Evidence map›Paper›PMID 34787798›Full record

ArticleJournal of nephrology2022

Oxidative stress and macrophage infiltration in IgA nephropathy.

Yasar Caliskan, Erol Demir, Ecem Karatay, Yasemin Ozluk, Safak Mirioglu, Ahmet Burak Dirim, Ayse Serra Artan, Sebahat Usta Akgul, Ozgur Akin Oto, Fatma Savran Oguz and 3 more

Abstract read
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In one paragraph

Article in Journal of nephrology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

15 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Review
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  4. Article
  5. Article
  6. TREM2Experimental physiology · 2025
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  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. COSMC expression as a predictor of remission in IgA nephropathy.International urology and nephrology · 2023
    Article
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  15. Review
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

13 authors at 3 institutions in 2 countries.

Yasar CaliskanDivision of Nephrology, Saint Louis University School of Medicine, 3660 Vista Ave, Saint Louis, MO, USA. yasar.caliskan@health.slu.edu.
Erol DemirDivision of Nephrology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Ecem KaratayDepartment of Pathology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Yasemin OzlukDepartment of Pathology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Safak MiriogluDivision of Nephrology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Ahmet Burak DirimDivision of Nephrology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Ayse Serra ArtanDivision of Nephrology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Sebahat Usta AkgulDepartment of Medical Biology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Ozgur Akin OtoDivision of Nephrology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Fatma Savran OguzDepartment of Medical Biology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Aydin TurkmenDivision of Nephrology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Krista L LentineDivision of Nephrology, Saint Louis University School of Medicine, 3660 Vista Ave, Saint Louis, MO, USA.
Halil YaziciDivision of Nephrology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Istanbul University · TRBezmiâlem Vakıf Üniversitesi · TRSaint Louis University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to evaluate the interactions among serum levels of galactose-deficient IgA1 (Gd-IgA1), oxidative stress and macrophage infiltration and their clinical correlates in patients with IgA Nephropathy (IgAN).

methodsA total of 47 patients with biopsy-proven primary IgAN, aged between 16 and 79 years, with a follow-up period ≥ 1 year or who showed progression to end stage kidney disease (ESKD) regardless the duration of follow-up were included. Study endpoint was the progression to ESKD. Serum Gd-IgA1 and advanced oxidation protein product (AOPP) levels were measured using ELISA assays. Kidney biopsies were evaluated according to the Oxford MEST-C scoring, with C4d and CD68 staining.

resultsSeventeen patients (36%) experienced ESKD during a median follow-up time of 6 years (IQR 3.7-7.5). Serum AOPP levels were correlated with the intensity of glomerular C3 deposition (r = 0.325, p = 0.026), glomerular (r = 0.423, p = 0.003) and interstitial CD68 + cell count (r = 0.298, p = 0.042) and Gd-IgA1 levels (r = 0.289, p = 0.049). Serum Gd-IgA1 levels were correlated with the intensity of C3 deposition (r = 0.447, p = 0.002). eGFR at biopsy (adjusted HR (aHR) 0.979 p = 0.011), and E score (aHR, 8.305, p = 0.001) were associated with progression to ESKD in multivariate analysis. 5-year ESKD-free survival rate was significantly lower in patients with higher E score compared to patients with E score 0 [p = 0.021].

conclusionsAn increased number of macrophages in the glomerular and tubulointerstitial area may play a role in oxidative stress and complement system activation. Endocapillary hypercellularity is a predictive factor for poor prognosis in IgAN.

Indexed as

Glomerulonephritis, IGAAdolescentAdultAdvanced Oxidation Protein ProductsAgedFemaleGalactoseHumansImmunoglobulin AMacrophagesMaleMiddle AgedOxidative StressYoung AdultAdvanced Oxidation Protein ProductsGalactoseImmunoglobulin AIgA nephropathyInflammationKidney diseaseMacrophagesOxidative stress

Identifiers

PMID34787798
OpenAlexW3212065866

What OpenQuestion holds

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Read underepoch 390

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.