Evidence map›Paper›PMID 40485697›Full record

ArticleKidney international reports2025

Clinical Presentation and Outcomes of Antineutrophil Cytoplasmic Autoantibody-Negative Pauci-Immune Glomerulonephritis.

Lauren Floyd, Anamay Shetty, Adam D Morris, Krešimir Galešić, Mohamed Elsayed, Grace Lavery, Amrita Dhutia, Sorcha O'Brien, Sinead Stoneman, Allyson Egan and 25 more

Abstract read
In one paragraph

Article in Kidney international reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

35 authors.

Lauren FloydDivision of Cardiovascular Sciences, The University of Manchester, Manchester, UK.
Anamay ShettyOxford University Hospitals NHS Foundation Trust, UK.
Adam D MorrisRenal Department, Royal Preston Hospital, Lancashire Teaching Hospitals, UK.
Krešimir GalešićDepartment of Nephrology and Dialysis, Dubrava Clinical Hospital, Zagreb, Croatia.
Mohamed ElsayedRenal Department, Royal Preston Hospital, Lancashire Teaching Hospitals, UK.
Grace LaveryRenal Department, Royal Preston Hospital, Lancashire Teaching Hospitals, UK.
Amrita DhutiaImperial College Renal and Transplant Centre, Hammersmith Hospital, London, UK.
Sorcha O'BrienTrinity Kidney Centre, Trinity Translational Medicine Institute, Trinity College, Dublin, Ireland.
Sinead StonemanDepartment of Renal Medicine, Cork University Hospital, Cork, Ireland.
Allyson EganTrinity Health Kidney Centre, Tallaght University Hospital, Dublin, Ireland.
Mark A LittleTrinity Kidney Centre, Trinity Translational Medicine Institute, Trinity College, Dublin, Ireland.
Vojtech KratkyDepartment of Nephrology, General University Hospital in Prague and First Faculty of Medicine, Charles University, Prague, Czech Republic.
Zdenka HruskovaDepartment of Nephrology, General University Hospital in Prague and First Faculty of Medicine, Charles University, Prague, Czech Republic.
Vladimir TesarDepartment of Nephrology, General University Hospital in Prague and First Faculty of Medicine, Charles University, Prague, Czech Republic.
Marek KollarDepartment of Pathology, Institute of Clinical and Experimental Medicine, Prague, Czech Republic.
Anke von Bergwelt-BaildonNephrology Division, Department of Medicine IV, LMU University Hospital, LMU Munich, Germany.
Ulf SchönermarckNephrology Division, Department of Medicine IV, LMU University Hospital, LMU Munich, Germany.
Eveline Y WuDepartment of Pediatrics, Division of Allergy, Immunology, and Rheumatology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Lauren BlazekUNC Kidney Center, Division of Nephrology and Hypertension, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Vimal K DerebailUNC Kidney Center, Division of Nephrology and Hypertension, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Mariam Al-AttarRenal Department, Salford Royal Hospital, Northern Care Alliance NHS Foundation Trust, UK.
Nina BrownRenal Department, Salford Royal Hospital, Northern Care Alliance NHS Foundation Trust, UK.
Beatriz Sánchez ÁlamoDepartment of Nephrology, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Wing-Yin LeungRenal, Transplantation and Urology Unit, Manchester University NHS Foundation Trust, UK.
Bryan ChangDepartment of Medicine, University of Cambridge, Cambridge, UK.
Maria Letizia UrbanDepartment of Experimental and Clinical Medicine, University of Florence, Firenze, Italy.
Federico AlbericiDepartment of Medical and Surgical Specialties, University of Brescia, Brescia, Italy.
Luis F QuintanaDepartment of Nephrology and Renal Transplantation, Hospital Clínic de Barcelona, University of Barcelona, IDIBAPS, Spain.
Oliver FlossmannDepartment of Nephrology, Royal Berkshire Hospital, Reading, Berkshire, UK.
Silke R BrixRenal, Transplantation and Urology Unit, Manchester University NHS Foundation Trust, UK.
Duvuru GeethaDivision of Nephrology, Johns Hopkins University School of Medicine, Baltimore, USA.
Stephen McAdooImperial College Renal and Transplant Centre, Hammersmith Hospital, London, UK.
Ajay P DhaygudeDivision of Cardiovascular Sciences, The University of Manchester, Manchester, UK.
Andreas KronbichlerDepartment of Internal Medicine, Nephrology and Hypertension, Medical University Innsbruck, Austria.
Matija CrnogoracDepartment of Nephrology and Dialysis, Dubrava Clinical Hospital, Zagreb, Croatia.

Funding

Pathobiology of ANCA Glomerulonephritis: Targeting Adaptive and Innate Immune Processes for Precision TherapiesR01DK125350 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CIAVATTA, DOMINIC J, FALK, RONALD J · 2020 to 2024
$3.4M
NIDDK NIH HHS R01 DK125350
6 · The paper itself

Abstract

Introduction: Antineutrophil cytoplasmic autoantibody (ANCA)-associated vasculitis is a rare, complex autoimmune condition. Although ANCAs have a pathogenic role, they are considered a suboptimal biomarker of disease activity. Previous studies suggest differences in clinical phenotypes and outcomes in those without detectable circulating autoantibody. This study aimed to investigate the clinical presentation, histopathological findings, treatment practices, and outcomes of patients with ANCA-negative pauci-immune glomerulonephritis (PIGN). Methods: A retrospective, multicenter cohort study was conducted from 2002 to 2022 and included those with biopsy-proven PIGN. We aimed to investigate differences in presentation, clinical outcomes, and treatment practices of patients with ANCA-negative PIGN when compared with ANCA-positive controls. Results: In total, 132 ANCA-negative and 127 ANCA-positive patients were included. ANCA-negative patients were younger ( Conclusion: The precise pathophysiology and factors contributing to the clinical phenotype of ANCA-negative PIGN remain unclear and potentially represent a distinct disease entity. Adverse outcomes may result from delays in diagnosis, advanced disease at presentation, and less intense immunosuppressive treatment. Current classification criteria inadequately address ANCA-negative disease and collaborative research, which includes ANCA-negative patients in trials is needed.

Indexed as

ANCA-associated vasculitisANCA-negativeend-stage kidney diseasekidney biopsypauci-immune glomerulonephritisvasculitis

Identifiers

PMID40485697
PMCPMC12142597

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Registered trials

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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.