Evidence map›Paper›PMID 34944087›Full record

ReviewCells2021

Pediatric Atypical Hemolytic Uremic Syndrome Advances.

Rupesh Raina, Nina Vijayvargiya, Amrit Khooblall, Manasa Melachuri, Shweta Deshpande, Divya Sharma, Kashin Mathur, Manav Arora, Sidharth Kumar Sethi, Sonia Sandhu

Open access · goldAbstract readReview
In one paragraph

Review in Cells, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Updates in atypical hemolytic syndrome.Current opinion in pediatrics · 2026
    Review
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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

10 authors at 3 institutions in 2 countries.

Rupesh RainaAkron Nephrology Associates/Cleveland Clinic Akron General Medical Center, Akron, OH 44307, USA.
Nina VijayvargiyaAkron Nephrology Associates/Cleveland Clinic Akron General Medical Center, Akron, OH 44307, USA.
Amrit KhooblallAkron Nephrology Associates/Cleveland Clinic Akron General Medical Center, Akron, OH 44307, USA.ORCID 0000-0002-1534-5533
Manasa MelachuriDepartment of Medicine, Northeast Ohio Medical University, Rootstown, OH 44272, USA.
Shweta DeshpandeAkron Nephrology Associates/Cleveland Clinic Akron General Medical Center, Akron, OH 44307, USA.
Divya SharmaDepartment of Medicine, Northeast Ohio Medical University, Rootstown, OH 44272, USA.
Kashin MathurAkron Nephrology Associates/Cleveland Clinic Akron General Medical Center, Akron, OH 44307, USA.
Manav AroraAkron Nephrology Associates/Cleveland Clinic Akron General Medical Center, Akron, OH 44307, USA.
Sidharth Kumar SethiPediatric Nephrology & Pediatric Kidney Transplantation, Kidney and Urology Institute, Medanta, The Medicity Hospital, Gurgaon 122007, India.ORCID 0000-0002-1516-3393
Sonia SandhuHematology and Oncology, Cleveland Clinic Akron General Medical Center, Akron, OH 44307, USA.
Cleveland Clinic · USNortheast Ohio Medical University · USMedanta The Medicity · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atypical hemolytic uremic syndrome (aHUS) is a rare disorder characterized by dysregulation of the alternate pathway. The diagnosis of aHUS is one of exclusion, which complicates its early detection and corresponding intervention to mitigate its high rate of mortality and associated morbidity. Heterozygous mutations in complement regulatory proteins linked to aHUS are not always phenotypically active, and may require a particular trigger for the disease to manifest. This list of triggers continues to expand as more data is aggregated, particularly centered around COVID-19 and pediatric vaccinations. Novel genetic mutations continue to be identified though advancements in technology as well as greater access to cohorts of interest, as in diacylglycerol kinase epsilon (DGKE). DGKE mutations associated with aHUS are the first non-complement regulatory proteins associated with the disease, drastically changing the established framework. Additional markers that are less understood, but continue to be acknowledged, include the unique autoantibodies to complement factor H and complement factor I which are pathogenic drivers in aHUS. Interventional therapeutics have undergone the most advancements, as pharmacokinetic and pharmacodynamic properties are modified as needed in addition to their as biosimilar counterparts. As data continues to be gathered in this field, future advancements will optimally decrease the mortality and morbidity of this disease in children.

Indexed as

MutationAtypical Hemolytic Uremic SyndromeAutoantibodiesChildComplement Factor HComplement Factor ICOVID-19COVID-19 Drug TreatmentCOVID-19 VaccinesDiacylglycerol KinaseHumansSARS-CoV-2AutoantibodiesCFI protein, humanComplement Factor HComplement Factor ICOVID-19 VaccinesDGKE protein, humanDiacylglycerol KinaseaHUS advancementspediatric aHUS

Identifiers

PMID34944087
PMCPMC8700093
OpenAlexW4200120870

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.