Evidence map›Paper›PMID 37668806›Full record

ArticleClinical and experimental nephrology2023

The association of serum anti-PLA2R antibody and glomerular PLA2R antigen staining with clinical manifestations and outcomes in membranous nephropathy.

Shi-Feng Yang, Xin-Fang Xie, Wan-Hong Lu, Ping Lan, Hui Liu, Li Jin

Abstract read
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In one paragraph

Article in Clinical and experimental nephrology, 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
0.2field-weighted citation impact, top 45% 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, 1 citations in OpenAlex.

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4 · The record

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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

6 authors at 2 institutions in 1 country.

Shi-Feng YangDepartment of Nephrology, Kidney Hospital, The First Affiliated Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an City, 710061, Shaanxi Province, China.
Xin-Fang XieDepartment of Nephrology, Kidney Hospital, The First Affiliated Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an City, 710061, Shaanxi Province, China.
Wan-Hong LuDepartment of Nephrology, Kidney Hospital, The First Affiliated Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an City, 710061, Shaanxi Province, China.
Ping LanDepartment of Nephrology, Kidney Hospital, The First Affiliated Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an City, 710061, Shaanxi Province, China.
Hui LiuBiobank, The First Affiliated Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an, 710061, Shaanxi, China.
Li JinDepartment of Nephrology, Kidney Hospital, The First Affiliated Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an City, 710061, Shaanxi Province, China. jinli_xian@126.com.
Xi'an Jiaotong University · CNFirst Affiliated Hospital of Xi'an Jiaotong University · CN

Funding

Natural Science Foundation of Shaanxi Province 2020JQ-500
6 · The paper itself

Abstract

backgroundPhospholipase A2 receptor (PLA2R)-associated membranous nephropathy (MN) was manifested as seropositive for PLA2R antibodies (SAb) and/or glomerular PLA2R antigens' (GAg) deposits. According to the test of SAb and GAg, PLA2R-associated MN can be divided into SAb + /GAg-, SAb-/GAg + , and SAb + /GAg + groups. The clinical characteristics and outcomes of the three groups need to be further evaluated.

methods184 PLA2R-associated MN patients were enrolled. SAb was measured by enzyme-linked immunosorbent assay with a cut-off value of 14 RU/mL. GAg was detected by immunofluorescence using a paraffin section of renal biopsy samples. Clinical characteristics and the decline of eGFR were compared among the 3 groups.

resultsThere were 33 SAb + /GAg-, 46 SAb-/GAg +, and 105 SAb + /GAg + PLA2R-associated MN patients reviewed. Clinical characteristics, such as the level of proteinuria, serum albumin, as well as eGFR, were comparable between the SAb + /GAg- and SAb + /GAg + patients. While SAb-/GAg + patients exhibited mild clinical manifestations as evidenced by higher serum albumin (P < 0.001) and lower proteinuria (p = 0.049) compared with SAb + /GAg + patients. After 21.96 ± 7.39 month follow-up, the eGFR decrease was no difference between the SAb + /GAg- and SAb + /GAg + patients. SAb-/GAg + patients had a lower rate of the > 20% eGFR decline as well as a 50% eGFR decline compared with the SAb + /GAg + patients (10.87% vs 30.48%, p = 0.013; 0.00% vs 4.76%, p = 0.324).

conclusionsOur study showed that the clinical manifestations of SAb + /Gag- patients were the same as those of double-positive patients, while SAb-/GAg + patients exhibited mild clinical manifestations and slower eGFR decline compared to the double-positive patients.

Indexed as

Glomerulonephritis, MembranousAutoantibodiesHumansProteinuriaReceptors, Phospholipase A2Serum AlbuminAutoantibodiesReceptors, Phospholipase A2Serum AlbuminClinical manifestationsMembranous nephropathyOutcomesPLA2R antibodyPLA2R antigen

Identifiers

PMID37668806
OpenAlexW4386439132

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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.