Evidence map›Paper›PMID 37398689›Full record

ReviewClinical kidney journal2023

Immune abnormalities in IgA nephropathy.

Micaela Gentile, Luis Sanchez-Russo, Leonardo V Riella, Alberto Verlato, Joaquin Manrique, Simona Granata, Enrico Fiaccadori, Francesco Pesce, Gianluigi Zaza, Paolo Cravedi

Abstract readReview
In one paragraph

Review in Clinical kidney journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 3 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

44 citing papers in PubMed, 3 syntheses or guidelines 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

10 authors.

Micaela GentileTranslational Transplant Research Center and Department of Medicine, Icahn School of Medicine at Mount Sinai, NY, USA.
Luis Sanchez-RussoTranslational Transplant Research Center and Department of Medicine, Icahn School of Medicine at Mount Sinai, NY, USA.
Leonardo V RiellaDivision of Nephrology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Alberto VerlatoTranslational Transplant Research Center and Department of Medicine, Icahn School of Medicine at Mount Sinai, NY, USA.
Joaquin ManriqueNephrology Service, Complejo Hospitalario de Navarra, Pamplona, Spain.
Simona GranataNephrology, Dialysis and Transplantation Unit, University of Foggia, Foggia, Italy.
Enrico FiaccadoriUO Nefrologia, Dipartimento di Medicina e Chirurgia, Università di Parma, Parma, Italy.
Francesco PesceNephrology, Dialysis and Transplantation Unit, Department of Emergency and Organ Transplantation, University of Bari "A. Moro", Bari, Italy.
Gianluigi ZazaNephrology, Dialysis and Transplantation Unit, University of Foggia, Foggia, Italy.
Paolo CravediTranslational Transplant Research Center and Department of Medicine, Icahn School of Medicine at Mount Sinai, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immunoglobulin A (IgA) nephropathy (IgAN) is the most common primary glomerulonephritis worldwide and it is characterized by mesangial IgA deposition. Asymptomatic hematuria with various degrees of proteinuria is the most common clinical presentation and up to 20%-40% of patients develop end-stage kidney disease within 20 years after disease onset. The pathogenesis of IgAN involves four sequential processes known as the "four-hit hypothesis" which starts with the production of a galactose-deficient IgA1 (gd-IgA1), followed by the formation of anti-gd-IgA1 IgG or IgA1 autoantibodies and immune complexes that ultimately deposit in the glomerular mesangium, leading to inflammation and injury. Although several key questions about the production of gd-IgA1 and the formation of anti-gd-IgA1 antibodies remain unanswered, a growing body of evidence is shedding light on the innate and adaptive immune mechanisms involved in this complex pathogenic process. Herein, we will focus on these mechanisms that, along with genetic and environmental factors, are thought to play a key role in disease pathogenesis.

Indexed as

adaptive immunitygalactose-deficient IgA1IgA nephropathyinnate immunity

Identifiers

PMID37398689
PMCPMC10310525

What OpenQuestion holds

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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.