Evidence map›Paper›PMID 42241312›Full record

ArticleRevista medica del Instituto Mexicano del Seguro Social2026

[Histopathological findings associated with complete clinical remission in patients with lupus nephritis].

Elsa Angélica Fuentes-López, José Ignacio Cerrillos-Gutiérrez, Miguel Medina-Pérez, Claudia Alejandra Mendoza-Cerpa, Alfonso Martín Cueto-Manzano

Abstract readEnglish Abstract
In one paragraph

Article in Revista medica del Instituto Mexicano del Seguro Social, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Elsa Angélica Fuentes-LópezInstituto Mexicano del Seguro Social, Centro Médico Nacional de Occidente, Hospital de Especialidades, Servicio de Nefrología. Guadalajara, Jalisco, México.ORCID 0000-0003-4953-1817
José Ignacio Cerrillos-GutiérrezInstituto Mexicano del Seguro Social, Centro Médico Nacional de Occidente, Hospital de Especialidades, Servicio de Nefrología. Guadalajara, Jalisco, México.ORCID 0000-0002-2443-9515
Miguel Medina-PérezInstituto Mexicano del Seguro Social, Centro Médico Nacional de Occidente, Hospital de Especialidades, Servicio de Nefrología. Guadalajara, Jalisco, México.ORCID 0000-0002-7259-4317
Claudia Alejandra Mendoza-CerpaInstituto Mexicano del Seguro Social, Centro Médico Nacional de Occidente, Hospital de Especialidades, Servicio de Anatomía Patológica. Guadalajara, Jalisco, México.ORCID 0000-0002-4853-0356
Alfonso Martín Cueto-ManzanoInstituto Mexicano del Seguro Social, Centro Médico Nacional de Occidente, Hospital de Especialidades, Unidad de Investigación Médica en Enfermedades Renales. Guadalajara, Jalisco, México.ORCID 0000-0002-0343-9508

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Lupus nephritis (LN) is a serious manifestation of systemic lupus erythematosus. Patients who do not achieve remission have a 10-year renal survival rate of 19%. Objective: To evaluate the histopathological findings of LN associated with complete remission > 12 months after kidney biopsy. Material and methods: Retrospective cohort of adults with lupus (2019 EULAR/ACR criteria) who underwent kidney biopsy between January 2017 and December 2021. Clinical, biochemical, and histopathological data were collected at the time of biopsy; renal function (serum creatinine, estimated glomerular filtration rate [eGFR], and proteinuria/day) was measured throughout the study (end of follow-up in June 2023). Results: Thirty-eight patients were included. When comparing the non-remission group (n = 13) with the complete remission group (n = 18), only the degree of interstitial fibrosis and tubular atrophy (IFTA) (grade 2: 46% vs. 11%, respectively) and the chronicity index [5.0 (4.0-6.5) vs. 3.0 (1.0-5.0)] showed significant differences (p < 0.05). At the end of the study, the non-remission group, compared with the complete remission group, had lower eGFR [57 (10-100) vs. 104 (87-123) mL/min/1.73 m², p < 0.05] and higher proteinuria [4.00 (1.82-8.00) vs. 0.25 (0.16-0.39) g/day, p < 0.05]. In the logistic regression analysis, only proteinuria [OR 0.72 (95%CI 0.54-0.98), p = 0.03] predicted remission. Conclusions: The histopathological findings associated with complete LN remission > 12 months were lower IFTA and a lower chronicity index. In the multivariate analysis, the only significant variable predicting remission was baseline proteinuria.

Indexed as

KidneyLupus NephritisAdultBiopsyFemaleGlomerular Filtration RateHumansMaleMiddle AgedProteinuriaRemission InductionRetrospective StudiesYoung AdultBiopsiaBiopsyCohort StudiesEstudios de CohorteLupus NephritisNefritis LúpicaPathologyPatologíaRemisión RenalRenal Remission

Identifiers

PMID42241312
PMCPMC13271755

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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.