Evidence map›Paper›PMID 34069888›Full record

ArticleJournal of clinical medicine2021

A Specific Tubular ApoA-I Distribution Is Associated to FSGS Recurrence after Kidney Transplantation.

Conxita Jacobs-Cachá, Natàlia Puig-Gay, Ander Vergara, Maria-Alejandra Gabaldon, Joana Sellarés, Yolanda Villena-Ortiz, Irene Agraz, Francesc Moreso, Maria José Soler, Daniel Serón and 1 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2021. 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

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

3 citing papers in PubMed.

  1. Precision medicine for focal segmental glomerulosclerosis.Kidney research and clinical practice · 2024
    Article
  2. Review
  3. Article
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

11 authors.

Conxita Jacobs-CacháNephrology Research Group, Nephrology Department, Vall d'Hebrón Research Institute (VHIR), Vall d'Hebron Barcelona Hospital Campus, Vall d'Hebrón Hospital Universitari, 08035 Barcelona, Spain.ORCID 0000-0003-2518-7847
Natàlia Puig-GayClinical Biochemistry Research Group, Department of Clinical Biochemistry, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, Vall d'Hebron Hospital Universitari, 08035 Barcelona, Spain.ORCID 0000-0002-4703-0165
Ander VergaraNephrology Research Group, Nephrology Department, Vall d'Hebrón Research Institute (VHIR), Vall d'Hebron Barcelona Hospital Campus, Vall d'Hebrón Hospital Universitari, 08035 Barcelona, Spain.
Maria-Alejandra GabaldonDepartment of Pathology, Vall d'Hebron Barcelona Hospital Campus, Vall d'Hebron Hospital Universitari, 08035 Barcelona, Spain.
Joana SellarésNephrology Research Group, Nephrology Department, Vall d'Hebrón Research Institute (VHIR), Vall d'Hebron Barcelona Hospital Campus, Vall d'Hebrón Hospital Universitari, 08035 Barcelona, Spain.
Yolanda Villena-OrtizClinical Biochemistry Research Group, Department of Clinical Biochemistry, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, Vall d'Hebron Hospital Universitari, 08035 Barcelona, Spain.ORCID 0000-0003-0925-0498
Irene AgrazNephrology Research Group, Nephrology Department, Vall d'Hebrón Research Institute (VHIR), Vall d'Hebron Barcelona Hospital Campus, Vall d'Hebrón Hospital Universitari, 08035 Barcelona, Spain.ORCID 0000-0002-4223-6834
Francesc MoresoNephrology Research Group, Nephrology Department, Vall d'Hebrón Research Institute (VHIR), Vall d'Hebron Barcelona Hospital Campus, Vall d'Hebrón Hospital Universitari, 08035 Barcelona, Spain.ORCID 0000-0002-7267-3963
Maria José SolerNephrology Research Group, Nephrology Department, Vall d'Hebrón Research Institute (VHIR), Vall d'Hebron Barcelona Hospital Campus, Vall d'Hebrón Hospital Universitari, 08035 Barcelona, Spain.
Daniel SerónNephrology Research Group, Nephrology Department, Vall d'Hebrón Research Institute (VHIR), Vall d'Hebron Barcelona Hospital Campus, Vall d'Hebrón Hospital Universitari, 08035 Barcelona, Spain.ORCID 0000-0003-2054-653X
Joan López-HellínClinical Biochemistry Research Group, Department of Clinical Biochemistry, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, Vall d'Hebron Hospital Universitari, 08035 Barcelona, Spain.ORCID 0000-0001-7286-3882

Funding

Fundació la Marató de TV3 759/U/2020Instituto de Salud Carlos III PI14/00275
6 · The paper itself

Abstract

A major complication of primary focal segmental glomerulosclerosis (FSGS) is its recurrence after kidney transplantation that happens in 30 to 40% of the patients. The diagnosis of these relapses is not always easy as the histological lesions are not highly specific and appear after the proteinuria increase. Currently, there are no accurate biomarkers to detect FSGS recurrence. Our group identified a modified form of Apolipoprotein A-I (ApoA-I), named ApoA-Ib, specifically present in the urine of recurrent FSGS patients after kidney transplantation. Aberrant forms of ApoA-I have also been described in the urine of native primary FSGS patients; this feature has been associated with prominent staining of ApoA-I at the apical membrane of the tubular cells. In this study, we aim to analyze the ApoA-I distribution in kidney allograft biopsies of recurrent FSGS patients. We detected ApoA-I by immunohistochemistry in kidney allograft biopsies of patients with FSGS relapse after kidney transplantation and in kidney allograft biopsies of patients with a disease different from FSGS in the native kidney (non-FSGS). In recurrent FSGS patients, ApoA-I was prominently localized at the brush border of the tubular cells, while in the non-FSGS patients, ApoA-I was found along the cytoplasm of the tubular cells. The localization of ApoA-I at the brush border of the tubular cells is a specific feature of primary FSGS in relapse. This suggests that ApoA-I staining in kidney biopsies, coupled with ApoA-Ib measurement in urine, could be used as a diagnostic tool of primary FSGS relapse after kidney transplantation due to its highly specific tubular distribution.

Indexed as

ApoA-IApoA-Ibapolipoprotein A-Iapolipoprotein A-Ibbiomarkersfocal segmental glomerulosclerosisFSGSglomerular diseasekidney transplantationrecurrence

Identifiers

PMID34069888
PMCPMC8157584

What Socratic holds

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Registered trials

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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 Socratic graph.