Evidence map›Paper›PMID 40603101›Full record

ArticleInternal medicine (Tokyo, Japan)2026

Combined Alport Syndrome Type 3A and Mitochondrial Disease Presenting with a Thin Base Membrane and Overt Albuminuria.

Daisuke Nakashima, Takeshi Tosaki, Takaya Sasaki, Yu Honda, Shinya Yokote, Takayasu Mori, Eisei Sohara, Shinichi Uchida, Nobuo Tsuboi, Takashi Yokoo

Abstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Daisuke NakashimaDepartment of Nephrology, Kawaguchi Municipal Medical Center, Japan.
Takeshi TosakiDepartment of Nephrology, Kawaguchi Municipal Medical Center, Japan.
Takaya SasakiDepartment of Nephrology, Kawaguchi Municipal Medical Center, Japan.
Yu HondaDepartment of Nephrology, Kawaguchi Municipal Medical Center, Japan.
Shinya YokoteDepartment of Nephrology, Kawaguchi Municipal Medical Center, Japan.
Takayasu MoriDepartment of Nephrology, Institute of Science Tokyo, Japan.
Eisei SoharaDepartment of Nephrology, Institute of Science Tokyo, Japan.
Shinichi UchidaDepartment of Nephrology, Institute of Science Tokyo, Japan.
Nobuo TsuboiDivision of Nephrology and Hypertension, Department of Internal Medicine, The Jikei University School of Medicine, Japan.
Takashi YokooDivision of Nephrology and Hypertension, Department of Internal Medicine, The Jikei University School of Medicine, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autosomal dominant Alport syndrome (ADAS), which leads to kidney dysfunction, is primarily associated with heterozygous mutations in COL4A3/4. Mitochondrial disease can also lead to kidney dysfunction. We report a rare case of a 29-year-old woman with ADAS and mitochondrial nephropathy, identified through a genetic analysis, revealing a novel in-frame deletion in COL4A3 and a mitochondrial m.3243A>G mutation. Kidney biopsy revealed basement membrane thinning and mitochondrial nephropathy. Treatment with taurine, arginine, and finerenone improved her proteinuria. This case highlights the complexity of diagnosing genetic kidney diseases and underscores the importance of next-generation sequencing in guiding personalized medicine for optimal and precise management.

Indexed as

AlbuminuriaMitochondrial DiseasesNephritis, HereditaryAdultAutoantigensCollagen Type IVFemaleHumansMutationAutoantigensCollagen Type IVtype IV collagen alpha3 chainautosomal dominant Alport syndromeMELASmitochondrial disease

Identifiers

PMID40603101
PMCPMC12945410

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.