Evidence map›Paper›PMID 33785019›Full record

ArticleJournal of translational medicine2021

Prediction of steroid resistance and steroid dependence in nephrotic syndrome children.

Katarzyna Zaorska, Piotr Zawierucha, Monika Świerczewska, Danuta Ostalska-Nowicka, Jacek Zachwieja, Michał Nowicki

Open access · goldAbstract read
In one paragraph

Article in Journal of translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Machine learning prediction of childhood nephrotic syndrome outcomes.Pediatric nephrology (Berlin, Germany) · 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

6 authors at 3 institutions in 1 country.

Katarzyna ZaorskaDepartment of Histology and Embryology, University of Medical Sciences, Swiecickiego St 6, 60-781, Poznan, Poland. katarzyna.zaorska@gmail.com.ORCID 0000-0002-3894-781X
Piotr ZawieruchaInstitute of Bioorganic Chemistry, Department of RNA Metabolism, Polish Academy of Sciences, Zygmunta Noskowskiego St 12/14, 61-704, Poznan, Poland.
Monika ŚwierczewskaDepartment of Histology and Embryology, University of Medical Sciences, Swiecickiego St 6, 60-781, Poznan, Poland.
Danuta Ostalska-NowickaClinic of Pediatric Nephrology and Hypertension, University of Medical Sciences, Szpitalna St 27/33, 60-572, Poznan, Poland.
Jacek ZachwiejaClinic of Pediatric Nephrology and Hypertension, University of Medical Sciences, Szpitalna St 27/33, 60-572, Poznan, Poland.
Michał NowickiDepartment of Histology and Embryology, University of Medical Sciences, Swiecickiego St 6, 60-781, Poznan, Poland.
Heliodor Swiecicki Clinical Hospital · PLPoznan University of Medical Sciences · PLInstitute of Bioorganic Chemistry, Polish Academy of Sciences · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSteroid resistant (SR) nephrotic syndrome (NS) affects up to 30% of children and is responsible for fast progression to end stage renal disease. Currently there is no early prognostic marker of SR and studied candidate variants and parameters differ highly between distinct ethnic cohorts.

methodsHere, we analyzed 11polymorphic variants, 6 mutations, SOCS3 promoter methylation and biochemical parameters as prognostic markers in a group of 124 Polish NS children (53 steroid resistant, 71 steroid sensitive including 31 steroid dependent) and 55 controls. We used single marker and multiple logistic regression analysis, accompanied by prediction modeling using neural network approach.

resultsWe achieved 92% (AUC = 0.778) SR prediction for binomial and 63% for multinomial calculations, with the strongest predictors ABCB1 rs1922240, rs1045642 and rs2235048, CD73 rs9444348 and rs4431401, serum creatinine and unmethylated SOCS3 promoter region. Next, we achieved 80% (AUC = 0.720) in binomial and 63% in multinomial prediction of SD, with the strongest predictors ABCB1 rs1045642 and rs2235048. Haplotype analysis revealed CD73_AG to be associated with SR while ABCB1_AGT was associated with SR, SD and membranoproliferative pattern of kidney injury regardless the steroid response.

conclusionsWe achieved prediction of steroid resistance and, as a novelty, steroid dependence, based on early markers in NS children. Such predictions, prior to drug administration, could facilitate decision on a proper treatment and avoid diverse effects of high steroid doses.

Indexed as

Nephrotic SyndromeChildDrug ResistanceHaplotypesHumansKidneyPromoter Regions, GeneticSteroidsSteroidsNephrotic syndromePrediction modelingSingle nucleotide polymorphismsSteroid dependenceSteroid resistance

Identifiers

PMID33785019
PMCPMC8011118
OpenAlexW3142894393

What OpenQuestion holds

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LicenceCC BY
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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.