Evidence map›Paper›PMID 36916720›Full record

ArticleRheumatology (Oxford, England)2023

Genetics of longitudinal kidney function in children and adults with systemic lupus erythematosus.

Thai-Son Tang, Fangming Liao, Declan Webber, Nicholas Gold, Jingjing Cao, Daniela Dominguez, Dafna Gladman, Andrea Knight, Deborah M Levy, Lawrence Ng and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 34% of its field
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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
  2. 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

17 authors at 3 institutions in 1 country.

Thai-Son TangDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0003-0930-8696
Fangming LiaoGenetics & Genome Biology, Research Institute, The Hospital for Sick Children, Toronto, Ontario, Canada.
Declan WebberGenetics & Genome Biology, Research Institute, The Hospital for Sick Children, Toronto, Ontario, Canada.
Nicholas GoldGenetics & Genome Biology, Research Institute, The Hospital for Sick Children, Toronto, Ontario, Canada.
Jingjing CaoThe Centre for Applied Genomics, Research Institute, The Hospital for Sick Children, Toronto, Ontario, Canada.
Daniela DominguezDivision of Rheumatology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Dafna GladmanDivision of Rheumatology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Andrea KnightDivision of Rheumatology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Deborah M LevyDivision of Rheumatology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Lawrence NgDivision of Rheumatology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Andrew D PatersonDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Zahi ToumaKrembil Research Institute, Toronto Western Hospital, Toronto, Ontario, Canada.ORCID 0000-0001-5177-2076
Murray B UrowitzKrembil Research Institute, Toronto Western Hospital, Toronto, Ontario, Canada.
Joan WitherKrembil Research Institute, Toronto Western Hospital, Toronto, Ontario, Canada.
Earl D SilvermanDivision of Rheumatology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Eleanor M PullenayegumDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Linda T HirakiDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-6690-8148
Hospital for Sick Children · CAUniversity of Toronto · CAToronto Western Hospital · CA

Funding

CIHR
6 · The paper itself

Abstract

objectivesGenome-wide association studies (GWAS) have identified loci associated with estimated glomerular filtration rate (eGFR). Few LN risk loci have been identified to date. We tested the association of SLE and eGFR polygenic risk scores (PRS) with repeated eGFR measures from children and adults with SLE.

methodsPatients from two tertiary care lupus clinics that met ≥4 ACR and/or SLICC criteria for SLE were genotyped on the Illumina MEGA or Omni1-Quad arrays. PRSs were calculated for SLE and eGFR, using published weighted GWA-significant alleles. eGFR was calculated using the CKD-EPI and Schwartz equations. We tested the effect of eGFR- and SLE-PRSs on eGFR mean and variance, adjusting for age at diagnosis, sex, ancestry, follow-up time, and clinical event flags.

resultsWe included 1158 SLE patients (37% biopsy-confirmed LN) with 36 733 eGFR measures over a median of 7.6 years (IQR: 3.9-15.3). LN was associated with lower within-person mean eGFR [LN: 93.8 (s.d. 26.4) vs non-LN: 101.6 (s.d. 17.7) mL/min per 1.73 m2; P < 0.0001] and higher variance [LN median: 157.0 (IQR: 89.5, 268.9) vs non-LN median: 84.9 (IQR: 46.9, 138.2) (mL/min per 1.73 m2)2; P < 0.0001]. Increasing SLE-PRSs were associated with lower mean eGFR and greater variance, while increasing eGFR-PRS was associated with increased eGFR mean and variance.

conclusionWe observed significant associations between SLE and eGFR PRSs and repeated eGFR measurements, in a large cohort of children and adults with SLE. Longitudinal eGFR may serve as a powerful alternative outcome to LN categories for discovery of LN risk loci.

Indexed as

Lupus Erythematosus, SystemicLupus NephritisAdultChildGenome-Wide Association StudyGenotypeGlomerular Filtration RateHumansKidneyadolescent rheumatologyepidemiologygeneticspaediatric/juvenile rheumatologyrenalSLE

Identifiers

PMID36916720
PMCPMC10629779
OpenAlexW4324128696

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.