Evidence map›Paper›PMID 38807591›Full record

ReviewFrontiers in immunology2024

Immune checkpoint inhibitor therapy associated with IgA nephropathy: a case report and literature review.

Melchior Chabannes, Ziriab Lisri, Stéphane Lang, Jean Seibel, Guillaume Eberst, Didier Ducloux, Céline Pursun, Marie Agnes Dragon Durey, Marie-Alexandra Alyanakia, Sophie Felix and 1 more

Abstract readCase ReportsReview
In one paragraph

Review in Frontiers in immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. 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

11 authors.

Melchior Chabannes *University Hospital, Besançon, Department of Nephrology, Dialysis and Renal Transplantation, Besancon, France.
Ziriab Lisri *University Hospital, Besançon, Department of Nephrology, Dialysis and Renal Transplantation, Besancon, France.
Stéphane LangUniversity Hospital, Besançon, Department of Nephrology, Dialysis and Renal Transplantation, Besancon, France.
Jean SeibelUniversity Hospital, Besançon, Department of Nephrology, Dialysis and Renal Transplantation, Besancon, France.
Guillaume EberstUniversité de Franche-Comté, CHU Besançon, EFS, INSERM, UMR RIGHT, Besançon, France.
Didier DuclouxUniversity Hospital, Besançon, Department of Nephrology, Dialysis and Renal Transplantation, Besancon, France.
Céline PursunUniversity Hospital, Besançon, Department of Nephrology, Dialysis and Renal Transplantation, Besancon, France.
Marie Agnes Dragon DureyDepartment of Biological Immunology, Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France.
Marie-Alexandra AlyanakiaService d'Immunologie Biologique, Hôpital Necker-Enfants Malades, Assistance Publique- Hôpitaux de Paris (AP-HP), Université de Paris, Paris, France.
Sophie FelixUniversity Hospital, Besançon, Department of Pathology, Besancon, France.
Thomas CrepinUniversity Hospital, Besançon, Department of Nephrology, Dialysis and Renal Transplantation, Besancon, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors (ICIs) dramatically improve the prognosis of many malignancies but at the cost of numerous side effects, which may limit their benefits. Acute kidney injury associated with immune checkpoint inhibitors most frequently are acute tubulointerstitial nephritis (ATIN), but various cases of glomerulonephritis have also been reported. Herein, we report a case of severe IgA nephropathy (IgAN) associated with ICIs and carry out a literature review. IgAN was diagnosed in a median time of 5 months (range 1-12 months) after the initiation of ICIs, with heterogeneous severity, and usually treated by corticosteroid and discontinuation of ICIs. In contrast to our case, renal outcomes in literature were often favorable, with recovery of renal function and a reduction in proteinuria on treatment. Although IgAN related to ICIs is a much rarer complication than ATIN, it may still be underdiagnosed. Careful questioning and screening for asymptomatic hematuria should be performed before using ICIs.

Indexed as

Glomerulonephritis, IGAImmune Checkpoint InhibitorsAgedHumansMaleNeoplasmsImmune Checkpoint InhibitorsAKI (acute kidney injury)glomerulonephritisIgANIgA nephropathyimmune check inhibitor (ICI)immune-related adverse events (IRAE)pembrolizumab

Identifiers

PMID38807591
PMCPMC11130422

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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.