Evidence map›Paper›PMID 40140772›Full record

ReviewBMC nephrology2025

Emerging role of Rituximab in adult minimal change disease: a narrative review of clinical evidence, biomarkers and future perspectives.

Anni Zhong, Yi Yu, Tao Cao, Qijun Wan, Ricong Xu

Abstract readReview
In one paragraph

Review in BMC nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. 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

5 authors.

Anni ZhongDepartment of Nephrology, Shenzhen Second People's Hospital, First Affiliated Hospital of Shenzhen University, 3002 Sungang West Road, Shenzhen, Guangdong, 518035, China.
Yi YuDepartment of Nephrology, Shenzhen Second People's Hospital, First Affiliated Hospital of Shenzhen University, 3002 Sungang West Road, Shenzhen, Guangdong, 518035, China.
Tao CaoDepartment of Nephrology, Shenzhen Second People's Hospital, First Affiliated Hospital of Shenzhen University, 3002 Sungang West Road, Shenzhen, Guangdong, 518035, China.
Qijun WanDepartment of Nephrology, Shenzhen Second People's Hospital, First Affiliated Hospital of Shenzhen University, 3002 Sungang West Road, Shenzhen, Guangdong, 518035, China.
Ricong XuDepartment of Nephrology, Shenzhen Second People's Hospital, First Affiliated Hospital of Shenzhen University, 3002 Sungang West Road, Shenzhen, Guangdong, 518035, China. xrc224@126.com.

Funding

National Natural Science Foundation of China 81900639Sanming Project of Medicine in Shenzhen SZSM202211013Shenzhen Key Medical Discipline Construction Fund SZXK009Shenzhen Second People's Hospital Clinical Research Fund of Guangdong Province High-level Hospital Construction Project 20223357009
6 · The paper itself

Abstract

Minimal change disease (MCD) represents a significant cause of nephrotic syndrome in adults, traditionally managed with corticosteroids despite substantial relapse rates. This review critically evaluates the emerging role of rituximab (RTX) in adult MCD management, synthesizing current evidence across multiple clinical scenarios. Recent studies demonstrate RTX's multifaceted efficacy, particularly in new-onset cases and steroid-dependent/frequently relapsing patients, with the discovery of anti-nephrin antibodies providing unprecedented insights into MCD pathogenesis. RTX's therapeutic mechanisms involve anti-nephrin antibody depletion, T-cell subset modulation, and direct podocyte protection, showing encouraging complete remission rates and substantially reduced relapse rates. While RTX offers a more favorable safety profile compared to long-term corticosteroid therapy, current evidence remains predominantly based on retrospective studies with limited sample sizes. Critical research priorities include large-scale prospective trials, standardization of treatment protocols, and further investigation of anti-nephrin antibodies as therapeutic targets. This review provides evidence-based insights for clinical decision-making while highlighting crucial areas for future investigation in RTX-based MCD management.

Indexed as

Immunologic FactorsNephrosis, LipoidRituximabAdultBiomarkersHumansBiomarkersImmunologic FactorsRituximabAnti-nephrin antibodiesB-cellsMinimal change diseaseNephrotic syndromeRituximab

Identifiers

PMID40140772
PMCPMC11938555

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.