Evidence map›Paper›PMID 34524642›Full record

ArticleCEN case reports2022

Nivolumab-induced membranous nephropathy in a patient with stage IV lung adenocarcinoma.

Keiko Wakabayashi, Satoko Yamamoto, Shigeo Hara, Momoko Okawara, Kumie Teramoto, Natsuko Ikeda, Yasuo Kusunoki, Masanobu Takeji

Open access · greenAbstract readCase Reports
In one paragraph

Article in CEN case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

9 citing papers in PubMed, 7 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

8 authors at 3 institutions in 1 country.

Keiko WakabayashiDepartment of Nephrology, Osaka University Hospital, 2-15 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Satoko YamamotoDepartment of Internal Medicine, Division of Nephrology, Toyonaka Municipal Hospital, 4-14-1 Shibahara-cho, Toyonaka, Osaka, 560-8565, Japan.
Shigeo HaraDepartment of Diagnostic Pathology, Kobe City Medical Center General Hospital, 2-1-1, Minamimachi, Minatojima, Chuo Ward, Kobe, Hyogo, 650-0047, Japan.
Momoko OkawaraDepartment of Internal Medicine, Division of Nephrology, Toyonaka Municipal Hospital, 4-14-1 Shibahara-cho, Toyonaka, Osaka, 560-8565, Japan.
Kumie TeramotoDepartment of Internal Medicine, Division of Nephrology, Toyonaka Municipal Hospital, 4-14-1 Shibahara-cho, Toyonaka, Osaka, 560-8565, Japan.
Natsuko IkedaDepartment of Internal Medicine, Division of Nephrology, Toyonaka Municipal Hospital, 4-14-1 Shibahara-cho, Toyonaka, Osaka, 560-8565, Japan.
Yasuo KusunokiDepartment of Internal Medicine, Division of Nephrology, Toyonaka Municipal Hospital, 4-14-1 Shibahara-cho, Toyonaka, Osaka, 560-8565, Japan.
Masanobu TakejiDepartment of Internal Medicine, Division of Nephrology, Toyonaka Municipal Hospital, 4-14-1 Shibahara-cho, Toyonaka, Osaka, 560-8565, Japan. mtakeji@zeus.eonet.ne.jp.ORCID 0000-0002-3813-9484
Toyonaka Municipal Hospital · JPKobe City Medical Center General Hospital · JPOsaka University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune check point inhibitors (ICIs) are now increasingly used for cancer therapy. At the same time, by activating the immune system, ICIs induce unique side effects, termed immune-related adverse events (irAEs). Renal irAEs, although uncommon, result in acute tubulointerstitial nephritis. Recently, because of an increase in ICI administration, renal irAEs, including glomerulonephritis, are being increasingly reported. A 69-year-old man presented with nephrotic syndrome after use of the ICI nivolumab. He underwent renal biopsy and was diagnosed with membranous nephropathy (MN) without acute tubulointerstitial nephritis. Immunofluorescence staining was negative for IgG4 and phospholipase A2 receptor (PLA2R), suggesting a malignancy-associated pattern. Oral glucocorticoid therapy was started as the standard treatment for irAEs, which resulted in complete remission of the nephrotic syndrome in 20 months. We suggest his MN was induced or accelerated by immune activation due to nivolumab. It means that ICIs possibly induce not only acute tubulointerstitial nephritis but also nephrotic syndrome due to MN as renal irAEs which is treatable with glucocorticoid.

Indexed as

Adenocarcinoma of LungGlomerulonephritis, MembranousLung NeoplasmsNephrotic SyndromeAgedFemaleGlucocorticoidsHumansMaleNephritis, InterstitialNivolumabGlucocorticoidsNivolumabIgG subclassImmune check point inhibitors (ICIs)Immune-related adverse events (irAEs)Membranous nephropathy (MN)Nephrotic syndromeNivolumabPhospholipase A2 receptor (PLA2R)

Identifiers

PMID34524642
PMCPMC9061917
OpenAlexW3200170443

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.