Evidence map›Paper›PMID 36894873›Full record

ArticleBMC nephrology2023

Immune checkpoint inhibitors associated granulomatous small vessel vasculitis accompanied with tubulointerstitial nephritis: a case report.

Kenta Tominaga, Kazuhiro Takeuchi, Shoichiro Takakuma, Emi Sakamoto, Saeko Hatanaka, Yusuke Kajimoto, Etsuko Toda, Yasuhiro Terasaki, Shinobu Kunugi, Mika Terasaki and 1 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC nephrology, 2023. 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
2.8field-weighted citation impact, top 9% 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, 12 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
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  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Predominant CD8Pathology international · 2024
    Article
  11. PD-1/PD-L1 axis in organ fibrosis.Frontiers in immunology · 2023
    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 2 institutions in 1 country.

Kenta TominagaDepartment of Analytic Human Pathology, Nippon Medical School, Tokyo, Japan.
Kazuhiro TakeuchiDepartment of Analytic Human Pathology, Nippon Medical School, Tokyo, Japan.
Shoichiro TakakumaDepartment of Analytic Human Pathology, Nippon Medical School, Tokyo, Japan.
Emi SakamotoDepartment of Analytic Human Pathology, Nippon Medical School, Tokyo, Japan.
Saeko HatanakaDepartment of Analytic Human Pathology, Nippon Medical School, Tokyo, Japan.
Yusuke KajimotoDepartment of Analytic Human Pathology, Nippon Medical School, Tokyo, Japan.
Etsuko TodaDepartment of Analytic Human Pathology, Nippon Medical School, Tokyo, Japan.
Yasuhiro TerasakiDepartment of Analytic Human Pathology, Nippon Medical School, Tokyo, Japan.
Shinobu KunugiDepartment of Analytic Human Pathology, Nippon Medical School, Tokyo, Japan.
Mika TerasakiDepartment of Analytic Human Pathology, Nippon Medical School, Tokyo, Japan.
Akira ShimizuDepartment of Analytic Human Pathology, Nippon Medical School, Tokyo, Japan. ashimizu@nms.ac.jp.
Nippon Medical School · JPNippon Medical School Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmune checkpoint inhibitors (ICIs) have provided significant benefits in cancer treatment, but they could develop immune-related adverse events (irAE). ICI-associated renal adverse effects are rare and tubulointerstitial nephritis (TIN) is the most common in the renal irAE. However, only a few case reports of renal vasculitis associated with ICI have been reported. In addition, the characteristics of infiltrating inflammatory cells of ICI-associated TIN and renal vasculitis have been uncertain. CASE PRESENTATION: A 65-year-old man received immune checkpoint inhibitors (ICIs), anti-CTLA-4 (cytotoxic T-lymphocyte-associated protein 4) and anti-PD-1 (programmed cell death 1) antibodies for aggravated metastatic malignant melanoma. About 1 week after the second administration of nivolumab and ipilimumab, acute kidney injury developed. A renal biopsy was performed that showed TIN and non-necrotizing granulomatous vasculitis in interlobular arteries. Massive CD3

conclusionsWe herein reported a case of ICI-related TIN and renal granulomatous vasculitis with infiltration of massive antigen-independent activated CD8

Indexed as

Antineoplastic Agents, ImmunologicalNephritis, InterstitialVasculitis, Central Nervous SystemAgedCD8-Positive T-LymphocytesHumansImmune Checkpoint InhibitorsIpilimumabMaleNivolumabAntineoplastic Agents, ImmunologicalImmune Checkpoint InhibitorsIpilimumabNivolumabAcute kidney injuryGranulomatous vasculitisImmune checkpoint inhibitorImmune-related adverse eventTubulointerstitial nephritis

Identifiers

PMID36894873
PMCPMC9997013
OpenAlexW4323666764

What OpenQuestion holds

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LicenceCC BY
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.