Evidence map›Paper›PMID 37423891›Full record

ArticlePhysiological reports2023

Comparative evaluation of glomerular morphometric techniques reveals differential technical artifacts between focal segmental glomerulosclerosis and normal glomeruli.

Anand C Reghuvaran, Qisheng Lin, John M Basgen, Khadija Banu, Hongmei Shi, Anushree Vashist, John Pell, Sudhir Perinchery, John C He, Dennis Moledina and 2 more

Open access · goldAbstract read
In one paragraph

Article in Physiological reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

3 citing papers in PubMed, 3 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

12 authors at 4 institutions in 2 countries.

Anand C ReghuvaranDivision of Nephrology, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.ORCID https://orcid.org/0000-0002-5656-0205
Qisheng LinDepartment of Nephrology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People's Republic of China.ORCID https://orcid.org/0000-0002-5149-2717
John M BasgenMorphometry and Stereology Laboratory, Charles R. Drew University of Medicine and Science, Los Angeles, California, USA.
Khadija BanuDivision of Nephrology, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
Hongmei ShiDivision of Nephrology, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
Anushree VashistDivision of Nephrology, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
John PellDivision of Nephrology, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
Sudhir PerincheryDepartment of Pathology, Yale University School of Medicine, New Haven, Connecticut, USA.
John C HeDivision of Nephrology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Dennis MoledinaDivision of Nephrology, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
F Perry WilsonDivision of Nephrology, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
Madhav C MenonDivision of Nephrology, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.ORCID https://orcid.org/0000-0002-9567-4299
Yale University · USIcahn School of Medicine at Mount Sinai · USMorpho (United States) · USShanghai Jiao Tong University · CN

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Renal Physiology and Phenotyping CoreP30DK079310 · NIDDK · YALE UNIVERSITY · PI ARONSON, PETER S. · 2008 to 2022
$16.8M
Dichotomous roles of Shroom3 in Tubular cells and Podocytes in native and allograft kidneysR01DK122164 · NIDDK · YALE UNIVERSITY · PI Madhav C Menon · 2019 to 2026
$2.7M
Role of AMP-kinase pathway in the regulation of Minimal change disease-to-FSGS transitionR01DK132274 · NIDDK · YALE UNIVERSITY · PI Madhav C Menon · 2023 to 2026
$2.1M
Personalized Recommendations for Acute Kidney Injury (AKI) Care Using a Kidney Action Team: A Randomized TrialR01HS027626 · AHRQ · YALE UNIVERSITY · PI WILSON, FRANCIS PERRY · 2021 to 2025
$1.9M
Modelling mechanisms of progressive chronic kidney disease in APOL1 high-risk live-donors using BAC-Transgenic miceR21AI178705 · NIAID · YALE UNIVERSITY · PI ISHIBE, SHUTA, MENON, MADHAV C · 2023 to 2024
$461k
AHRQ HHS R01 HS027626HHS R01HS027626NCATS NIH HHS UL1 TR001863NIAID NIH HHS R21 AI178705NIDDK NIH HHS P30 DK079310NIDDK NIH HHS P30DK079310NIDDK NIH HHS R01DK11319NIDDK NIH HHS R01 DK122164NIDDK NIH HHS R01DK122164NIDDK NIH HHS R01 DK132274NIDDK NIH HHS R01DK132274-01A1
6 · The paper itself

Abstract

Morphometric estimates of mean or individual glomerular volume (MGV, IGV) have biological implications, over and above qualitative histologic data. However, morphometry is time-consuming and requires expertise limiting its utility in clinical cases. We evaluated MGV and IGV using plastic- and paraffin-embedded tissue from 10 control and 10 focal segmental glomerulosclerosis (FSGS) mice (aging and 5/6th nephrectomy models) using the gold standard Cavalieri (Cav) method versus the 2-profile and Weibel-Gomez (WG) methods and a novel 3-profile method. We compared accuracy, bias and precision, and quantified results obtained when sampling differing numbers of glomeruli. In both FSGS and controls, we identified an acceptable precision for MGV of 10-glomerular sampling versus 20-glomerular sampling using the Cav method, while 5-glomerular sampling was less precise. In plastic tissue, 2- or 3-profile MGVs showed greater concordance with MGV when using Cav, versus MGV with WG. IGV comparisons using the same glomeruli reported a consistent underestimation bias with both 2- or 3-profile methods versus the Cav method. FSGS glomeruli showed wider variations in bias estimation than controls. Our 3-profile method offered incremental benefit to the 2-profile method in both IGV and MGV estimation (improved correlation coefficient, Lin's concordance and reduced bias). In our control animals, we quantified a shrinkage artifact of 52% from tissue processed for paraffin-embedded versus plastic-embedded tissue. FSGS glomeruli showed overall reduced shrinkage albeit with variable artifact signifying periglomerular/glomerular fibrosis. A novel 3-profile method offers slightly improved concordance with reduced bias versus 2-profile. Our findings have implications for future studies using glomerular morphometry.

Indexed as

Glomerulosclerosis, Focal SegmentalKidney DiseasesAnimalsArtifactsKidney GlomerulusMiceNephrectomy3-Profile methodCavalieri methodglomerular morphometryWeibel-Gomez method

Identifiers

PMID37423891
PMCPMC10329935
OpenAlexW4383681525

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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.