Evidence map›Paper›PMID 34522991›Full record

ArticlePediatric nephrology (Berlin, Germany)2021

Myeloperoxidase immunohistochemical staining can identify glomerular endothelial cell injury in dense deposit disease.

Neal B Blatt, Tripti Kumar, Larysa T Wickman, Hassan D Kanaan, Anthony Chang, Ping L Zhang

Abstract readCase Reports
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In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 90% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

6 authors at 3 institutions in 1 country.

Neal B BlattDivision of Pediatric Nephrology, Beaumont Health, Royal Oak, MI, USA. neal.blatt@beaumont.org.
Tripti KumarDepartment of Pathology, Ascension Providence Hospital, Southfield, MI, USA.
Larysa T WickmanDivision of Pediatric Nephrology, Beaumont Health, Royal Oak, MI, USA.
Hassan D KanaanDepartment of Pathology, Beaumont Laboratories, Beaumont Health, Royal Oak, MI, USA.
Anthony ChangThe University of Chicago Medical Center, Chicago, IL, USA.
Ping L ZhangDepartment of Pathology, Beaumont Laboratories, Beaumont Health, Royal Oak, MI, USA. ping.zhang@beaumont.org.
Beaumont Health · USAscension Providence Hospital · USUniversity of Chicago Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies have demonstrated residual complement-mediated deposits in repeat kidney biopsies of C3 glomerulopathies (C3G) (dense deposit disease (DDD) and C3 glomerulonephritis) following eculizumab treatment, despite some clinical improvement. With residual complement deposition, it is difficult to determine whether there is a reduced complement-mediated endothelial cell injury. We validated that myeloperoxidase (MPO) immunohistochemical staining identified glomerular endothelial cell injury in crescentic glomerulonephritis and C3G. CASE (DIAGNOSIS/TREATMENT): We report that MPO staining in the glomerular endothelium of the post-treatment kidney biopsy was significantly reduced after 3 years of eculizumab treatment and clinical improvement in a 5-year-old boy with initial DDD and secondary crescent formation.

conclusionWe find that immunostaining for MPO is a useful method to compare glomerular endothelial injury in C3G following eculizumab treatment. This finding also supports the notion that eculizumab, a C5 blocker, may not mainly block C3 deposits in the glomeruli but significantly blocks final activation of the complement cascade, thus reducing glomerular endothelial cell injury.

Indexed as

GlomerulonephritisGlomerulonephritis, MembranoproliferativeChild, PreschoolEndothelial CellsHumansImmunohistochemistryMalePeroxidaseStaining and LabelingPeroxidaseAlternative pathway of complementC3 glomerulopathyDense deposit diseaseEculizumabGlomerular endotheliumMyeloperoxidase staining

Identifiers

PMID34522991
OpenAlexW3198966711

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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.