Evidence map›Paper›PMID 35450416›Full record

ArticleGlomerular diseases2022

Clinical Predictors and Prognosis of Recurrent IgA Nephropathy in the Kidney Allograft.

Catherine R Kavanagh, Francesca Zanoni, Rita Leal, Namrata G Jain, Megan Nicole Stack, Elena-Rodica Vasilescu, Geo Serban, Carley Shaut, Jeanne Kamal, Satoru Kudose and 13 more

Open access · goldAbstract read
In one paragraph

Article in Glomerular diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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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

23 authors at 6 institutions in 2 countries.

Catherine R KavanaghPediatric, Nephrology, Columbia University Irving Medical Center, Morgan Stanley Children's Hospital, New York, NY, USA.
Francesca ZanoniMedicine, Nephrology, Columbia University Irving Medical Center, New York, NY, USA.
Rita LealNephrology department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Namrata G JainPediatric, Nephrology, Columbia University Irving Medical Center, Morgan Stanley Children's Hospital, New York, NY, USA.
Megan Nicole StackMedicine, Nephrology, Oregon Health & Science University, Portland, OR, USA.
Elena-Rodica VasilescuPathology and Cell Biology, Columbia University Irving Medical Center, New York, NY, USA.
Geo SerbanPathology and Cell Biology, Columbia University Irving Medical Center, New York, NY, USA.
Carley ShautMedicine, Nephrology, Oregon Health & Science University, Portland, OR, USA.
Jeanne KamalMedicine, Nephrology, Columbia University Irving Medical Center, New York, NY, USA.
Satoru KudosePathology and Cell Biology, Columbia University Irving Medical Center, New York, NY, USA.
António MartinhoCentro de Histocompatibilidade do Centro, Instituto Português do Sangue da Transplantação, Coimbra, Portugal.
Rui AlvesNephrology department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Dominick SantorielloPathology and Cell Biology, Columbia University Irving Medical Center, New York, NY, USA.
Pietro A CanettaMedicine, Nephrology, Columbia University Irving Medical Center, New York, NY, USA.
David CohenMedicine, Nephrology, Columbia University Irving Medical Center, New York, NY, USA.
Jai RadhakrishnanMedicine, Nephrology, Columbia University Irving Medical Center, New York, NY, USA.
Gerald B AppelMedicine, Nephrology, Columbia University Irving Medical Center, New York, NY, USA.
Michael B StokesPathology and Cell Biology, Columbia University Irving Medical Center, New York, NY, USA.
Glen S MarkowitzPathology and Cell Biology, Columbia University Irving Medical Center, New York, NY, USA.
Vivette D D'AgatiPathology and Cell Biology, Columbia University Irving Medical Center, New York, NY, USA.
Krzysztof KirylukFaculty of Medicine, University of Coimbra, Portugal.
Nicole K AndeenPathology, Oregon Health & Science University, Portland, OR, USA.
Ibrahim BatalPathology and Cell Biology, Columbia University Irving Medical Center, New York, NY, USA.
Columbia University Irving Medical Center · USOregon Health & Science University · USHospitais da Universidade de Coimbra · PTMorgan Stanley Children's Hospital · USInstituto Português de Oncologia de Coimbra Francisco Gentil · PTUniversity of Coimbra · PT

Funding

Genetics of IgA nephropathy by integrative network-based association studiesR01DK105124 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Krzysztof Kiryluk · 2015 to 2026
$4.8M
NIDDK NIH HHS R01 DK105124
6 · The paper itself

Abstract

Introduction: Although IgA nephropathy (IgAN) is the most common recurrent glomerulonephritis encountered in the kidney allograft, the clinical and immunogenetic characteristics remain poorly understood. We sought to study determinants and prognosis of recurrent IgAN with special focus on HLA antigens. Materials and Methods: Between 2005 and 2019, we identified 282 transplanted patients with failure secondary to IgAN from two North American and one European Medical Centers, including 80 with recurrent IgAN and 202 without recurrence. Prevalence of HLA antigens was compared to external healthy controls of European ancestry (n=15,740). Graft survival was assessed by Kaplan-Meier method and log rank test. Cox proportional hazards were used for multivariable analyses. Results: Compared to external controls of European ancestry, kidney transplant recipients of European ancestry with kidney failure secondary to IgAN had higher frequency of HLA-DQ5 (42% vs. 30%, OR=1.68, P=0.002) and lower frequency of HLA-DR15 (15% vs. 28%, OR=0.46, P<0.001) and HLA-DQ6 (32% vs. 45%, OR=0.59, P=0.003); however, the frequency of these HLA antigens were similar in recurrent versus non-recurring IgAN. Younger recipient age at transplantation was an independent predictor of recurrence. HLA-matching was an independent predictor for recurrent IgAN only in recipients of living-related but not deceased or living unrelated transplants. Recurrent IgAN was an independent predictor of allograft failure, along with acute rejection. In patients with recurrent IgAN, serum creatinine at biopsy, degree of proteinuria, and concurrent acute rejection were associated with inferior allograft survival. Discussion/ Conclusion: Recurrent IgAN negatively affects allograft survival. Younger recipient age at transplantation is an independent predictor of recurrent IgAN, while the presence of HLA antigens associated with IgAN in the native kidney and HLA-matching in recipients of deceased or living unrelated transplants are not.

Indexed as

HLA-matchingIgA nephropathyKidney transplantationPathologyRecurrent disease

Identifiers

PMID35450416
PMCPMC9017582
OpenAlexW3201906966

What OpenQuestion holds

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LicenceCC BY-NC
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.