Evidence map›Paper›PMID 41735917›Full record

ArticleBMC nephrology2026

Voclosporin ameliorates proteinuria in a model of non-inflammatory glomerular disease.

Yu Kamigaki, Julie A Dougherty, Amanda P Waller, Katelyn J Wolfgang, Linda M Rehaume, Jennifer L Cross, Simon Zhou, Laura E Biederman, Zackary S Stevenson, Eman Abdelghani and 2 more

Abstract read
In one paragraph

Article in BMC nephrology, 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

12 authors.

Yu Kamigaki *Center for Clinical and Translational Research, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Room W303 700 Children's Drive, Columbus, OH, 43205, USA.
Julie A Dougherty *Center for Clinical and Translational Research, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Room W303 700 Children's Drive, Columbus, OH, 43205, USA.
Amanda P WallerCenter for Clinical and Translational Research, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Room W303 700 Children's Drive, Columbus, OH, 43205, USA.
Katelyn J WolfgangCenter for Clinical and Translational Research, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Room W303 700 Children's Drive, Columbus, OH, 43205, USA.
Linda M RehaumeAurinia Pharmaceuticals Inc, Edmonton, AB, Canada.
Jennifer L CrossAurinia Pharmaceuticals Inc, Edmonton, AB, Canada.
Simon ZhouAurinia Pharmaceuticals Inc, Edmonton, AB, Canada.
Laura E BiedermanDepartment of Pathology, Ohio State University Wexner Medical Center, Columbus, OH, USA.
Zackary S StevensonCenter for Clinical and Translational Research, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Room W303 700 Children's Drive, Columbus, OH, 43205, USA.
Eman AbdelghaniCenter for Clinical and Translational Research, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Room W303 700 Children's Drive, Columbus, OH, 43205, USA.
Bryce A KerlinCenter for Clinical and Translational Research, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Room W303 700 Children's Drive, Columbus, OH, 43205, USA.
William E SmoyerCenter for Clinical and Translational Research, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Room W303 700 Children's Drive, Columbus, OH, 43205, USA. William.Smoyer@Nationwidechildrens.org.

Funding

Thrombin-Mediated Podocyte Injury MechanismsR01DK124549 · NIDDK · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI KERLIN, BRYCE ANDREW · 2021 to 2025
$2.1M
Nuclear Receptor and MAP Kinase Signaling in Podocyte InjuryR01DK095059 · NIDDK · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI SMOYER, WILLIAM E · 2013 to 2017
$1.6M
NIDDK NIH HHS DK 095059NIDDK NIH HHS DK 124549NIDDK NIH HHS R01 DK095059NIDDK NIH HHS R01 DK124549
6 · The paper itself

Abstract

backgroundIdiopathic nephrotic syndrome (INS) is among the most common glomerular diseases in children with standard first line treatment of glucocorticoids. However, there has been no definitive treatment that can completely cure disease with few side effects for steroid resistant INS patients. Voclosporin (VCS) is a second generation calcineurin inhibitor (CNI) approved in multiple countries for the treatment of adults with active lupus nephritis. VCS does not require therapeutic drug monitoring due to an improved pharmacokinetic profile compared to other CNIs. Based on this, we assessed the ability of VCS to ameliorate proteinuria and hypoalbuminemia in a non-inflammatory glomerular disease using an animal model of NS.

methodsRats received 50 mg/kg puromycin aminonucleoside (PAN) IV to induce NS. Rats were gavaged BID with vehicle or VCS (4 mg/kg/dose), a clinically relevant dose. Outcome measures included proteinuria, hypoalbuminemia, serum lipid profiles, glomerular podocyte injury, renal tubular injury, and hypercoagulopathy. Human podocytes were also treated with PAN +/- VCS and assessed for cell viability and stress using XTT and LDH release assays.

resultsVCS treatment significantly ameliorated PAN-induced proteinuria (61% median reduction; P < 0.05) and tubular injury (P < 0.05) in rats. VCS also numerically but insignificantly improved hypoalbuminemia (P = 0.16), hypercoagulopathy (P = 0.099), and glomerular podocyte injury (P = 0.11). VCS did not exacerbate serum lipid profiles of rats with PAN-induced disease. In vitro, VCS significantly protected podocyte viability from PAN-induced toxicity and reduced PAN-induced stress, though not significantly.

conclusionsVCS significantly ameliorated proteinuria in a non-inflammatory model of glomerular disease, and compared favorably regarding improvements in hypoalbuminemia, hypercoagulopathy, dyslipidemia, and podocyte injury. These findings suggest that VCS could be clinically efficacious in patients with primary or secondary NS, without need for drug level testing and with decreased risk of exacerbation of known CNI-related dyslipidemia. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Calcineurin InhibitorsCyclosporineNephrotic SyndromeProteinuriaAnimalsDisease Models, AnimalHumansMalePodocytesPuromycin AminonucleosideRatsRats, Sprague-DawleyCalcineurin InhibitorsCyclosporinePuromycin AminonucleosidevoclosporinCalcineurin inhibitorsDyslipidemiaNephrotic syndromeProteinuriaRat modelsVoclosporin

Identifiers

PMID41735917
PMCPMC13036996

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.