Evidence map›Paper›PMID 40646418›Full record

ReviewJournal of nephrology2025

Approach to the prevention of atypical hemolytic uremic syndrome recurrence using eculizumab in a pregnant kidney transplant recipient with complement factor H gene mutation: a case report and literature review.

Somaya Zahran, Tiina Podymow, Shaifali Sandal, Thomas Nodzynski, Catherine Matte, Marcelo Cantarovich

Abstract readCase ReportsReview
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In one paragraph

Review in Journal of nephrology, 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

6 authors.

Somaya ZahranDivision of Nephrology, McGill University, D5.7176 - 1001 Boul Decarie, Montreal, QC, H4A 3J1, Canada.ORCID http://orcid.org/0000-0002-0112-0894
Tiina PodymowDivision of Nephrology, McGill University, D5.7176 - 1001 Boul Decarie, Montreal, QC, H4A 3J1, Canada.
Shaifali SandalDivision of Nephrology, McGill University, D5.7176 - 1001 Boul Decarie, Montreal, QC, H4A 3J1, Canada.
Thomas NodzynskiDivision of Nephrology, Lakeshore General Hospital, Montreal, Canada.
Catherine MatteDivision of Nephrology, Anna Laberge Hospital, Chateauguay, Canada.
Marcelo CantarovichDivision of Nephrology, McGill University, D5.7176 - 1001 Boul Decarie, Montreal, QC, H4A 3J1, Canada. marcelo.cantarovich.med@ssss.gouv.qc.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Eculizumab, a monoclonal antibody targeting C5, is used to treat atypical hemolytic uremic syndrome (aHUS) and prevent recurrence post-kidney transplant (KTx). However, clinical experience with its use during pregnancy in kidney transplant recipients remains limited. We report a case of a 36-year-old woman with a history of aHUS and a high-risk complement factor H gene mutation who received a KTx and was treated with maintenance eculizumab post-transplant for the prevention of aHUS recurrence, and who later became pregnant. Eculizumab maintenance was continued during pregnancy. The patient delivered a healthy infant who developed normally; allograft function was well-preserved with no recurrence of thrombotic microangiopathy during pregnancy or in the 8 years postpartum. We reviewed the literature for similar cases and herein propose a structured approach to managing pregnant KTx recipients with a history of aHUS receiving eculizumab.

Indexed as

Antibodies, Monoclonal, HumanizedAtypical Hemolytic Uremic SyndromeComplement Factor HComplement Inactivating AgentsKidney TransplantationMutationAdultFemaleHumansPregnancyRecurrenceSecondary PreventionTreatment OutcomeAntibodies, Monoclonal, HumanizedCFH protein, humanComplement Factor HComplement Inactivating AgentseculizumabAtypical hemolytic uremic syndromeEculizumabKidney transplantationPregnancyThrombotic microangiopathy

Identifiers

What OpenQuestion holds

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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.