Evidence map›Paper›PMID 42370971›Full record

ArticleCEN case reports2026

Nephrin-IgG co-localization expression in pediatric steroid-resistant nephrotic syndrome: a case series from Indonesia.

Rini Rossanti, Ahmedz Widiasta, Nana Sakakibara, Inoki Yuta, China Nagano, Asahi Yamamoto, Yuka Kimura, Aoyama Shuhei, Tomohiko Yamamura, Tomoko Horinouchi and 5 more

Abstract readCase Reports
In one paragraph

Article in CEN case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Rini RossantiNephrology Division, Department of Child Health, Dr. Hasan Sadikin General Hospital, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia. rini.rossanti@unpad.ac.id.ORCID 0000-0003-3824-9365
Ahmedz WidiastaNephrology Division, Department of Child Health, Dr. Hasan Sadikin General Hospital, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.
Nana SakakibaraDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Inoki YutaDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
China NaganoDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Asahi YamamotoDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Yuka KimuraDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Aoyama ShuheiDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Tomohiko YamamuraDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Tomoko HorinouchiDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Shingo IshimoriDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Dedi RachmadiNephrology Division, Department of Child Health, Dr. Hasan Sadikin General Hospital, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.
Kazumoto IijimaHyogo Prefectural Kobe Children Hospital, Kobe, Japan.
Kandai NozuDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Dany HilmantoNephrology Division, Department of Child Health, Dr. Hasan Sadikin General Hospital, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.

Funding

Universitas Padjadjaran 1549/UN6.3.1/PT.00/2023
6 · The paper itself

Abstract

Steroid-resistant nephrotic syndrome (SRNS) remains a major clinical challenge due to its heterogeneous etiologies and poor response to conventional immunosuppressive therapy. Anti-nephrin IgG has been associated with podocyte injury and proteinuria, suggesting a potential pathogenic role in SRNS. This case series was conducted to present real-world data on the evaluation of nephrin-IgG immunofluorescence colocalization in pediatric SRNS in a low-resource setting, and to examine whether this approach may inform treatment selection in routine clinical practice. We describe four pediatric patients with SRNS who underwent kidney biopsy following persistent proteinuria despite immunosuppressive therapy. Case 1 showed severe hypoalbuminemia and anasarca with preserved renal function after full dose steroid; Case 2 remained edematous with nephrotic range proteinuria after seven cycle of cyclophosphamide; Case 3 progressed to chronic kidney disease despite cyclophosphamide and mycophenolate mofetil; Case 4 had normal kidney function and no edema, despite steroid resistant. Nephrin-IgG co-localization was observed in all cases. Clinical outcomes were heterogeneous, and assessment of treatment response was limited by resource constraints and loss to follow-up. These findings are exploratory in nature and suggest the potential applicability of nephrin-IgG co-localization in a low-resource setting, warranting further investigation.

Indexed as

Immunoglobulin GMembrane ProteinsNephrotic SyndromeAdolescentBiopsyChildCyclophosphamideDrug ResistanceFemaleHumansImmunosuppressive AgentsIndonesiaKidneyMaleMycophenolic AcidProteinuriaCyclophosphamideImmunoglobulin GImmunosuppressive AgentsMembrane ProteinsMycophenolic AcidnephrinNephrin–IgG colocalizationPediatricSteroid-resistant nephrotic syndrome

Identifiers

PMID42370971
PMCPMC13315047

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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.