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ArticleJournal of nephrology2024

Could mesangial C3 deposition be an independent prognostic marker in immunoglobulin A nephropathy?

Hakki Cetinkaya, Meltem Gursu, Halil Yazici, Egemen Cebeci, Necmi Eren, Mehmet Riza Altiparmak, Omer Faruk Akcay, Gulizar Sahin, Hamad Dheir, Taner Basturk and 24 more

Abstract read
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Article in Journal of nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. Review
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

34 authors.

Hakki CetinkayaDepartment of Nephrology, Sultan Abdulhamid Han Training and Research Hospital, University of Health Sciences, Istanbul, Turkey. drhcetinkaya@gmail.com.ORCID 0000-0001-9527-3885
Meltem GursuMedical Faculty, Nephrology, Bezmialem Vakif University, Istanbul, Turkey.ORCID 0000-0003-3972-2521
Halil YaziciIstanbul Medical Faculty, Nephrology, Istanbul University, Istanbul, Turkey.ORCID 0000-0003-2526-3483
Egemen CebeciDepartment of Nephrology, Haseki Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.ORCID 0000-0002-7393-5144
Necmi ErenMedical Faculty, Nephrology, Kocaeli University, Izmit, Kocaeli, Turkey.ORCID 0000-0002-2708-3470
Mehmet Riza AltiparmakCerrahpasa Medical Faculty, Nephrology, Istanbul University, Istanbul, Turkey.ORCID 0000-0002-3579-1100
Omer Faruk AkcayMedical Faculty, Nephrology, Gazi University, Ankara, Turkey.ORCID 0000-0001-6587-4938
Gulizar SahinDepartment of Nephrology, Sultan Abdulhamid Han Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.ORCID 0000-0002-0409-2710
Hamad DheirMedical Faculty, Nephrology, Sakarya University, Adapazari, Sakarya, Turkey.ORCID 0000-0002-3569-6269
Taner BasturkDepartment of Nephrology, Sisli Hamidiye Etfal Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.ORCID 0000-0003-3371-1207
Kadir Gokhan AtilganDepartment of Nephrology, Diskapi Training and Research Hospital, University of Health Sciences, Ankara, Turkey.ORCID 0000-0001-9905-4305
Nihal AydemirDepartment of Nephrology, Ankara Bilkent City Hospital, University of Health Sciences, Ankara, Turkey.ORCID 0000-0003-2430-8280
Kenan TurgutalpDivision of Nephrology, Department of Internal Medicine, Mersin University School of Medicine, Mersin, Turkey.ORCID 0000-0003-0245-1844
Murvet YilmazDepartment of Nephrology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.ORCID 0000-0003-0270-9227
Semahat Karahisar SiraliDepartment of Nephrology, Ankara Training and Research Hospital, University of Health Sciences, Ankara, Turkey.ORCID 0000-0003-0981-8928
Erhan TatarDepartment of Nephrology, Bozyaka Training and Research Hospital, University of Health Sciences, Izmir, Turkey.ORCID 0000-0002-5068-4231
Elif Gullulu BozDivision of Nephrology, Department of Internal Medicine, Uludag University School of Medicine, Bursa, Turkey.ORCID 0000-0001-6048-1879
Safak MiriogluMedical Faculty, Nephrology, Bezmialem Vakif University, Istanbul, Turkey.ORCID 0000-0003-0362-8154
Sinan KazanDepartment of Nephrology, Afyonkarahisar School of Medicine, University of Health Sciences, Afyonkarahisar, Turkey.ORCID 0000-0001-7290-4680
Emre AydinMedical Faculty, Nephrology, Dicle University, Diyarbakir, Turkey.ORCID 0000-0001-7657-3065
Zeki AydinDepartment of Nephrology, Darica Farabi Training and Research Hospital, University of Health Sciences, Darica, Kocaeli, Turkey.ORCID 0000-0001-8389-8271
Kultigin TurkmenMeram Medical Faculty, Nephrology, Necmettin Erbakan University, Konya, Turkey.ORCID 0000-0002-1667-7716
Sim KutlayMedical Faculty, Nephrology, Ankara University, Ankara, Turkey.ORCID 0000-0001-6385-2129
Ferdi KaragozMedical Faculty, Nephrology, Trakya University, Edirne, Turkey.ORCID 0000-0001-9656-6970
Melike Betul OgutmenDepartment of Nephrology, Haydarpasa Numune Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.ORCID 0000-0002-6623-9669
Savas OzturkIstanbul Medical Faculty, Nephrology, Istanbul University, Istanbul, Turkey.ORCID 0000-0002-0961-3810
Oktay OzkanDepartment of Nephrology, Haseki Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.ORCID 0000-0003-2061-0124
Nuriye YildizMedical Faculty, Nephrology, Kocaeli University, Izmit, Kocaeli, Turkey.ORCID 0000-0002-5815-020X
Tamer DincerCerrahpasa Medical Faculty, Nephrology, Istanbul University, Istanbul, Turkey.ORCID 0000-0002-5397-7697
Emre YasarMedical Faculty, Nephrology, Gazi University, Ankara, Turkey.ORCID 0000-0001-8271-1831
Mahmut GokDepartment of Nephrology, Sultan Abdulhamid Han Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.ORCID 0000-0003-2854-1485
Aydın TurkmenIstanbul Medical Faculty, Nephrology, Istanbul University, Istanbul, Turkey.ORCID 0000-0003-3664-8469
Fatih DedeDepartment of Nephrology, Ankara Bilkent City Hospital, University of Health Sciences, Ankara, Turkey.ORCID 0000-0002-5737-9854
Ulver DericiMedical Faculty, Nephrology, Gazi University, Ankara, Turkey.ORCID 0000-0002-9741-6779

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmunoglobulin A nephropathy (IgAN) is a common primary glomerulonephropathy. There is evidence that mesangial C3 deposition plays a role in the development of the disease. The aim of this study was to examine the effect of C3 deposition on the prognosis of IgAN patients.

methodThe study included 1135 patients with biopsy-confirmed IgAN from the database of the Turkish Nephrology Association Glomerular Diseases Working Group (TSN-GOLD). Patients were excluded from the study if they were aged < 18 or > 75 years or if C3 staining had not been performed in the immunofluorescent analysis. C3 deposition was defined as an immunofluorescence intensity of C3 ≥ 2 + within the mesangium. The primary endpoints were the development of end-stage renal disease, a 30% decrease in glomerular filtration rate compared to the basal value or an elevation in proteinuria to a nephrotic level (3.5 gr/day).

resultsMesangial C3 deposition was observed in 603 (53.1%) patients. No statistically significant difference was found at baseline between the groups with and without mesangial C3 deposition, as for age, sex, BMI, proteinuria level, or the presence of hypertension. In the follow-up period with a mean duration of 78 months, no significant difference was found between the two groups regarding the primary endpoints (p = 0.43). A significant correlation between C3 deposition and segmental glomerulosclerosis (S1) according to the Oxford MEST-C classification was found (p = 0.001).

conclusionAlthough a correlation was observed between mesangial C3 deposition and the S1 MEST-C classification, mesangial C3 deposition was not a prognostic factor in IgAN.

Indexed as

BiomarkersComplement C3Glomerular Filtration RateGlomerular MesangiumGlomerulonephritis, IGAAdolescentAdultAgedBiopsyDisease ProgressionFemaleFluorescent Antibody TechniqueHumansKidney Failure, ChronicMaleMiddle AgedBiomarkersC3 protein, humanComplement C3C3 depositionComplementIgA nephropathyOxford classification

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