Evidence map›Paper›PMID 34944624›Full record

ArticleBiomedicines2021

Unravelling the Role of PAX2 Mutation in Human Focal Segmental Glomerulosclerosis.

Lorena Longaretti, Piera Trionfini, Valerio Brizi, Christodoulos Xinaris, Caterina Mele, Matteo Breno, Elena Romano, Roberta Giampietro, Giuseppe Remuzzi, Ariela Benigni and 1 more

Open access · goldAbstract read
In one paragraph

Article in Biomedicines, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

10 citing papers in PubMed, 9 citations in OpenAlex.

  1. Epigenetic, Genetic, and Functional Germline Alterations ofCurrent issues in molecular biology · 2026
    Review
  2. A Novel Pathogenic Variant inCase reports in obstetrics and gynecology · 2026
    Article
  3. Article
  4. Kidney international reports · 2025
    Article
  5. Review
  6. Review
  7. Mice with aAmerican journal of physiology. Renal physiology · 2024
    Article
  8. International journal of molecular sciences · 2023
    Review
  9. Review
  10. 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

11 authors at 1 institution in 1 country.

Lorena LongarettiIstituto di Ricerche Farmacologiche Mario Negri IRCCS, 24126 Bergamo, Italy.ORCID 0000-0002-4366-4152
Piera TrionfiniIstituto di Ricerche Farmacologiche Mario Negri IRCCS, 24126 Bergamo, Italy.ORCID 0000-0002-6599-0709
Valerio BriziIstituto di Ricerche Farmacologiche Mario Negri IRCCS, 24126 Bergamo, Italy.
Christodoulos XinarisIstituto di Ricerche Farmacologiche Mario Negri IRCCS, 24126 Bergamo, Italy.
Caterina MeleIstituto di Ricerche Farmacologiche Mario Negri IRCCS, 24126 Bergamo, Italy.
Matteo BrenoIstituto di Ricerche Farmacologiche Mario Negri IRCCS, 24126 Bergamo, Italy.
Elena RomanoIstituto di Ricerche Farmacologiche Mario Negri IRCCS, 24126 Bergamo, Italy.ORCID 0000-0003-0343-5125
Roberta GiampietroIstituto di Ricerche Farmacologiche Mario Negri IRCCS, 24126 Bergamo, Italy.ORCID 0000-0002-2349-5224
Giuseppe RemuzziIstituto di Ricerche Farmacologiche Mario Negri IRCCS, 24126 Bergamo, Italy.
Ariela BenigniIstituto di Ricerche Farmacologiche Mario Negri IRCCS, 24126 Bergamo, Italy.
Susanna TomasoniIstituto di Ricerche Farmacologiche Mario Negri IRCCS, 24126 Bergamo, Italy.ORCID 0000-0002-7212-2512
Mario Negri Institute for Pharmacological Research · IT

Funding

Cassa di Sovvenzioni e Risparmio tra i dipendenti di Banca d'Italia N/ATelethon Foundation GGP17221
6 · The paper itself

Abstract

No effective treatments are available for familial steroid-resistant Focal Segmental Glomerulosclerosis (FSGS), characterized by proteinuria due to ultrastructural abnormalities in glomerular podocytes. Here, we studied a private PAX2 mutation identified in a patient who developed FSGS in adulthood. By generating adult podocytes using patient-specific induced pluripotent stem cells (iPSC), we developed an in vitro model to dissect the role of this mutation in the onset of FSGS. Despite the PAX2 mutation, patient iPSC properly differentiated into podocytes that exhibited a normal structure and function when compared to control podocytes. However, when exposed to an environmental trigger, patient podocytes were less viable and more susceptible to cell injury. Fixing the mutation improved their phenotype and functionality. Using a branching morphogenesis assay, we documented developmental defects in patient-derived ureteric bud-like tubules that were totally rescued by fixing the mutation. These data strongly support the hypothesis that the PAX2 mutation has a dual effect, first in renal organogenesis, which could account for a suboptimal nephron number at birth, and second in adult podocytes, which are more susceptible to cell death caused by environmental triggers. These abnormalities might translate into the development of proteinuria in vivo, with a progressive decline in renal function, leading to FSGS.

Indexed as

focal segmental glomerulosclerosisinduced pluripotent stem cellsPAX2podocytesureteric bud

Identifiers

PMID34944624
PMCPMC8698597
OpenAlexW3217218097

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.