Evidence map›Paper›PMID 35283375›Full record

ArticleInternal medicine (Tokyo, Japan)2022

Improvement in Decline Rate of Estimated Glomerular Filtration Rate after Febuxostat Treatment in a Fabry Disease Patient with Enzyme Replacement Therapy-resistant Proteinuria.

Shinji Kume, Mako Yasuda-Yamahara, Yoshimi Imamura-Uehara, Shogo Kuwagata, Kosuke Yamahara, Naoko Takeda, Masami Chin-Kanasaki, Koichi Kato, Seiko Ohno, Yoshihisa Nakagawa and 1 more

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In one paragraph

Article in Internal medicine (Tokyo, Japan), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 49% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

11 authors at 2 institutions in 1 country.

Shinji KumeDivision of Diabetes, Endocrinology & Nephrology, Department of Medicine, Shiga University of Medical Science, Japan.
Mako Yasuda-YamaharaDivision of Diabetes, Endocrinology & Nephrology, Department of Medicine, Shiga University of Medical Science, Japan.
Yoshimi Imamura-UeharaDivision of Diabetes, Endocrinology & Nephrology, Department of Medicine, Shiga University of Medical Science, Japan.
Shogo KuwagataDivision of Diabetes, Endocrinology & Nephrology, Department of Medicine, Shiga University of Medical Science, Japan.
Kosuke YamaharaDivision of Diabetes, Endocrinology & Nephrology, Department of Medicine, Shiga University of Medical Science, Japan.
Naoko TakedaDivision of Diabetes, Endocrinology & Nephrology, Department of Medicine, Shiga University of Medical Science, Japan.
Masami Chin-KanasakiDivision of Diabetes, Endocrinology & Nephrology, Department of Medicine, Shiga University of Medical Science, Japan.
Koichi KatoDivision of Cardiovascular Medicine, Department of Medicine, Shiga University of Medical Science, Japan.
Seiko OhnoDepartment of Bioscience and Genetics, National Cerebral and Cardiovascular Center, Japan.
Yoshihisa NakagawaDivision of Cardiovascular Medicine, Department of Medicine, Shiga University of Medical Science, Japan.
Hiroshi MaegawaDivision of Diabetes, Endocrinology & Nephrology, Department of Medicine, Shiga University of Medical Science, Japan.
Shiga University of Medical Science · JPNational Cerebral and Cardiovascular Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fabry disease is an inherited lysosomal disorder caused by mutations in the alpha-galactosidase A gene. We herein report a Fabry disease patient with enzyme replacement therapy (ERT)-resistant proteinuria who showed improvement in the estimated glomerular filtration rate (eGFR) decline rate after uric acid (UA)-lowering therapy. The patient was diagnosed with Fabry disease at 36 years old. After that, even under ERT, proteinuria and eGFR decline persisted. During the clinical course, serum UA levels were elevated with increases in renal tubular damage markers. Febuxostat administration immediately improved tubular damage and prevented further eGFR decline. UA-mediated tubulopathy may become an additional therapeutic target for eGFR decline in Fabry disease.

Indexed as

Fabry DiseaseHyperuricemiaAdultalpha-GalactosidaseEnzyme Replacement TherapyFebuxostatGlomerular Filtration RateHumansProteinuriaTreatment OutcomeUric Acidalpha-GalactosidaseFebuxostatUric AcidFabry diseasehyperuricemiatubular cell damageurate crystalxanthine oxidase inhibitor

Identifiers

PMID35283375
PMCPMC9646352
OpenAlexW4220883402

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.