Evidence map›Paper›PMID 37664565›Full record

ArticleClinical kidney journal2023

Kidney injury molecule 1 (KIM-1): a potential biomarker of acute kidney injury and tubulointerstitial injury in patients with ANCA-glomerulonephritis.

Benoît Brilland, Charlotte Boud'hors, Samuel Wacrenier, Simon Blanchard, Jérôme Cayon, Odile Blanchet, Giorgina Barbara Piccoli, Nicolas Henry, Assia Djema, Jean-Philippe Coindre and 4 more

Open access · goldAbstract read
In one paragraph

Article 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 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
12.4field-weighted citation impact, top 1% 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

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 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

14 authors at 5 institutions in 1 country.

Benoît BrillandService de Néphrologie-Dialyse-Transplantation, Université d'Angers, CHU Angers, Angers, France.ORCID https://orcid.org/0000-0001-9622-4014
Charlotte Boud'horsService de Néphrologie-Dialyse-Transplantation, Université d'Angers, CHU Angers, Angers, France.
Samuel WacrenierService de Néphrologie-Dialyse-Transplantation, Université d'Angers, CHU Angers, Angers, France.
Simon BlanchardUniv. Angers, Nantes Université, Inserm, CNRS, CRCI2NA, SFR ICAT, Angers, France.
Jérôme CayonUniv. Angers, SFR ICAT, PACeM (Plateforme d'Analyse Cellulaire et Moléculaire), Angers, France.
Odile BlanchetCentre de Ressources Biologiques, BB-0033-00038, CHU Angers, Angers, France.ORCID https://orcid.org/0000-0002-8275-8741
Giorgina Barbara PiccoliService de Néphrologie, Centre Hospitalier du Mans, Le Mans, France.
Nicolas HenryService de Néphrologie-Dialyse, Centre Hospitalier de Laval, Laval, France.
Assia DjemaService de Néphrologie-Dialyse, Centre Hospitalier de Cholet, Cholet, France.
Jean-Philippe CoindreService de Néphrologie, Centre Hospitalier du Mans, Le Mans, France.
Pascale JeanninUniv. Angers, Nantes Université, Inserm, CNRS, CRCI2NA, SFR ICAT, Angers, France.
Yves DelnesteUniv. Angers, Nantes Université, Inserm, CNRS, CRCI2NA, SFR ICAT, Angers, France.
Marie-Christine CopinUniv. Angers, Nantes Université, Inserm, CNRS, CRCI2NA, SFR ICAT, Angers, France.
Jean-François AugustoService de Néphrologie-Dialyse-Transplantation, Université d'Angers, CHU Angers, Angers, France.ORCID https://orcid.org/0000-0003-1498-2132
Centre National de la Recherche Scientifique · FRCentre Hospitalier Universitaire d'Angers · FRCentre Hospitalier du Mans · FRCentre Hospitalier de Lens · FRLaval Mayenne Technopole · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Kidney injury molecule 1 (KIM-1) is a transmembrane glycoprotein expressed by proximal tubular cells, recognized as an early, sensitive and specific urinary biomarker for kidney injury. Blood KIM-1 was recently associated with the severity of acute and chronic kidney damage but its value in antineutrophil cytoplasmic antibodies (ANCA)-associated vasculitis with glomerulonephritis (ANCA-GN) has not been studied. Thus, we analyzed its expression at ANCA-GN diagnosis and its relationship with clinical presentation, kidney histopathology and early outcomes. Methods: We assessed KIM-1 levels and other pro-inflammatory molecules (C-reactive protein, interleukin-6, tumor necrosis factor α, monocyte chemoattractant protein-1 and pentraxin 3) at ANCA-GN diagnosis and after 6 months in patients included in the Maine-Anjou registry, which gathers data patients from four French Nephrology Centers diagnosed since January 2000. Results: Blood KIM-1 levels were assessed in 54 patients. Levels were elevated at diagnosis and decreased after induction remission therapy. KIM-1 was associated with the severity of renal injury at diagnosis and the need for kidney replacement therapy. In opposition to other pro-inflammatory molecules, KIM-1 correlated with the amount of acute tubular necrosis and interstitial fibrosis/tubular atrophy (IF/TA) on kidney biopsy, but not with interstitial infiltrate or with glomerular involvement. In multivariable analysis, elevated KIM-1 predicted initial estimated glomerular filtration rate (β = -19, 95% CI -31, -7.6, Conclusion: KIM-1 appears as a potential biomarker for acute kidney injury and for tubulointerstitial injury in ANCA-GN. Whether KIM-1 is only a surrogate marker or is a key immune player in ANCA-GN pathogenesis remain to be determined.

Indexed as

ANCAglomerulonephritisKIM-1tubulointerstitial injuryvasculitis

Identifiers

PMID37664565
PMCPMC10468750
OpenAlexW4362568656

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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.