Evidence map›Paper›PMID 38341193›Full record

SynthesisRMD open2024

Non-invasive biomarkers of disease activity and organ damage in ANCA-associated vasculitis: a systematic review.

Thomas Renson, Margaret M Kelly, Hallgrimur Benediktsson, Nele Grundhoefer, Nadia Luca, Paivi Miettunen, Marinka Twilt, Silviu Grisaru, Andrew Wade, Anke Banks and 3 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in RMD open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.2field-weighted citation impact, top 6% 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

9 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Article
  3. Immature leukocyte and plasma-induced cell death reveal subclinical immune activation in EGPA patients in remission.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
  4. Biomarkers in Primary Systemic Vasculitides: Narrative Review.International journal of molecular sciences · 2026
    Review
  5. Article
  6. Article
  7. Top ten tips in managing ANCA vasculitis.Clinical kidney journal · 2025
    Review
  8. Review
  9. 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

13 authors at 2 institutions in 2 countries.

Thomas RensonRheumatology and Nephrology, Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada thomas.renson@uzgent.be.ORCID 0000-0002-5503-000X
Margaret M KellyDepartment of Pathology and Laboratory Medicine, University of Calgary, Calgary, Alberta, Canada.
Hallgrimur BenediktssonDepartment of Pathology and Laboratory Medicine, University of Calgary, Calgary, Alberta, Canada.
Nele GrundhoeferRheumatology, Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada.
Nadia LucaRheumatology, Department of Pediatrics, University of Ottawa, Ottawa, Ontario, Canada.
Paivi MiettunenAlberta Children's Hospital Research Institute, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Marinka TwiltAlberta Children's Hospital Research Institute, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Silviu GrisaruNephrology, Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada.
Andrew WadeNephrology, Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada.
Anke BanksNephrology, Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada.
Aurore Fifi-MahRheumatology, University of Calgary, Calgary, Alberta, Canada.
Lorraine Hamiwka *Alberta Children's Hospital Research Institute, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Susanne Benseler *Alberta Children's Hospital Research Institute, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
University of Calgary · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV), histopathological assessment of affected tissue is often necessary for diagnosis and assessment of disease extent. There is a requirement for validated non-invasive biomarkers to avoid the need for serial tissue biopsies.

methodsA systematic review of scientific databases from 2012 until present was performed to identify studies fulfilling the inclusion criteria. Studies were assessed for quality using the Strengthening the Reporting of Observational Studies in Epidemiology checklist for cohort, case-control and cross-sectional studies and the Risk of Bias Assessment tool for Non-randomised Studies, or the Cochrane Risk of Bias tool 2.0 for randomised controlled trials. A descriptive synthesis of the data for non-invasive (blood-based or urinary) biomarkers of AAV-related disease activity and organ damage was performed.

resultsTwenty-two high quality studies were included. These articles reported the value of blood-based and urinary biomarkers including anti-neutrophil cytoplasmic antibodies, immune cells, complement factors, gene expression profiles, cytokines, chemokines and other proteins in the assessment of disease activity and/or organ damage in patients with AAV. Many of these biomarkers involve the alternative complement pathway, neutrophil activation and macrophage activation.

conclusionThis is the first contemporary systematic review synthesising the value of non-invasive biomarkers of AAV-related disease activity and organ damage. The incorporation of individual markers in combined biomarker profiles might enhance clinical decision-making. Many unmet needs were identified; few studies involve oeosinophilic granulomatosis with polyangiitis and patients with childhood-onset AAV. Further validation of the candidate biomarkers is warranted in large prospective studies to bridge the existing knowledge gaps and apply precision health to systemic vasculitis.

Indexed as

Anti-Neutrophil Cytoplasmic Antibody-Associated VasculitisBiomarkersAntibodies, Antineutrophil CytoplasmicCytokinesHumansObservational Studies as TopicSeverity of Illness IndexAntibodies, Antineutrophil CytoplasmicBiomarkersCytokinesAutoimmune DiseasesCytokinesGranulomatosis with polyangiitisSystemic vasculitis

Identifiers

PMID38341193
PMCPMC10862256
OpenAlexW4391722137

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.