Evidence map›Paper›PMID 33732993›Full record

ArticleKidney international reports2021

Plasma Cytokine Profiling to Predict Steroid Resistance in Pediatric Nephrotic Syndrome.

Shipra Agrawal, Michael E Brier, Bryce A Kerlin, William E Smoyer, Pediatric Nephrology Research Consortium

Open access · goldAbstract read
In one paragraph

Article in Kidney international reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. The Role of Cytokines in Nephrotic Syndrome.Mediators of inflammation · 2022
    Review
  11. Article
  12. 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

5 authors at 3 institutions in 1 country.

Shipra AgrawalCenter for Clinical and Translational Research, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Michael E BrierKidney Disease Program, University of Louisville, Louisville, Kentucky, USA.
Bryce A KerlinCenter for Clinical and Translational Research, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
William E SmoyerCenter for Clinical and Translational Research, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Pediatric Nephrology Research Consortium
Nationwide Children's Hospital · USLouisville VA Medical Center · USThe Ohio State University · US

Funding

Nuclear Receptor and MAP Kinase Signaling in Podocyte InjuryR01DK095059 · NIDDK · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI SMOYER, WILLIAM E · 2013 to 2017
$1.6M
Coagulation Protease Signaling in Glomerular DiseaseK08DK103982 · NIDDK · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI KERLIN, BRYCE ANDREW · 2015 to 2019
$744k
NIDDK NIH HHS K08 DK103982NIDDK NIH HHS R01 DK095059
6 · The paper itself

Abstract

introductionGlucocorticoids (GCs) are the primary treatment for nephrotic syndrome (NS), although ∼10% to 20% of children develop steroid-resistant NS (SRNS). Unfortunately, there are no validated biomarkers able to predict SRNS at initial disease presentation. We hypothesized that a plasma cytokine panel could predict SRNS at disease presentation, and identify potential pathways regulating SRNS pathogenesis.

methodsPaired plasma samples were collected from 26 children with steroid-sensitive NS (SSNS) and 14 with SRNS at NS presentation and after ∼7 weeks of GC therapy, when SSNS versus SRNS was clinically determined. Plasma cytokine profiling was performed with a panel of 27 cytokines.

resultsWe identified 13 cytokines significantly different in Pretreatment SSNS versus SRNS samples. Statistical modeling identified a cytokine panel (interleukin [IL]-7, IL-9, monocyte chemoattractant protein-1 [MCP-1]) able to discriminate between SSNS and SRNS at disease presentation (receiver operating characteristic [ROC] value = 0.846; sensitivity = 0.643; specificity = 0.846). Furthermore, GC treatment resulted in significant decreases in plasma interferon-γ (IFN-γ), tumor necrosis factor-α (TNF-α), IL-7, IL-13, and IL-5 in both SSNS and SRNS patients.

conclusionsThese studies suggest that initial GC treatment of NS reduces the plasma cytokines secreted by both CD4

Indexed as

biomarkerscytokinesglucocorticoidssteroid-resistant nephrotic syndromeSteroidssteroid-sensitive nephrotic syndrome

Identifiers

PMID33732993
PMCPMC7938200
OpenAlexW3119462166

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.