Evidence map›Paper›PMID 35880347›Full record

ArticleBiomolecules & biomedicine2023

Clinical and histopathological characteristics of COL4A3 c.2881+1G>A variant causing Alport spectrum disorders in Croatian population.

Matija Horaček, Tamara Nikuševa Martić, Petar Šenjug, Marija Šenjug Perica, Maja Oroz, Sania Kuzmac, Dragan Klarić, Merica Glavina Durdov, Marijan Saraga, Danko Milošević and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Biomolecules & biomedicine, 2023. 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
0.1field-weighted citation impact, top 54% 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, 1 citations in OpenAlex.

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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

14 authors at 6 institutions in 1 country.

Matija HoračekInstitute of Pathology, School of Medicine, University of Zagreb, Zagreb, Croatia.
Tamara Nikuševa MartićDepartment of Medical Biology and Genetics, School of Medicine, University of Zagreb, Zagreb, Croatia.
Petar ŠenjugDepartment of Nephropatology and Electron Microscopy, Dubrava University Hospital, Zagreb, Croatia.
Marija Šenjug PericaDivision of Rheumatology, Srebrnjak Children's Hospital, Zagreb, Croatia.
Maja OrozDepartment of Gynecology and Obstetrics, Clinical Hospital "Sveti Duh", Zagreb, Croatia.
Sania KuzmacClinical Department of Pathology and Cytology, University Hospital Centre Zagreb, Zagreb, Croatia.
Dragan KlarićDepartment of Nephrology, General Hospital Zadar, Zadar, Croatia.
Merica Glavina DurdovDepartment of Pathology, University Hospital Split, Split, Croatia.
Marijan SaragaDepartment of Pediatrics, University Hospital Split, Split, Croatia.
Danko MiloševićDepartment of Pediatrics, University Hospital Centre Zagreb, Zagreb, Croatia.
Danica BatinićPediatric ordination dr. Danica Batinić, Zagreb, Croatia.
Marijana ĆorićInstitute of Pathology, School of Medicine, University of Zagreb, Zagreb, Croatia; Clinical Department of Pathology and Cytology, University Hospital Centre Zagreb, Zagreb, Croatia.
Frane PaićDepartment of Medical Biology and Genetics, School of Medicine, University of Zagreb, Zagreb, Croatia; Laboratory for Epigenetics and Molecular medicine, School of Medicine Zagreb, Croatia.
Danica Galešić LjubanovićInstitute of Pathology, School of Medicine, University of Zagreb, Zagreb, Croatia; Department of Nephropatology and Electron Microscopy, Dubrava University Hospital, Zagreb, Croatia.
University Hospital Centre Zagreb · HRUniversity of Zagreb · HRUniversity of Split · HRChildren's Hospital Srebrnjak · HRUniversity Hospital Dubrava · HRUniversity of Zadar · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Alport syndrome (AS) and thin basement membrane nephropathy (TBMN) are part of the spectrum of kidney disorders caused by pathogenic variants in α3, α4, or α5 chains of the collagen type IV, the major structural component of the glomerular basement membrane (GBM). Using targeted next-generation sequencing (NGS), 34 AS/TBMN patients (58.8% male) from 12 unrelated families were found positive for heterozygous c.2881+1G>A variant of the COL4A3gene, that is considered disease-causing. All patients were from the continental or island part of Croatia. Clinical, laboratory, and histopathological data collected from the medical records were analyzed and compared to understand the clinical course and prognosis of the affected patients. At the time of biopsy or first clinical evaluation, the mean age was 31 years (median: 35 years; range: 1 - 72 years). Hematuria was present in 33 patients (97.1%) and 19 (55.9%) patients had proteinuria. There were 6 (17.6%) patients with hearing loss, 4 (11.8%) with ocular lesions, and 11 (32.4%) with hypertension. Twenty-three (67.6%) patients had proteinuria at follow-up, and 5 (14.7%) patients with the median age of 48 years (range: 27-55) progressed to kidney failure, started dialysis, or underwent kidney transplantation. Of the 13 patients who underwent kidney biopsy, 4 (30.8%) developed focal segmental glomerulosclerosis (FSGS), and 8 (66.7%) showed lamellation of the GBM, including all patients with FSGS. It is essential to conduct a detailed analysis of each collagen type IV genetic variant to optimize the prognosis and therapeutic approach for affected patients.

Indexed as

Glomerulosclerosis, Focal SegmentalNephritis, HereditaryAdultAutoantigensCollagen Type IVCroatiaFemaleHematuriaHumansMaleMiddle AgedProteinuriaAutoantigensCollagen Type IVtype IV collagen alpha3 chain

Identifiers

PMID35880347
PMCPMC9901899
OpenAlexW4285796176

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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.