Evidence map›Paper›PMID 34169208›Full record

ArticleKidney international reports2021

Identification of a Locus on the X Chromosome Linked to Familial Membranous Nephropathy.

Mallory L Downie, Sanjana Gupta, Mehmet C Tekman, Chris Cheshire, Steven Arora, Christoph Licht, Lisa A Robinson, Marina Munoz, Alvaro Madrid Aris, Ibrahim Al Attrach and 5 more

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 40% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Association Between Central Obesity and Membranous Nephropathy.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  2. Association betweenAnnals of translational medicine · 2023
    Article
  3. 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

15 authors at 9 institutions in 5 countries.

Mallory L DownieDepartment of Renal Medicine, University College London, London, UK.
Sanjana GuptaDepartment of Renal Medicine, University College London, London, UK.
Mehmet C TekmanDepartment of Computer Science, University of Freiburg, Freiburg, Germany.
Chris CheshireDepartment of Renal Medicine, University College London, London, UK.
Steven AroraDepartment of Paediatrics, Division of Nephrology, McMaster Children's Hospital, Hamilton, Ontario, Canada.
Christoph LichtDivision of Nephrology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Lisa A RobinsonDivision of Nephrology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Marina MunozDepartment of Paediatric Nephrology, University Hospital Vall d'Hebron, Barcelona, Spain.
Alvaro Madrid ArisDepartment of Nephrology, Hospital Sant Joan de Deu, Barcelona, Spain.
Ibrahim Al AttrachDepartment of Pediatrics, Tawam Hospital, Al Ain, United Arab Emirates.
Paul E BrenchleyDivision of Cardiovascular Sciences, University of Manchester, Manchester, UK.
Daniel P GaleDepartment of Renal Medicine, University College London, London, UK.
Horia StanescuDepartment of Renal Medicine, University College London, London, UK.
Detlef BockenhauerDepartment of Renal Medicine, University College London, London, UK.
Robert KletaDepartment of Renal Medicine, University College London, London, UK.
University College London · GBHospital for Sick Children · CAGreat Ormond Street Hospital for Children NHS Foundation Trust · GBHospital Sant Joan de Déu Barcelona · ESMcMaster Children's Hospital · CATawam Hospital · AEUniversity of Freiburg · DEUniversity of Manchester · GBVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMembranous nephropathy (MN) is the most common cause of nephrotic syndrome (NS) in adults and is a leading cause of end-stage renal disease due to glomerulonephritis. Primary MN has a strong male predominance, accounting for approximately 65% of cases; yet, currently associated genetic loci are all located on autosomes. Previous reports of familial MN have suggested the existence of a potential X-linked susceptibility locus. Identification of such risk locus may provide clues to the etiology of MN.

methodsWe identified 3 families with 8 members affected by primary MN. Genotyping was performed using single-nucleotide polymorphism microarrays, and serum was sent for anti-phospholipase A2 receptor (PLA2R) antibody testing. All affected members were male and connected through the maternal line, consistent with X-linked inheritance. Genome-wide multipoint parametric linkage analysis using a model of X-linked recessive inheritance was conducted, and genetic risk scores (GRSs) based on known MN-associated variants were determined.

resultsAnti-PLA2R testing was negative in all affected family members. Linkage analysis revealed a significant logarithm of the odds score (3.260) on the short arm of the X chromosome at a locus of approximately 11 megabases (Mb). Haplotype reconstruction further uncovered a shared haplotype spanning 2 Mb present in all affected individuals from the 3 families. GRSs in familial MN were significantly lower than in anti-PLA2R-associated MN and were not different from controls.

conclusionsOur study identifies linkage of familial membranous nephropathy to chromosome Xp11.3-11.22. Family members affected with MN have a significantly lower GRS than individuals with anti-PLA2R-associated MN, suggesting that X-linked familial MN represents a separate etiologic entity.

Indexed as

genetic risk scoreglomerulonephritislinkage analysisLOD scoremembranous nephropathyX-linked

Identifiers

PMID34169208
PMCPMC8207324
OpenAlexW3135863034

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.