Evidence map›Paper›PMID 40407942›Full record

Observational studyJournal of clinical immunology2025

Chronic Kidney Disease in Common Variable Immunodeficiency: a Multicenter Study.

Chiara De Renzis, Renato Finco Gambier, Antonietta Gigante, Carla Maria Deiana, Gianluca Lagnese, Lorenzo Gatti, Giulia Garzi, Giulia Costanzo, Chiara Pagnozzi, Stefania Nicola and 6 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of clinical immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

16 authors.

Chiara De Renzis *Department of Translational and Precision Medicine, "Sapienza" University of Rome, Rome, Italy.
Renato Finco Gambier *Rare Disease Referral Centre, Internal Medicine I, Department of Medicine, Cà Foncello Hospital, @AULSS2 Marca Trevigiana, DIMED - University of Padua, Treviso, Italy.
Antonietta GiganteDepartment of Translational and Precision Medicine, "Sapienza" University of Rome, Rome, Italy.
Carla Maria DeianaDepartment of Medical Science and Public Health, University of Cagliari, Monserrato, Italy.
Gianluca LagneseDepartment of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Lorenzo GattiDepartment of Translational and Precision Medicine, "Sapienza" University of Rome, Rome, Italy.
Giulia GarziDepartment of Molecular Medicine, "Sapienza" University of Rome, Rome, Italy.
Giulia CostanzoDepartment of Medical Science and Public Health, University of Cagliari, Monserrato, Italy.
Chiara PagnozziRare Disease Referral Centre, Internal Medicine I, Department of Medicine, Cà Foncello Hospital, @AULSS2 Marca Trevigiana, DIMED - University of Padua, Treviso, Italy.
Stefania NicolaDepartment of Medical Sciences, University of Torino & Mauriziano Hospital, Torino, Italy.
Luisa BrussinoDepartment of Medical Sciences, University of Torino & Mauriziano Hospital, Torino, Italy.
Giuseppe SpadaroDepartment of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Marcello RattazziRare Disease Referral Centre, Internal Medicine I, Department of Medicine, Cà Foncello Hospital, @AULSS2 Marca Trevigiana, DIMED - University of Padua, Treviso, Italy.
Davide FirinuDepartment of Medical Science and Public Health, University of Cagliari, Monserrato, Italy. davide.firinu@unica.it.
Francesco Cinetto *Rare Disease Referral Centre, Internal Medicine I, Department of Medicine, Cà Foncello Hospital, @AULSS2 Marca Trevigiana, DIMED - University of Padua, Treviso, Italy.
Cinzia Milito *Department of Molecular Medicine, "Sapienza" University of Rome, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere are few reports of renal involvement in Common Variable Immunodeficiencies (CVID) and, when present, is due to infections, inflammation, or treatments. The aim of this study was evaluating the prevalence of chronic kidney disease (CKD) and to identify CVID-related clinical, laboratory and therapeutic features inducing it.

methodsA multicenter observational retrospective study on 367 adult CVID patients from five Italian Referral Centers for Primary Immunodeficiency.

resultsCKD was identified in 23 (6.27%) patients that were older (p < 0.001), had arterial hypertension (p < 0.001), diabetes (p = 0.002), dyslipidemia (p = 0.002), presented different ultrasound abnormalities (p < 0.001) and received predominantly intravenous immunoglobulins (IVIG) (p = 0.016). Regarding CVID infectious and non-infectious manifestations, CKD patients presented a higher frequency of COPD (p = 0.008). In the CKD group, the median absolute count of total lymphocytes (p = 0.015), the percentage of total B (p = 0.028) and transitional B cells (p = 0.008) were lower. By binomial logistic regression analysis adjusted for age, CKD patients tend to develop autoimmune cytopenia, had lower B cells percentage, increased Neutrophil-to-lymphocyte ratio and received more frequently trimethoprim-sulfamethoxazole antibiotic prophylaxis. By multivariate analysis, only autoimmune cytopenia was independently associated with CKD.

conclusionThe prevalence of CKD in CVID is due to aging, age-related comorbidities, disease-related immune dysregulation and inflammation. Our results suggest evaluating renal function in all CVID patients, and mostly in those with a higher "inflammatory" burden.

Indexed as

Common Variable ImmunodeficiencyRenal Insufficiency, ChronicAdultAgedFemaleHumansItalyMaleMiddle AgedPrevalenceRetrospective StudiesYoung AdultAgingChronic Kidney DiseaseCommon Variable ImmunodeficiencyDysregulationInflammation

Identifiers

PMID40407942
PMCPMC12102111

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.