Evidence map›Paper›PMID 37996443›Full record

ArticleNature communications2023

The extrafollicular B cell response is a hallmark of childhood idiopathic nephrotic syndrome.

Tho-Alfakar Al-Aubodah, Lamine Aoudjit, Giuseppe Pascale, Maneka A Perinpanayagam, David Langlais, Martin Bitzan, Susan M Samuel, Ciriaco A Piccirillo, Tomoko Takano

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
6.6field-weighted citation impact, top 2% 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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Identification ofFrontiers in immunology · 2026
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. B-cell-targeting therapies in podocytopathies.Pediatric nephrology (Berlin, Germany) · 2026
    Review
  10. Article
  11. Article
  12. Review
  13. Single-Cell RNA Sequencing of Thyroid Tissues Reveals Pathogenesis of Graves' Disease.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  14. Article
  15. Article
  16. Article
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  18. Review
  19. Article
  20. Review
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

9 authors at 5 institutions in 2 countries.

Tho-Alfakar Al-AubodahDepartment of Microbiology & Immunology, Faculty of Medicine and Health Sciences, McGill University, Montréal, Québec, Canada.ORCID 0000-0002-4348-3159
Lamine AoudjitMetabolic Disorders and Complications Program, Research Institute of the McGill University Health Centre, Montréal, Québec, Canada.
Giuseppe PascaleDivision of Nephrology, Faculty of Medicine and Health Sciences, McGill University, Montréal, Québec, Canada.
Maneka A PerinpanayagamSection of Nephrology, Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
David LanglaisDepartment of Microbiology & Immunology, Faculty of Medicine and Health Sciences, McGill University, Montréal, Québec, Canada.ORCID 0000-0003-4429-0110
Martin BitzanDivision of Nephrology, Department of Pediatrics, Faculty of Medicine and Health Sciences, McGill University, Montréal, Québec, Canada.
Susan M SamuelSection of Nephrology, Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Ciriaco A PiccirilloDepartment of Microbiology & Immunology, Faculty of Medicine and Health Sciences, McGill University, Montréal, Québec, Canada. ciro.piccirillo@mcgill.ca.
Tomoko TakanoMetabolic Disorders and Complications Program, Research Institute of the McGill University Health Centre, Montréal, Québec, Canada. tomoko.takano@mcgill.ca.ORCID 0000-0001-9367-4124
McGill University Health Centre · CAUniversity of Calgary · CAMcGill Genome Centre · CAMcGill University · CAMohammed Bin Rashid University of Medicine and Health Sciences · AE

Funding

Gouvernement du Canada | Canadian Institutes of Health Research (Instituts de Recherche en Santé du Canada) PJT-166006Kidney Foundation of Canada (La Fondation canadienne du rein) KHRG-190010
6 · The paper itself

Abstract

The efficacy of the B cell-targeting drug rituximab (RTX) in childhood idiopathic nephrotic syndrome (INS) suggests that B cells may be implicated in disease pathogenesis. However, B cell characterization in children with INS remains limited. Here, using single-cell RNA sequencing, we demonstrate that a B cell transcriptional program poised for effector functions represents the major immune perturbation in blood samples from children with active INS. This transcriptional profile was associated with an extrafollicular B cell response marked by the expansion of atypical B cells (atBCs), marginal zone-like B cells, and antibody-secreting cells (ASCs). Flow cytometry of blood from 13 children with active INS and 24 healthy donors confirmed the presence of an extrafollicular B cell response denoted by the expansion of proliferating RTX-sensitive extrafollicular (CXCR5

Indexed as

Nephrotic SyndromeB-LymphocytesChildHumansRituximabRituximab

Identifiers

PMID37996443
PMCPMC10667257
OpenAlexW4388976184

What Socratic holds

Textmetadata
LicenceCC BY
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.