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Shubharthi Kar

@karnephro

Nephrologist #Bangladesh #ISNeducation #SOME Social Media Team Member #SARB #SACA member International Society of Hypertension

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Latest posts by Shubharthi Kar @karnephro

Figure 2. Primary endpoints
(A) The least-squares mean proportion of patients with resolution of MASH without worsening of fibrosis after 24 weeks of treatment; error bars represent SE; MASH resolution was defined as at least a 2-point reduction in NAS (scale of 0 to 8, with higher scores indicating more severe disease), no hepatocyte ballooning, and a score of 0 or 1 in the lobular inflammation component of the score, without worsening fibrosis. (B) The least-squares mean proportion of patients with liver fibrosis improvement without worsening of MASH after 24 weeks of treatment, defined as the proportion of patients achieving at least a one-stage improvement in liver fibrosis without worsening of NAS; error bars represent SE. A composite strategy was employed that considered patients with missing outcomes due either to missing biopsies or treatment discontinuations as non-responders. Data were analysed with the use of the chi-square test. MASH=metabolic dysfunction-associated steatohepatitis. NAS=non-alcoholic fatty liver disease activity score.

Figure 2. Primary endpoints (A) The least-squares mean proportion of patients with resolution of MASH without worsening of fibrosis after 24 weeks of treatment; error bars represent SE; MASH resolution was defined as at least a 2-point reduction in NAS (scale of 0 to 8, with higher scores indicating more severe disease), no hepatocyte ballooning, and a score of 0 or 1 in the lobular inflammation component of the score, without worsening fibrosis. (B) The least-squares mean proportion of patients with liver fibrosis improvement without worsening of MASH after 24 weeks of treatment, defined as the proportion of patients achieving at least a one-stage improvement in liver fibrosis without worsening of NAS; error bars represent SE. A composite strategy was employed that considered patients with missing outcomes due either to missing biopsies or treatment discontinuations as non-responders. Data were analysed with the use of the chi-square test. MASH=metabolic dysfunction-associated steatohepatitis. NAS=non-alcoholic fatty liver disease activity score.

Another G-force molecule
GLP + glucagon agonist #pemvidutide in MASH

Resolution of MASH, fibrosis impact not seen at this time

www.thelancet.com/journals/lan... in @thelancet.com

How long till someone (?Pfizer) gobbles up Altimmune? @rnflex.bsky.social

05.12.2025 00:31 πŸ‘ 10 πŸ” 2 πŸ’¬ 1 πŸ“Œ 0
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EDITORIAL: Breaking Down Barriers to Reproductive Health Care in CKD

bit.ly/48wkB7l (FREE)

04.12.2025 17:01 πŸ‘ 2 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Happy to share that our abstract has been accepted for upcoming #ISNWCN

03.12.2025 18:42 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Fish Oil in Dialysis: A Big Catch or an Empty Net β€” NephJC Holy Mackerel! This week we will discuss fish oil use in maintenance hemodialysis patients. Could this be the one thing that bends the curve on CV mortality, or is it just a red herring?

Maybe the most shocking study from #KidneyWk.
🐚From the depths of the oceans to #BlueSky, we're discussing PISCES 🐟 12/2/25 9pm EST. #NephJC
Are you hookedπŸͺon fish oil for CV disease in ESRD, or are you throwing it back 🌊?
www.nephjc.com/news/pisces-fishoil

01.12.2025 18:41 πŸ‘ 20 πŸ” 16 πŸ’¬ 0 πŸ“Œ 3
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My conference talk at the Kidney Foundation Dhaka, Bangladesh, concluded with an invitation to register for the upcoming WCN 2026, to be held from March 28–31 in Yokohama, Japan.

πŸ¦β€β¬› Please note that the deadline for Early Bird Registration is January 24, 2026. #ISNWCN #ThisisISN

23.11.2025 07:10 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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#Exome-wide Analysis Identifies a Rare #EXD3 Missense Variant Associated With #Diabetic #Kidney Disease

#VisualAbstract by Stephanie Torres

https://www.kireports.org/article/S2468-0249(25)00649-7/fulltext

Niina Sandholm

29.10.2025 13:01 πŸ‘ 3 πŸ” 2 πŸ’¬ 0 πŸ“Œ 1
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Attacking the Origin of IgAN: ORIGIN3 and Atacicept β€” NephJC This week, we will discuss the phase 3 ORIGIN3 trial of atacicept, an APRIL/BAFF inhibitor for use in IgAN.

The #NephJC summary and VA are live

www.nephjc.com/news/atacice...

Excellent fast work from @notjustdialysis.bsky.social and @salinesolut.bsky.social

Atacicept in IgAN

18.11.2025 11:31 πŸ‘ 12 πŸ” 5 πŸ’¬ 0 πŸ“Œ 0

1a/🌞Hello everyone, welcome to the #WorldDiabetesDay #skeetorial on behalf of @theisn.org @who.int
⁉️Let us begin with a quiz
🎊Do you know the theme of World Diabetes Day 2025?
a/ Breaking barriers, bridging gaps
b/ Family and diabetes
c/ Access to diabetes care
d/ Diabetes across life stages

14.11.2025 10:23 πŸ‘ 5 πŸ” 3 πŸ’¬ 1 πŸ“Œ 0
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πŸ“£ Save the date!
πŸ—“οΈ October 28, 12pm EST
Join us for a Space on Tropical AKI, Part 2
🎧 Set your reminder twitter.com/i/spaces/1gq...

🧠 Before the session, test your knowledge!
Take the quiz πŸ‘‰ theisn.outgrow.us/Tropical_AKI
Let’s see how much you know about Tropical AKI before the experts dive in! πŸ’ͺ🌴

17.10.2025 16:24 πŸ‘ 2 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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Protein supplementation in CKD: The Visual Abstract β€” NephJC We like protein, or do we? Low protein, high protein, supplements…what’s a nephrologist to do?

🎨Beautiful visual abstract by @msocomd.bsky.social #NephJC

15.10.2025 01:06 πŸ‘ 14 πŸ” 6 πŸ’¬ 0 πŸ“Œ 1

Shubharthi from Bangladesh. No COI. #NephJC

15.10.2025 01:04 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Preeclampsia - FAQs Preeclampsia Treatment, Eclampsia, Eclampsia Treatment, Toxemia, PET and PIH, HELLP Syndrome, Causes Preeclampsia, Preeclampsia Affect Pregnancy, Preeclampsia Affect the Baby

September is #PCOSAwarenessMonth. Women who have polycystic ovary syndrome #PCOS have a risk of developing #preeclampsia in their #pregnancy.

Learn more here: www.preeclampsia.org/faqs

05.09.2025 16:36 πŸ‘ 4 πŸ” 4 πŸ’¬ 0 πŸ“Œ 0
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🎬 Share your story! Submit your short film for the 2026 #ISNFilmEvent β€” real stories from those affected by kidney disease and their care teams. Open to ISN members. Deadline: Nov 5 (midnight CET).
πŸŽ₯ Info & submissions ➑️ http://lite.spr.ly/6... #ThisIsISN #ISNWCN

28.07.2025 06:00 πŸ‘ 2 πŸ” 2 πŸ’¬ 1 πŸ“Œ 0
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1/ July 16 is #WorldSnakeDay - raising awareness of the incredible diversity of snakes and their vital role in our ecosystems. But did you know snakebites can also cause acute kidney injury? Join me, Dr. Fong Voon Ken, as we discuss their impact, management, and the need for awareness.

16.07.2025 13:53 πŸ‘ 3 πŸ” 3 πŸ’¬ 1 πŸ“Œ 1
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π—‘π—˜π—ͺ π—₯π—˜π—¦π—’π—¨π—₯π—–π—˜ π—”π—Ÿπ—˜π—₯𝗧: Download our #ADPKD infographic for a quick overview of diagnosis, delaying progression, complications & more. A handy resource for clinicians and patients alike!
⬇️https://www.theisn.org/wp-content/uploads/2025/07/ADPKD-Infographic.pdf

07.07.2025 16:23 πŸ‘ 3 πŸ” 4 πŸ’¬ 1 πŸ“Œ 0
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πŸ“’ The kidney community urges UN Member States to include kidney disease in the 2025 Political Declaration on NCDs & Mental Health.

🧬 850M affected
πŸ“ˆ 5th leading cause of death by 2050
πŸ’‘ Early care = 45% cost savings

πŸ“„ Read the letter: www.theisn.org/wp-co... #KidneyHealthMatters #HLM4 #NCDs

08.07.2025 12:00 πŸ‘ 8 πŸ” 4 πŸ’¬ 0 πŸ“Œ 0
Visual abstract - still needs work since KI doesn’t get professionals to do it! πŸ€·πŸ½β€β™‚οΈ

Visual abstract - still needs work since KI doesn’t get professionals to do it! πŸ€·πŸ½β€β™‚οΈ

Interesting data from Alberta

www.kidney-international.org/article/S008... in @kidneyint.bsky.social

GFR < 15 is classified as β€˜kidney failure’ in most studies - but about a third of them die before starting RRT.

Is that glass half full or half empty? πŸ₯ƒ

#NephSky

06.07.2025 00:37 πŸ‘ 15 πŸ” 7 πŸ’¬ 4 πŸ“Œ 0
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Introducing NephJC Shorts β€” NephJC In just over a decade of critical appraisal on NephJC, we have done several experiments. Some of them have worked out phenomenally well, such as the Freely Filtered podcast. Others were not ready for ...

We don’t get to discuss every important study that comes out on #NephJC

Hence #NephJCShorts

www.nephjc.com/news/nephjc-...

02.07.2025 18:45 πŸ‘ 15 πŸ” 9 πŸ’¬ 1 πŸ“Œ 0
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⚑️Let’s have a closer look at the associations of each of these antigens
#ECNeph
@arvindcanchi.bsky.social
indianjnephrol.org/an-updated-r...

30.06.2025 17:04 πŸ‘ 4 πŸ” 2 πŸ’¬ 1 πŸ“Œ 0

Now that’s a roll! Thanks for joining tonight’s #ECNeph discussion
@theisn.org @myadla.bsky.social @dramiliflores.bsky.social @arvindcanchi.bsky.social

30.06.2025 16:59 πŸ‘ 3 πŸ” 0 πŸ’¬ 1 πŸ“Œ 1
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⚑️PLA2R antibody seropositivity doesn’t mean that we do not investigate for underlying malignancies.
Here is a Case Report showing PLA2rAb MN having Carcinoma Oesophagus
#ECNeph
@theisn.org @myadla.bsky.social @dramiliflores.bsky.social @arvindcanchi.bsky.social

30.06.2025 16:57 πŸ‘ 4 πŸ” 1 πŸ’¬ 0 πŸ“Œ 1
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KDIGO recommends Population and Age-appropriate Screening for malignancies irrespective of antigen status
#ECNeph
@theisn.org @myadla.bsky.social @dramiliflores.bsky.social @arvindcanchi.bsky.social

30.06.2025 16:55 πŸ‘ 5 πŸ” 1 πŸ’¬ 0 πŸ“Œ 1
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KDIGO Approach When to Biopsy in MN patients
#ECNeph
@theisn.org @myadla.bsky.social @dramiliflores.bsky.social @arvindcanchi.bsky.social @rheaultm.bsky.social

30.06.2025 16:54 πŸ‘ 4 πŸ” 1 πŸ’¬ 0 πŸ“Œ 1
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3 approaches Contd
2. Panel approach: Alternatively, a laboratory could employ a standard panel of antibodies for antigens that can vary depending on volume and demographics
3. Proteomic approach: Laser microdissection of MN glomeruli, followed by mass spectrometry. #ECneph

30.06.2025 16:54 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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3 approaches suggested by the Mayo clinic consensus report
1. Targeted approach: Perform antigen testing based on clinical disease association
Cont #ECNeph
www.kidney-international.org/article/S008...

30.06.2025 16:54 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Here’s a timeline of the auto-antigens found in MN
#ECNeph
@theisn.org @myadla.bsky.social @dramiliflores.bsky.social @arvindcanchi.bsky.social
indianjnephrol.org/an-updated-r...

30.06.2025 16:50 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

πŸ‘‰ 🫣 Can IF differentiate from Primary and Secondary MN?
IgG 4 is the dominant class in primary MN
πŸ‘‰ IgG1,IgG2, IgG3 are dominant Immunoglobulins in Secondary MN

#ECNeph
@theisn.org @myadla.bsky.social @dramiliflores.bsky.social @arvindcanchi.bsky.social

30.06.2025 16:47 πŸ‘ 2 πŸ” 1 πŸ’¬ 1 πŸ“Œ 1

πŸ‘‰ MN is a pattern of glomerular injury
πŸ‘‰ Deposition of immune complex along subepithelial aspect of GBM
πŸ‘‰ On Light Microscopy GBM is thickened. GBM spikes or holes can be seen
πŸ‘‰ IHC/IF shows IgG with C3 along capillary wall
#ECNeph
@theisn.org @dramiliflores.bsky.social @arvindcanchi.bsky.social

30.06.2025 16:44 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

If it is malignancy associated MN then no role of IS. Treatment of cancer is priority #ECneph

30.06.2025 16:44 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0