Evidence map›Paper›PMID 33384694›Full record

ArticleFrontiers in immunology2020

Factor H Autoantibodies and Complement-Mediated Diseases.

Yuzhou Zhang, Nicolo Ghiringhelli Borsa, Dingwu Shao, Arthur Dopler, Michael B Jones, Nicole C Meyer, Gabriella R Pitcher, Amanda O Taylor, Carla M Nester, Christoph Q Schmidt and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Updates in atypical hemolytic syndrome.Current opinion in pediatrics · 2026
    Review
  5. Article
  6. Frontiers in immunology · 2026
    Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Acquired drivers of C3 glomerulopathy.Clinical kidney journal · 2025
    Review
  12. Article
  13. Review
  14. Atypical hemolytic uremic syndrome: diagnosis, management, and discontinuation of therapy.Hematology. American Society of Hematology. Education Program · 2024
    Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. 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

11 authors at 2 institutions in 2 countries.

Yuzhou ZhangMolecular Otolaryngology and Renal Research Laboratories, University of Iowa, Iowa City, IA, United States.
Nicolo Ghiringhelli BorsaMolecular Otolaryngology and Renal Research Laboratories, University of Iowa, Iowa City, IA, United States.
Dingwu ShaoMolecular Otolaryngology and Renal Research Laboratories, University of Iowa, Iowa City, IA, United States.
Arthur DoplerInstitute of Pharmacology of Natural Products & Clinical Pharmacology, Ulm University, Ulm, Germany.
Michael B JonesMolecular Otolaryngology and Renal Research Laboratories, University of Iowa, Iowa City, IA, United States.
Nicole C MeyerMolecular Otolaryngology and Renal Research Laboratories, University of Iowa, Iowa City, IA, United States.
Gabriella R PitcherMolecular Otolaryngology and Renal Research Laboratories, University of Iowa, Iowa City, IA, United States.
Amanda O TaylorMolecular Otolaryngology and Renal Research Laboratories, University of Iowa, Iowa City, IA, United States.
Carla M NesterMolecular Otolaryngology and Renal Research Laboratories, University of Iowa, Iowa City, IA, United States.
Christoph Q SchmidtInstitute of Pharmacology of Natural Products & Clinical Pharmacology, Ulm University, Ulm, Germany.
Richard J H SmithMolecular Otolaryngology and Renal Research Laboratories, University of Iowa, Iowa City, IA, United States.
University of Iowa · USUniversität Ulm · DE

Funding

C3 Glomerulopathy -- A Collaborative StudyR01DK110023 · NIDDK · UNIVERSITY OF IOWA · PI Patrick Breheny, Carla M Nester · 2017 to 2026
$5.6M
NIDDK NIH HHS R01 DK110023
6 · The paper itself

Abstract

Factor H (FH), a member of the regulators-of-complement-activation (RCA) family of proteins, circulates in human plasma at concentrations of 180-420 mg/L where it controls the alternative pathway (AP) of complement in the fluid phase and on cell surfaces. When the regulatory function of FH is impaired, complement-mediated tissue injury and inflammation occur, leading to diseases such as atypical hemolytic uremic syndrome (a thrombotic microangiopathy or TMA), C3 glomerulopathy (C3G) and monoclonal gammopathy of renal significance (MGRS). A pathophysiological cause of compromised FH function is the development of autoantibodies to various domains of the FH protein. FH autoantibodies (FHAAs) are identified in 10.9% of patients with aHUS, 3.2% of patients with C3G, and rarely in patients with MGRS. The phenotypic variability of FHAA-mediated disease reflects both the complexity of FH and the epitope specificity of FHAA for select regions of the native protein. In this paper, we have characterized FHAA epitopes in a large cohort of patients diagnosed with TMA, C3G or MGRS. We explore the epitopes recognized by FHAAs in these diseases and the association of FHAAs with the genetic deletion of both copies of the

Indexed as

AdolescentAdultAgedAged, 80 and overAtypical Hemolytic Uremic SyndromeAutoantibodiesBiomarkersChildChild, PreschoolComplement C3b Inactivator ProteinsComplement Factor HEpitopesFemaleGene DeletionGenetic Predisposition to DiseaseGlomerulonephritisAutoantibodiesBiomarkersCFH protein, humanCFHR1 protein, humanComplement C3b Inactivator ProteinsComplement Factor HEpitopesatypical hemolytic uremic syndromeautoantibodiesC3 glomerulopathycomplementfactor Hmonoclonal gammopathy of renal significance

Identifiers

PMID33384694
PMCPMC7770156
OpenAlexW3111260656

What OpenQuestion holds

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LicenceCC BY
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.