Evidence map›Paper›PMID 34040602›Full record

ArticleFrontiers in immunology2021

Case Report: THSD7A-Positive Membranous Nephropathy Caused by Tislelizumab in a Lung Cancer Patient.

Minjiang Chen, Lei Zhang, Wei Zhong, Ke Zheng, Wei Ye, Mengzhao Wang

Open access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
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

18 citing papers in PubMed, 30 citations in OpenAlex.

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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 2 institutions in 1 country.

Minjiang ChenDepartment of Respiratory and Critical Care Medicine, Peking Union Medical College Hospital, Beijing, China.
Lei ZhangDepartment of Nephrology, Peking Union Medical College Hospital, Beijing, China.
Wei ZhongDepartment of Respiratory and Critical Care Medicine, Peking Union Medical College Hospital, Beijing, China.
Ke ZhengDepartment of Nephrology, Peking Union Medical College Hospital, Beijing, China.
Wei YeDepartment of Nephrology, Peking Union Medical College Hospital, Beijing, China.
Mengzhao WangDepartment of Respiratory and Critical Care Medicine, Peking Union Medical College Hospital, Beijing, China.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNPeking Union Medical College Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors (ICIs) became the standard treatment for many different kinds of cancers and can result in a variety of immune-related adverse events (irAEs). IrAEs of kidney are uncommon and consists of different pathology types. Among the different types, membranous nephropathy (MN) is rare and have not been well-described. Since MN can also be associated with malignancies, differential diagnosis in patients receiving ICIs who develop MN can be very difficult. We present the case of a 74-year-old man with metastatic non-small cell lung cancer who developed MN after ICIs therapy. The patient tested positive for thrombospondin type-1 domain-containing 7A antibodies (THSD7A) when diagnosed with MN. Supplementary examinations revealed the predisposing antigen in the primary tumor and present of the antibody after immunotherapy, which corresponded to the patient's clinical course of nephropathy. Treatment consisting of systemic glucocorticoids and rituximab resulted in a good clinical response, and the THSD7A antibodies were no longer detected. In this case, we first discuss the potential mechanism of immunotherapy related MN, in which the activation of humoral immunity may play an important role.

Indexed as

AgedAntibodies, Monoclonal, HumanizedAutoantibodiesBiomarkersCarcinoma, Non-Small-Cell LungDisease SusceptibilityFluorescent Antibody TechniqueGlomerulonephritis, MembranousHumansImmune Checkpoint InhibitorsImmunohistochemistryLung NeoplasmsMaleThrombospondinsTomography, X-Ray ComputedAntibodies, Monoclonal, HumanizedAutoantibodiesBiomarkersImmune Checkpoint InhibitorsThrombospondinsTHSD7A protein, humantislelizumabimmune checkpoint inhibitorsimmune related adverse eventmembranous nephropathynon-small cell lung cancerTHSD7A (thrombospondin type 1 domain-containing protein 7A)

Identifiers

PMID34040602
PMCPMC8141750
OpenAlexW3163371460

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.