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The urinary proteomics-based classifier IgAN237 may predict disease progression at the time of kidney biopsy. We studied whether IgAN237 also predicts progression later in the course of IgAN.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Urine from patients with biopsy-proven IgAN was analyzed using capillary electrophoresis\u2013mass spectrometry at baseline (IgAN237-1, n\u00a0=\u00a0103) and at follow-up (IgAN237-2, n\u00a0=\u00a089). Patients were categorized as \u201cnon-progressors\u201d (IgAN237 \u22640.38) and \u201cprogressors\u201d (IgAN237 &amp;gt;0.38). Estimated glomerular filtration rate (eGFR) and urinary albumin\u2013creatinine ratio slopes were calculated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Median age at biopsy was 44\u00a0years, interval between biopsy and IgAN237-1 was 65\u00a0months and interval between IgAN237-1 and IgAN237-2 was 258\u00a0days (interquartile range 71\u2013531). IgAN237-1 and IgAN237-2 values did not differ significantly and were correlated (rho\u00a0=\u00a00.44, P\u00a0&amp;lt;\u00a0.001). Twenty-eight percent and 26% of patients were progressors based on IgAN237-1 and IgAN237-2, respectively. IgAN237 inversely correlated with chronic eGFR slopes (rho = \u20130.278, P\u00a0=\u00a0.02 for score-1; rho = \u20130.409, P\u00a0=\u00a0.002 for score-2) and with \u00b1180\u00a0days eGFR slopes (rho = \u20130.31, P\u00a0=\u00a0.009 and rho = \u20130.439, P\u00a0=\u00a0.001, respectively). The \u00b1180\u00a0days eGFR slopes were worse for progressors than for non-progressors (median \u20135.98 versus \u20131.22\u00a0mL\/min\/1.73 m2 per year for IgAN237-1, P\u00a0&amp;lt;\u00a0.001; \u20133.02 vs 1.08\u00a0mL\/min\/1.73 m2 per year for IgAN237-2, P\u00a0=\u00a0.0047). In multiple regression analysis baseline progressor\/non-progressor according to IgAN237 was an independent predictor of eGFR180days-slope (P\u00a0=\u00a0.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The urinary IgAN237 classifier represents a risk stratification tool in IgAN also later in the course of the dynamic disease. It may guide patient management in an individualized manner.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ndt\/gfad125","type":"journal-article","created":{"date-parts":[[2023,6,22]],"date-time":"2023-06-22T16:36:33Z","timestamp":1687451793000},"page":"2826-2834","source":"Crossref","is-referenced-by-count":13,"title":["Dynamics of urine proteomics biomarker and disease progression in patients with IgA nephropathy"],"prefix":"10.1093","volume":"38","author":[{"given":"Bj\u00f6rn","family":"Peters","sequence":"first","affiliation":[{"name":"Department of Molecular and Clinical Medicine, Institute of Medicine , the , Gothenburg , Sweden"},{"name":"Sahlgrenska Academy at University of Gothenburg , the , Gothenburg , Sweden"},{"name":"Department of Nephrology, Skaraborg Hospital , Sk\u00f6vde , Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joachim","family":"Beige","sequence":"additional","affiliation":[{"name":"Kuratorium for Dialysis and 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