Evidence map›Paper›PMID 36245664›Full record

ReviewKidney3602022

The Gut and Kidney Crosstalk in Immunoglobulin A Nephropathy.

Luis Sanchez-Russo, Arun Rajasekaran, Sofia Bin, Jeremiah Faith, Paolo Cravedi

Abstract readReview
In one paragraph

Review in Kidney360, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Immunosuppressive therapy for IgA nephropathy in children.The Cochrane database of systematic reviews · 2024
    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

5 authors.

Luis Sanchez-RussoRenal Division, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
Arun RajasekaranDivision of Nephrology, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.ORCID 0000-0002-7564-6362
Sofia BinRenal Division, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.ORCID 0000-0001-7120-3866
Jeremiah FaithPrecision Immunology Institute, Icahn School of Medicine at Mount Sinai, New York, New York.
Paolo CravediRenal Division, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.ORCID 0000-0001-7837-0923

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immunoglobulin A nephropathy(IgAN) is the most common primary glomerulonephritis worldwide. The working model for the pathogenesis of IgAN involves a multistep process starting from the production of galactose-deficient and polymeric immunoglobulin A-1 (gd-IgA1) that enters systemic circulation from gut-associated lymphoid tissue (GALT). Galactose-deficient IgA are targeted by endogenous IgG, leading to the formation of circulating immune complexes that deposit in the mesangium and resulting in glomerular inflammation. Disease onset and relapses are often associated with gut infections, supporting the hypothesis that the gut plays an important pathogenic role. In the presence of microbial pathogens or food antigens, activated dendritic cells in the gut mucosa induce T cell dependent and independent B cell differentiation into IgA secreting plasma cells. In IgAN patients, this promotes the systemic release of mucosal gd-IgA1. Not all bacterial strains have the same capacity to elicit IgA production, and little is known about the antigen specificity of the pathogenic gd-IgA1. However, efficacy of treatments targeting gut inflammation support a pathogenic link between the bowel immune system and IgAN. Herein, we review the evidence supporting the role of gut inflammation in IgAN pathogenesis.

Indexed as

Glomerulonephritis, IGAAntigen-Antibody ComplexGalactoseHumansImmunoglobulin AImmunoglobulin GInflammationKidneyAntigen-Antibody ComplexGalactoseImmunoglobulin AImmunoglobulin Gglomerular and tubulointerstitial diseasesgut-associated lymphoid tissueIgA nephropathyimmunoglobulin Ainflammatory bowel diseasemicrobiomePeyer’s patches

Identifiers

PMID36245664
PMCPMC9528376

What OpenQuestion holds

Textmetadata
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.