Evidence map›Paper›PMID 40008348›Full record

ArticleClinical kidney journal2025

Urine complement-related proteins in IgA nephropathy and IgA vasculitis nephritis, possible biomarkers of disease activity.

Mazdak Sanaei Nurmi, Laura Pérez-Alós, Peter Garred, Bengt Fellström, Katja Gabrysch, Sigrid Lundberg

Abstract read
In one paragraph

Article in Clinical kidney journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

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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

6 authors.

Mazdak Sanaei NurmiDepartment of Medical Specialist Care, Nephrology Clinic, Danderyd University Hospital, Stockholm, Sweden.
Laura Pérez-AlósLaboratory of Molecular Medicine, Department of Clinical Immunology, Section, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Peter GarredLaboratory of Molecular Medicine, Department of Clinical Immunology, Section, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Bengt FellströmDepartment of Medical Sciences, Renal Medicine, Uppsala University Hospital, Uppsala, Sweden.
Katja GabryschUppsala Clinical Research Center, Uppsala University, Uppsala, Sweden.
Sigrid LundbergDepartment of Medical Specialist Care, Nephrology Clinic, Danderyd University Hospital, Stockholm, Sweden.ORCID https://orcid.org/0000-0003-1224-5200

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The activation of the complement system plays an important role in the pathogenesis of IgA nephropathy (IgAN). Our primary aim was to evaluate a range of complement-related proteins, including pentraxin-3 (PTX-3), in blood and urine at diagnosis and their association with disease activity in the kidney biopsy, eGFR, albuminuria, and outcome. Our secondary aim was to compare the same biomarkers between patients with IgAN and IgA vasculitis with renal involvement (IgAVN). Methods: In a longitudinal Swedish cohort of 96 patients with IgAN ( Results: Patients with detectable vs undetectable u-PTX-3 and u-mannose-binding lectin (MBL) more frequently had mesangial hypercellularity, endocapillary proliferation, and crescents in their kidney biopsy. u-C4c levels were higher in patients with advanced tubulointerstitial fibrosis, and u-C4c was also an independent predictor of a more severe eGFR slope. There were no differences in the levels of biomarkers between patients with IgAN and IgAVN. Conclusion: u-PTX-3 and u-MBL might be biomarkers of an active proliferative stage of the disease, while higher u-C4c levels indicate more chronic lesions in both IgAN and IgAVN. These results must, however, be confirmed in larger and multiethnic cohorts.

Indexed as

biomarkerscomplementglomerulonephritisIgA nephropathyvasculitis

Identifiers

PMID40008348
PMCPMC11852328

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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.