Evidence map›Paper›PMID 40998820›Full record

ReviewNature reviews. Disease primers2025

Lupus nephritis.

Ioannis Parodis, Brad H Rovin, Maria G Tektonidou, Hans-Joachim Anders, Ana Malvar, Chi Chiu Mok, Chandra Mohan

Abstract readReview
In one paragraph

Review in Nature reviews. Disease primers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
–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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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.

Ioannis ParodisDivision of Rheumatology, Department of Medicine Solna, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden. ioannis.parodis@ki.se.ORCID http://orcid.org/0000-0002-4875-5395
Brad H RovinDepartment of Internal Medicine, The Ohio State University College of Medicine, Columbus, OH, USA. Brad.Rovin@osumc.edu.ORCID http://orcid.org/0000-0001-5639-0210
Maria G TektonidouRheumatology Unit, First Propaedeutic and Internal Medicine Department, Joint Academic Rheumatology Program, National and Kapodistrian University of Athens, Athens, Greece. mtektonidou@gmail.com.ORCID http://orcid.org/0000-0003-2238-0975
Hans-Joachim AndersDivision of Nephrology, Hospital of the Ludwig Maximilians University Munich, Munich, Germany. hjanders@med.uni-muenchen.de.ORCID http://orcid.org/0000-0003-2434-2956
Ana MalvarNephrology Research Unit, Organización Médica de Investigación, Buenos Aires, Argentina. avmperrin@yahoo.com.ar.ORCID http://orcid.org/0000-0003-1609-3857
Chi Chiu MokDepartment of Medicine and Geriatrics, Tuen Mun Hospital, New Territories, Hong Kong. ccmok2005@yahoo.com.ORCID http://orcid.org/0000-0003-3696-1228
Chandra MohanDepartment of Biomedical Engineering, University of Houston, Houston, TX, USA. cmohan@central.uh.edu.

Funding

Monitoring Disease in LupusR01AR074096 · NIAMS · UNIVERSITY OF HOUSTON · PI CHANDRA MOHAN · 2019 to 2026
$4.5M
Objective Classification of Lupus NephritisR01DK134055 · NIDDK · UNIVERSITY OF HOUSTON · PI CHANDRA MOHAN, Hien Van Nguyen · 2023 to 2026
$2.5M
NIAMS NIH HHS R01 AR074096NIDDK NIH HHS R01 DK134055
6 · The paper itself

Abstract

Lupus nephritis (LN) is a type of glomerulonephritis and one of the most serious complications of systemic lupus erythematosus (SLE). LN affects 25-60% of patients with SLE, with incidence and prevalence varying by age, sex, ethnicity and socioeconomic factors. LN predominantly develops within 5 years of an SLE diagnosis and, for many patients, it is the initial manifestation that leads to the recognition of SLE. In some patients, LN may develop late in the disease course, highlighting the importance of persistent awareness of its symptoms and signs. Despite an increasing understanding of disease biology and more effective treatment options, LN remains a substantial cause of morbidity and mortality as it can lead to irreversible kidney failure and associated complications. Risk factors for progression to kidney failure include persistent proteinuria, low glomerular filtration rate, hypertension at diagnosis and frequent disease flares. LN pathogenesis involves complex immune dysregulation, with key pathways including type I interferon signalling, calcineurin activation, and B and T cell dysfunction. Several immunomodulatory drugs are used for the management of LN, and treatment paradigms are increasingly shifting towards multi-agent regimens. Along with appropriate pharmacotherapy, multidisciplinary care tailored to the patient's individual needs, involving rheumatologists, nephrologists, social workers and other health professionals, is crucial for holistically addressing both the immune and non-immune risk factors for progressive kidney function loss and for maximizing kidney lifespan in LN.

Indexed as

Lupus NephritisDisease ProgressionHumansRisk Factors

Identifiers

PMID40998820
PMCPMC13540300

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.