Evidence map›Paper›PMID 38258904›Full record

ArticleJCI insight2024

Urine proteomic signatures of histological class, activity, chronicity, and treatment response in lupus nephritis.

Andrea Fava, Jill Buyon, Laurence Magder, Jeff Hodgin, Avi Rosenberg, Dawit S Demeke, Deepak A Rao, Arnon Arazi, Alessandra Ida Celia, Chaim Putterman and 25 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
19.7field-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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Biomarkers of Lupus Nephritis Histopathology: Where Do We Stand?Arthritis & rheumatology (Hoboken, N.J.) · 2026
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  14. A population-scale atlas of blood and tissue in lupus nephritis.bioRxiv : the preprint server for biology · 2026
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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

35 authors at 13 institutions in 4 countries.

Andrea FavaDivision of Rheumatology, Johns Hopkins University, Baltimore, Maryland, USA.
Jill BuyonNew York University School of Medicine, New York, New York, USA.
Laurence MagderUniversity of Maryland, Baltimore, Maryland, USA.
Jeff HodginUniversity of Michigan, Ann Arbor, Michigan, USA.
Avi RosenbergDivision of Renal Pathology, Johns Hopkins University, Baltimore, Maryland, USA.
Dawit S DemekeUniversity of Michigan, Ann Arbor, Michigan, USA.
Deepak A RaoDivision of Rheumatology, Inflammation, and Immunity, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Maryland, USA.
Arnon AraziFeinstein Institutes for Medical Research, Northwell Health, Manhasset, New York, USA.
Alessandra Ida CeliaDivision of Rheumatology, Johns Hopkins University, Baltimore, Maryland, USA.
Chaim PuttermanAlbert Einstein College of Medicine, New York, New York, USA.
Jennifer H AnolikUniversity of Rochester, Rochester, New York, USA.
Jennifer BarnasUniversity of Rochester, Rochester, New York, USA.
Maria Dall'EraUniversity of California, San Francisco, San Francisco, California, USA.
David WofsyUniversity of California, San Francisco, San Francisco, California, USA.
Richard FurieFeinstein Institutes for Medical Research, Northwell Health, Manhasset, New York, USA.
Diane KamenMedical University of South Carolina, Charleston, South Carolina, USA.
Kenneth KalunianUniversity of California, San Diego, San Diego, California, USA.
Judith A JamesOklahoma Medical Research Foundation and University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Joel GuthridgeOklahoma Medical Research Foundation and University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Mohamed G AttaDivision of Nephrology, Johns Hopkins University, Baltimore, Maryland, USA.
Jose Monroy TrujilloDivision of Nephrology, Johns Hopkins University, Baltimore, Maryland, USA.
Derek FineDivision of Nephrology, Johns Hopkins University, Baltimore, Maryland, USA.
Robert ClancyNew York University School of Medicine, New York, New York, USA.
H Michael BelmontNew York University School of Medicine, New York, New York, USA.
Peter IzmirlyNew York University School of Medicine, New York, New York, USA.
William ApruzzeseDivision of Rheumatology, Inflammation, and Immunity, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Maryland, USA.
Daniel GoldmanDivision of Rheumatology, Johns Hopkins University, Baltimore, Maryland, USA.
Celine C BerthierUniversity of Michigan, Ann Arbor, Michigan, USA.
Paul HooverBroad Institute, Boston, Maryland, USA.
Nir HacohenBroad Institute, Boston, Maryland, USA.
Soumya RaychaudhuriDivision of Rheumatology, Inflammation, and Immunity, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Maryland, USA.
Anne DavidsonFeinstein Institutes for Medical Research, Northwell Health, Manhasset, New York, USA.
Betty DiamondFeinstein Institutes for Medical Research, Northwell Health, Manhasset, New York, USA.
Accelerating Medicines Partnership in RA/SLE network
Michelle PetriDivision of Rheumatology, Johns Hopkins University, Baltimore, Maryland, USA.
Johns Hopkins University · USNew York University · USNorthwell Health · USBroad Institute · USUniversity of Michigan · USBrigham and Women's Hospital · USOklahoma Medical Research Foundation · USUniversity of California, San Francisco · USUniversity of Rochester · USAlbert Einstein College of Medicine · USMedical University of South Carolina · USUniversity of California San Diego · USUniversity of Maryland, Baltimore · US

Funding

PEARL: Pathway Exploration and Analysis in Renal LupusUH2AR067688 · NIAMS · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI DIAMOND, BETTY, WOFSY, DAVID · 2014 to 2020
$9.0M
Oklahoma Rheumatic Disease Research Cores Center (Overall Application)P30AR073750 · NIAMS · OKLAHOMA MEDICAL RESEARCH FOUNDATION · PI JUDITH A JAMES · 2018 to 2026
$8.5M
Tissue Acquisition Research GroupUM2AR067678 · NIAMS · STANFORD UNIVERSITY · PI HOLERS, VERNON MICHAEL, UTZ, PAUL JOSEPH · 2014 to 2020
$8.2M
Multi-Ethnic Translational Research Optimization (METRO) Lupus ConsortiumUH2AR067689 · NIAMS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BUYON, JILL P, PUTTERMAN, CHAIM · 2014 to 2020
$6.3M
Evolving Adaptive and Effector Mechanisms from Pre-RA Through Established DiseaseUH2AR067681 · NIAMS · UNIVERSITY OF COLORADO DENVER · PI HOLERS, VERNON MICHAEL · 2014 to 2020
$5.5M
Molecular and Cellular Dissection of Early Rheumatoid ArthritisUH2AR067694 · NIAMS · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI BRENNER, MICHAEL B., GREGERSEN, PETER K. · 2014 to 2020
$5.4M
Autoimmune Drivers and Protectors Team Science (ADAPTS)U01AI176244 · NIAID · OKLAHOMA MEDICAL RESEARCH FOUNDATION · PI JUDITH A JAMES, Jeffrey C Rathmell · 2023 to 2026
$5.1M
Monitoring Disease in LupusR01AR074096 · NIAMS · UNIVERSITY OF HOUSTON · PI CHANDRA MOHAN · 2019 to 2026
$4.5M
RA-SLE Molecular Deconstruction Leadership CenterUH2AR067677 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI BRENNER, MICHAEL B., RAYCHAUDHURI, SOUMYA · 2014 to 2020
$4.3M
Hopkins Lupus CohortR01AR069572 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI PETRI, MICHELLE A · 2016 to 2020
$3.4M
Cellular Dynamics at the Synovium-Bone interface in RAUH2AR067690 · NIAMS · UNIVERSITY OF ROCHESTER · PI ANOLIK, JENNIFER HOWITT · 2014 to 2020
$3.0M
Clinical applications of urine proteomics to lupus nephritisR01DK134625 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI Andrea Fava · 2023 to 2026
$2.8M
NIAID NIH HHS K08 AI168450NIAMS NIH HHS P30 AR073750NIAMS NIH HHS R01 AR069572NIAMS NIH HHS R01 AR074096NIAMS NIH HHS UH2 AR067676NIAMS NIH HHS UH2 AR067677NIAMS NIH HHS UH2 AR067679NIAMS NIH HHS UH2 AR067681NIAMS NIH HHS UH2 AR067685NIAMS NIH HHS UH2 AR067688NIAMS NIH HHS UH2 AR067689NIAMS NIH HHS UH2 AR067690NIAMS NIH HHS UH2 AR067691NIAMS NIH HHS UH2 AR067694NIAMS NIH HHS UM2 AR067678NIDDK NIH HHS R01 DK134625
6 · The paper itself

Abstract

Lupus nephritis (LN) is a pathologically heterogenous autoimmune disease linked to end-stage kidney disease and mortality. Better therapeutic strategies are needed as only 30%-40% of patients completely respond to treatment. Noninvasive biomarkers of intrarenal inflammation may guide more precise approaches. Because urine collects the byproducts of kidney inflammation, we studied the urine proteomic profiles of 225 patients with LN (573 samples) in the longitudinal Accelerating Medicines Partnership in RA/SLE cohort. Urinary biomarkers of monocyte/neutrophil degranulation (i.e., PR3, S100A8, azurocidin, catalase, cathepsins, MMP8), macrophage activation (i.e., CD163, CD206, galectin-1), wound healing/matrix degradation (i.e., nidogen-1, decorin), and IL-16 characterized the aggressive proliferative LN classes and significantly correlated with histological activity. A decline of these biomarkers after 3 months of treatment predicted the 1-year response more robustly than proteinuria, the standard of care (AUC: CD206 0.91, EGFR 0.9, CD163 0.89, proteinuria 0.8). Candidate biomarkers were validated and provide potentially treatable targets. We propose these biomarkers of intrarenal immunological activity as noninvasive tools to diagnose LN and guide treatment and as surrogate endpoints for clinical trials. These findings provide insights into the processes involved in LN activity. This data set is a public resource to generate and test hypotheses and validate biomarkers.

Indexed as

Lupus NephritisAggressionHumansInflammationProteinuriaProteomicsAutoimmunityDiagnosticsLupusNephrologyProteomics

Identifiers

PMID38258904
PMCPMC10906224
OpenAlexW4391096648

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.