Evidence map›Paper›PMID 42688926›Full record

ArticleOxford medical case reports2026

A case of anti-nephrin antibody-positive, steroid-dependent nephrotic syndrome with successful discontinuation of immunosuppressants following rituximab.

Kota Shinzato, Norifumi Hayashi, Ryoko Akai, Yu Kagaya, Yutaka Hiratuji, Sho Kumano, Kazuaki Okino, Keiji Fujimoto, Takao Iwawaki, Kengo Furuichi

Abstract readCase Reports
In one paragraph

Article in Oxford medical 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
–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

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

10 authors.

Kota ShinzatoDepartment of Nephrology, School of Medicine, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Kahoku, Ishikawa 920-0293, Japan.
Norifumi HayashiDepartment of Nephrology, School of Medicine, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Kahoku, Ishikawa 920-0293, Japan.ORCID https://orcid.org/0009-0002-8741-1090
Ryoko AkaiDivision of Cell Medicine, Department of Life Science, Medical Research Institute, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Kahoku, 1-1 Daigaku, Uchinada, Kahoku, Ishikawa 920-0293, Japan.
Yu KagayaDepartment of Nephrology, School of Medicine, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Kahoku, Ishikawa 920-0293, Japan.
Yutaka HiratujiDepartment of Nephrology, School of Medicine, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Kahoku, Ishikawa 920-0293, Japan.
Sho KumanoDepartment of Nephrology, School of Medicine, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Kahoku, Ishikawa 920-0293, Japan.
Kazuaki OkinoDepartment of Nephrology, School of Medicine, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Kahoku, Ishikawa 920-0293, Japan.
Keiji FujimotoDepartment of Nephrology, School of Medicine, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Kahoku, Ishikawa 920-0293, Japan.
Takao IwawakiDivision of Cell Medicine, Department of Life Science, Medical Research Institute, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Kahoku, 1-1 Daigaku, Uchinada, Kahoku, Ishikawa 920-0293, Japan.
Kengo FuruichiDepartment of Nephrology, School of Medicine, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Kahoku, Ishikawa 920-0293, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Minimal change nephrotic syndrome (MCNS) is a major cause of nephrotic syndrome in children and adults. Recent studies identified circulating anti-nephrin antibodies in 30%-50% of patients, linking them to severe proteinuria and frequent relapses. We describe a Japanese woman in her 40s with steroid-dependent nephrotic syndrome (SDNS). Anti-nephrin antibodies were identified in serum obtained at disease onset by immunoprecipitation and ELISA, and kidney biopsy showed punctate IgG colocalizing with nephrin. Before rituximab (RTX), she experienced relapses accompanied by increased anti-nephrin antibody reactivity. A low-dose RTX regimen (200 mg every 6 months for seven doses) enabled maintenance of complete remission and discontinuation of prednisolone and cyclosporine, with B-cell depletion confirmed by CD19 monitoring. She has maintained remission for two years after RTX discontinuation, without re-elevation of anti-nephrin antibody reactivity. This case supports a possible role of anti-nephrin antibodies in disease activity and suggests that low-dose RTX may contribute to durable remission.

Indexed as

anti-nephrin antibodiesnephrotic syndromerituximab

Identifiers

PMID42688926
PMCPMC13537508

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