU), Hospital Clínic de Barcelona, Barcelona, Spain.
Omar TacoAutonomous University of Barcelona, Bellaterra, Cerdanyola del Vallès, Barcelona, Spain.
Ricardo LauzuricaREMAR-IVECAT Group, "Germans Trias i Pujol Research Institute (IGTP)" Health Science Research Institute, Campus Can RutiCarretera de Can Ruti, Camí de les Escoles s/n, 08916, Badalona, Spain.
Francesc Enric BorràsREMAR-IVECAT Group, "Germans Trias i Pujol Research Institute (IGTP)" Health Science Research Institute, Campus Can RutiCarretera de Can Ruti, Camí de les Escoles s/n, 08916, Badalona, Spain. feborras@igtp.cat.
Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol · ESFundació Clínic per a la Recerca Biomèdica · ESFundació Privada Clínic per a La Recerca Biomèdica · ESHospital Clínic de Barcelona · ESHospital Universitari Germans Trias i Pujol · ESRed de Investigación Cardiovascular · ESUniversitat Autònoma de Barcelona · ES

Funding

Generalitat de Catalunya 2017-SGR-301 REMAR GroupInstituto de Salud Carlos III MS19/00018Instituto de Salud Carlos III PI13/ 00050Instituto de Salud Carlos III RD16/0009 Feder Funds"la Caixa" Foundation ID 100010434Ministerio de Ciencia, Innovación y Universidades FPU17/01444
6 · The paper itself

Abstract

backgroundIn kidney transplantation, fibrosis represents the final and irreversible consequence of the pathogenic mechanisms that lead to graft failure, and in the late stages it irremediably precedes the loss of renal function. The invasiveness of kidney biopsy prevents this condition from being frequently monitored, while clinical data are rather unspecific. The objective of this study was to find noninvasive biomarkers of kidney rejection.

methodsWe carried out proteomic analysis of the urinary Extracellular Vesicles (uEVs) from a cohort of kidney transplant recipients (n = 23) classified according to their biopsy-based diagnosis and clinical parameters as interstitial fibrosis and tubular atrophy (IFTA), acute cellular rejection (ACR), calcineurin inhibitors toxicity (CNIT) and normal kidney function (NKF).

resultsShotgun mass spectrometry of uEV-proteins identified differential expression of several proteins among these different groups. Up to 23 of these proteins were re-evaluated using targeted proteomics in a new independent cohort of patients (n = 41) classified in the same diagnostic groups. Among other results, we found a differential expression of vitronectin (VTN) in patients displaying chronic interstitial and tubular lesions (ci and ct mean > 2 according to Banff criteria). These results were further confirmed by a pilot study using enzyme-linked immunosorbent assay (ELISA).

conclusionUrinary vitronectin levels are a potential stand-alone biomarker to monitor fibrotic changes in kidney transplant recipients in a non-invasive fashion.

Indexed as

Kidney TransplantationVitronectinAtrophyBiomarkersBiopsyFemaleFibrosisGraft RejectionHumansKidneyMaleMiddle AgedPilot ProjectsProteomicsBiomarkersVitronectinBiomarker fibrosisExosomesNephrologyNoninvasiveUrinary extracellular vesicles

Identifiers

PMID33275196
PMCPMC8192319
OpenAlexW3108711409

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.