Evidence map›Paper›PMID 42787889›Full record

ArticleKidney medicine2026

Anti-Contactin-1-Associated Membranous Nephropathy Presenting With Subsequent Autoimmune Nodopathy.

Ruben Visch, Shoko Vos, Pierre Ronco, Hanna Debiec, Karlien Mul, Tom Nijenhuis, Anne-Els van de Logt

Abstract readCase Reports
In one paragraph

Article in Kidney medicine, 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

7 authors.

Ruben VischDepartment of Nephrology, Donders Institute for Brain, Cognition and Behaviour, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands.
Shoko VosDepartment of Pathology, Donders Institute for Brain, Cognition and Behaviour, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands.
Pierre RoncoSorbonne Université, Paris, France.
Hanna DebiecSorbonne Université, Paris, France.
Karlien MulDepartment of Neurology, Donders Institute for Brain, Cognition and Behaviour, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands.
Tom NijenhuisDepartment of Nephrology, Donders Institute for Brain, Cognition and Behaviour, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands.
Anne-Els van de LogtDepartment of Pathology, Donders Institute for Brain, Cognition and Behaviour, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 70-year-old man presented with biopsy-proven phospholipase A2 receptor--negative membranous nephropathy (MN). Shortly thereafter, he presented with progressive sensorimotor polyneuropathy, initially consistent with an inflammatory demyelinating polyneuropathy. Laboratory testing revealed strongly positive anti-contactin-1 (CNTN1) autoantibodies, a rare antigen target recently implicated in a subset of MN patients with concurrent inflammatory demyelinating polyneuropathy, reclassifying it as an autoimmune nodopathy. Intensive immunosuppressive treatment including methylprednisolone, cyclophosphamide, plasmapheresis, intravenous immunoglobulins, and rituximab led to significant neurological improvement and seronegativity for anti-CNTN1 antibodies. Nephrotic syndrome improved gradually with partial remission observed 2 years after treatment initiation. This case highlights the autoimmune overlap of MN and autoimmune nodopathy mediated by anti-CNTN1 antibodies, targeting shared epitopes in podocytes and the paranodal region of myelinated peripheral nerves. It underscores the clinical importance of screening for novel antibodies in phospholipase A2 receptor--negative MN patients, particularly anti-CNTN1 when neurological symptoms develop. This report supports aggressive immunosuppression tailored to antibody-mediated disease and suggests anti-CNTN1 titers as a biomarker for monitoring therapeutic response.

Indexed as

autoimmune nodopathycontactin-1immunoglobulin G type 4Membranous nephropathy

Identifiers

PMID42787889
PMCPMC13602309

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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.