Evidence map›Paper›PMID 37415622›Full record

ArticleKidney medicine2023

Pembrolizumab-Induced Anti-GBM Glomerulonephritis: A Case Report.

Nidal El Yamani, Gabrielle Cote, Julie Riopel, Nicolas Marcoux, Fabrice Mac-Way, David Philibert, Mohsen Agharazii

Open access · goldAbstract readCase Reports
In one paragraph

Article in Kidney medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.1field-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

7 citing papers in PubMed, 12 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

7 authors at 2 institutions in 1 country.

Nidal El YamaniCHU de Québec Research Center- L'Hôtel-Dieu de Québec Hospital, Québec City, Québec, Canada.
Gabrielle CoteDivision of Nephrology, Department of Medicine, Université Laval, Québec City, Québec, Canada.
Julie RiopelDivision of Pathology, Department of Molecular Biology, Medical Biology and Pathology, Université Laval, Québec City, Québec, Canada.
Nicolas MarcouxDivision of Hematology and Oncology, Department of Medicine, Faculty of Medicine, Université Laval, Québec City, Québec, Canada.
Fabrice Mac-WayCHU de Québec Research Center- L'Hôtel-Dieu de Québec Hospital, Québec City, Québec, Canada.
David PhilibertDivision of Nephrology, Department of Medicine, Université Laval, Québec City, Québec, Canada.
Mohsen AgharaziiCHU de Québec Research Center- L'Hôtel-Dieu de Québec Hospital, Québec City, Québec, Canada.
Université Laval · CAHôtel-Dieu de Québec · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors are known to have a wide range of autoimmune toxicities, such as acute interstitial nephritis. Immunotherapy induced glomerulonephritis has been described, but anti-glomerular basement membrane disease (anti-GBM) is rarely reported. We present a case report of a 60-year-old woman with squamous cell carcinoma of the cervix who was treated with pembrolizumab, an anti-programmed cell death protein 1, and who developed severe acute kidney injury 4 months after therapy initiation. The immune workup showed a positive serum anti-GBM antibody (24 U/mL). The kidney biopsy showed crescentic glomerulonephritis with linear immunoglobulin G2 glomerular basement membrane staining, compatible with anti-GBM glomerulonephritis. The patient was treated with plasmapheresis, IV steroids, and cyclophosphamide, but she developed kidney failure, necessitating dialysis. Few case reports, such as the present case, provide a possible link between anti-GBM glomerulonephritis and immune checkpoint inhibitors, warranting early clinical suspicion and investigation in patients who are treated with these agents and subsequently develop acute kidney injury.

Indexed as

acute kidney injuryanti- GBMcancercheckpoint inhibitorsglomerulonephritisImmunotherapykidney failure

Identifiers

PMID37415622
PMCPMC10320380
OpenAlexW4380258951

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.