Evidence map›Paper›PMID 40612566›Full record

ArticleClinical kidney journal2025

The importance of identifying new and putative target antigens associated with membranous nephropathy: evidence from a Sardinian cohort.

Nicola Lepori, Andrea Angioi, Benjamin Madden, Matteo Floris, Gianfranca Cabiddu, Doloretta Piras, Paola Bianco, Roberta Mascia, Daniela Onnis, Fernando C Fervenza and 2 more

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 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

12 authors.

Nicola LeporiDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Andrea AngioiNephrology, Dialysis and Transplantation, ARNAS Brotzu, Cagliari, Italy.
Benjamin MaddenMayo Clinic Proteomics Core, Mayo Clinic, Rochester, MN, USA.
Matteo FlorisNephrology, Dialysis and Transplantation, ARNAS Brotzu, Cagliari, Italy.
Gianfranca CabidduDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Doloretta PirasNephrology, Dialysis and Transplantation, ARNAS Brotzu, Cagliari, Italy.
Paola BiancoPathology Department, ARNAS Brotzu, Cagliari, Italy.
Roberta MasciaPathology Department, ARNAS Brotzu, Cagliari, Italy.
Daniela OnnisPathology Department, ARNAS Brotzu, Cagliari, Italy.
Fernando C FervenzaDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0002-9952-209X
Sanjeev SethiDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0002-4536-7709
Antonello PaniDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Membranous nephropathy (MN) is a leading cause of nephrotic syndrome (NS). Since the identification of anti-phospholipase A2 receptor (anti-PLA2R) antibodies in 2009, the use of laser microdissection and tandem mass spectrometry (LMD/MS) has allowed the discovery of several target antigens in MN. Methods: In this retrospective cohort study, adult patients evaluated at the Division of Nephrology at Brotzu Hospital (Cagliari, Italy) with biopsy-proven MN and a negative serological test for anti-PLA2R antibody underwent LMD/MS, performed at the Department of Laboratory Medicine and Pathology of Mayo Clinic (Rochester, MN, USA). Results: Twenty-four cases of biopsy-proven MN were available for antigen detection by LMD/MS studies. High total spectral counts of PLA2R were detected in 12 out of 24 (50%) cases. In addition, high spectral counts of THSD7A and NELL1 were detected in two cases each, and EXT1/EXT2 and NCAM1 in one case each. Five putative antigens have been detected: SULF1, PGLYRP, HYAL1, THBS and SEZ6L2. Conclusions: Our study highlights at least two interesting considerations. First, the determination of PLA2R on renal tissue in the diagnosis of PLA2R-associated MN is emphasized since 50% of our cases were falsely diagnosed with PLA2R-negative MN based on the serum anti-PLA2R antibodies determination. Second, our study shows six patients with MN likely associated with putative antigens, two of them showing new antigens never described before in literature (HYAL1 and THBS1). This high prevalence of putative antigens in our cohort is not easily explainable and paves the way for evaluating specific factors in the Sardinian population that could explain this evidence.

Indexed as

hyaluronidase 1mass spectrometrymembranous nephropathythrombospondin 1

Identifiers

PMID40612566
PMCPMC12214870

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