Evidence map›Paper›PMID 38025223›Full record

ArticleKidney international reports2023

Clinical and Histopathologic Characteristics of Pediatric Patients With Primary Membranous Nephropathy.

Anne M Kouri, Tiffany N Caza, Laurence H Beck, Jason M Misurac, Michael D Evans, Carrie L Phillips, Michael T Eadon, Christopher P Larsen, Sharon P Andreoli, Lihong Bu and 2 more

Open access · goldAbstract read
In one paragraph

Article in Kidney international reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 4 citations in OpenAlex.

  1. Observational
  2. Semaphorin 3B-Membranous Nephropathy in Adults.Kidney international reports · 2026
    Article
  3. Article
  4. Review
  5. Article
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 8 institutions in 1 country.

Anne M KouriDivision of Pediatric Nephrology, University of Minnesota Masonic Children's Hospital, Minneapolis, Minnesota, USA.
Tiffany N CazaArkana Laboratories, Little Rock, Arkansas, USA.
Laurence H BeckBoston University Chobanian and Avedisian School of Medicine and Boston Medical Center, Boston, Massachusetts, USA.
Jason M MisuracDivision of Pediatric Nephrology, Dialysis and Transplantation, University of Iowa Stead Family Children's Hospital, Iowa City, Iowa, USA.
Michael D EvansClinical and Translational Science Institute, University of Minnesota, Minneapolis, Minnesota, USA.
Carrie L PhillipsDepartment of Pathology and Laboratory Medicine, Indiana University, Indianapolis, Indiana, USA.
Michael T EadonDivision of Nephrology, Indiana University, Indianapolis, Indiana, USA.
Christopher P LarsenArkana Laboratories, Little Rock, Arkansas, USA.
Sharon P AndreoliRiley Hospital for Children at IU Health, Division of Pediatric Nephrology and Hypertension, Indianapolis, Indiana, USA.
Lihong BuDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.
Michelle N RheaultDivision of Pediatric Nephrology, University of Minnesota Masonic Children's Hospital, Minneapolis, Minnesota, USA.
Myda KhalidRiley Hospital for Children at IU Health, Division of Pediatric Nephrology and Hypertension, Indianapolis, Indiana, USA.
Arkana Laboratories · USIndiana University Health · USIndiana University – Purdue University Indianapolis · USUniversity of Minnesota Children's Hospital · USBoston University · USMayo Clinic · USUniversity of Iowa Stead Family Children’s Hospital · USUniversity of Minnesota · US

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR002494 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, WEISDORF, DANIEL J · 2018 to 2022
$34.9M
NCATS NIH HHS UL1 TR002494
6 · The paper itself

Abstract

Introduction: Primary membranous nephropathy (PMN) is uncommon in children. Therefore, data on the clinical course of affected children are scarce. In recent years, several novel antigens have been implicated in the pathogenesis of PMN. However, the histopathologic characteristics of pediatric patients with PMN remain poorly represented in the literature. Methods: We have retrospectively analyzed the clinical presentation and outcomes data of 21 children with PMN from 3 centers in the United States. In addition, we have identified novel antigens in biopsy specimens from these patients and correlated their presence or absence to clinical outcomes. Finally, we compared the results of the novel antigen staining from our clinical cohort to a validation cohort of 127 biopsy specimens from children with PMN at Arkana Laboratories. Results: The data from the 2 cohorts demonstrated similar overall antigen positivity rates of 62% to 63%, with phospholipase A2 receptor (PLA2R) and exostosin 1 (EXT1) being the most commonly found antigens. Results from the clinical cohort showed that overall, the kidney prognosis for children with PMN was good, with 17 of 21 patients entering a complete or partial remission. Children who were positive for PLA2R or EXT1 were significantly more likely to enter remission than those in the antigen negative group. Conclusion: Approximately 60% of pediatric membranous cases are positive for a novel antigen on kidney biopsy and the clinical prognosis is generally favorable. More studies are needed to understand the clinical implications of each specific novel antigen.

Indexed as

exostosin 1 and 2 (EXT1/2)kidney biopsypediatric nephrologyphospholipase A2 receptor (PLA2R)primary membranous nephropathy

Identifiers

PMID38025223
PMCPMC10658230
OpenAlexW4386227071

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.