Evidence map›Paper›PMID 41280909›Full record

ArticleFrontiers in immunology2025

How to identify IgA nephropathy presenting as nephrotic syndrome coexisting with minimal change disease? A 15-year single-center clinicopathological analysis.

Yue Yang, Lu-Xian Duan, Ying Wang, Zheng Zhang, Qian-Qian Xu, Li Zhuo, Wen-Ge Li

Abstract read
In one paragraph

Article in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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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

7 authors.

Yue Yang *Department of Nephrology, China-Japan Friendship Hospital, Beijing, China.
Lu-Xian Duan *Department of Nephrology, China-Japan Friendship Hospital, Beijing, China.
Ying WangDepartment of Nephrology, China-Japan Friendship Hospital, Beijing, China.
Zheng ZhangDepartment of Nephrology, China-Japan Friendship Hospital, Beijing, China.
Qian-Qian XuDepartment of Nephrology, China-Japan Friendship Hospital, Beijing, China.
Li ZhuoDepartment of Nephrology, China-Japan Friendship Hospital, Beijing, China.
Wen-Ge LiDepartment of Nephrology, China-Japan Friendship Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Nephrotic syndrome (NS) in IgA nephropathy (IgAN) may indicate concurrent minimal change disease (MCD). This study characterized the IgAN-MCD overlap phenotype using anti-nephrin autoantibodies (IgG co-localization) in NS-IgAN patients, assessing its prevalence and therapeutic implications. Methods: We conducted a retrospective analysis of 67 biopsy-confirmed NS-IgAN patients (2010-2024) with ≥1-year follow-up. Patients were stratified by treatment response into complete remission (CR, n = 24) and non-remission (NR, n = 26) groups. Renal biopsies were evaluated for anti-nephrin autoantibodies via IgG co-localization and podocyte ultrastructure. Longitudinal data were analyzed using repeated-measures ANOVA with Benjamini-Hochberg correction; time-to-remission was assessed by Kaplan-Meier and Cox regression analyses. Results: CR patients showed significantly lower baseline serum albumin (18.8 ± 4.0 vs. 24.1 ± 4.2 g/L, Conclusion: A significant subset (~36%) of NS-IgAN patients exhibit an IgAN-MCD overlap state identifiable by renal anti-nephrin IgG co-localization, demonstrating MCD-like pathology and excellent corticosteroid response. This biomarker integration can guide personalized therapy, enabling effective short-course treatment for overlap cases while avoiding unnecessary long-term immunosuppression in classic NS-IgAN.

Indexed as

Glomerulonephritis, IGANephrosis, LipoidNephrotic SyndromeAdultAutoantibodiesBiopsyFemaleHumansImmunoglobulin GKidneyMaleMembrane ProteinsMiddle AgedRetrospective StudiesYoung AdultAutoantibodiesImmunoglobulin GMembrane Proteinsnephrinanti-nephrin autoantibodiescorticosteroid responsivenessIgA nephropathyminimal change diseasenephrotic syndrome

Identifiers

PMID41280909
PMCPMC12631404

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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.