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Lactate dehydrogenase-to-albumin ratio studied in Chinese patients with IgA nephropathyStudy explores blood marker for predicting kidney disease progression in Chinese patients

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Key Takeaway
Note: LAR association with IgAN prognosis is preliminary from retrospective Chinese cohort data.

This retrospective cohort study investigated the lactate dehydrogenase-to-albumin ratio (LAR) in 1,276 Chinese patients with biopsy-proven immunoglobulin A nephropathy (IgAN). The analysis compared patients with high LAR (≥4.05) to those with low LAR (<4.05) to assess potential associations with clinicopathologic changes and disease prognosis. The study setting, follow-up duration, and specific primary outcome were not reported in the provided data.

No specific numerical results, effect sizes, absolute numbers, or statistical measures (p-values or confidence intervals) were reported for the main outcomes. The direction of any associations between LAR and clinicopathologic changes or disease prognosis was also not specified in the available evidence.

Safety and tolerability data, including adverse events, serious adverse events, and discontinuation rates, were not reported. The key limitation acknowledged is the retrospective study design, which prevents causal inference. Funding sources and conflicts of interest were not reported.

In clinical practice, these findings represent an early, hypothesis-generating observation about a potential biomarker ratio in a specific patient population. The retrospective nature and lack of reported outcome data mean this evidence cannot yet inform clinical decision-making. Further prospective research with clearly defined endpoints is needed to determine whether LAR has any utility in predicting IgAN progression.

Researchers conducted a study to understand if a specific blood measurement could help predict the course of IgA nephropathy (IgAN), a type of kidney disease. They looked at the ratio of two substances in the blood: lactate dehydrogenase and albumin, which they called LAR. The study included 1,276 Chinese patients who had been diagnosed with IgAN through a kidney biopsy.

The researchers divided patients into two groups based on their LAR levels: a high LAR group and a low LAR group. They then examined whether there were differences in how the kidney disease appeared under the microscope (clinicopathologic changes) and how the disease was likely to progress over time (disease prognosis) between these two groups. The specific results of these comparisons were not detailed in the provided information.

This was a retrospective study, meaning researchers looked back at existing medical records rather than following patients forward in time. This type of study design is useful for finding patterns but cannot prove that one thing causes another. It only shows that two things are associated. The findings are specific to the Chinese patient population studied and may not apply to people with IgAN in other parts of the world. Readers should view this as early research exploring a potential tool, not as evidence for a new standard of care.

What this means for you:
Early research in China explores a blood marker for kidney disease; more study is needed to understand its usefulness.

Study Details

Study typeCohort
EvidenceLevel 3
PublishedMar 2026
View Original Abstract ↓
BackgroundImmunoglobulin A nephropathy (IgAN) is one of the most common types of primary glomerulonephritis and is an important cause of end-stage renal disease (ESRD) worldwide. Inflammation has been shown to be associated with its basic pathogenesis. The lactate dehydrogenase-to-albumin ratio (LAR), a novel marker of inflammation and nutritional status, has been studied in various diseases. However, whether the LAR also plays a critical role in Chinese patients with IgAN remains unknown. Thus, we conducted this retrospective study to evaluate the role of the LAR in predicting clinicopathologic changes and disease prognosis in IgAN patients.MethodsA total of 1,276 patients with biopsy-proven IgAN were enrolled in this study. The patients were grouped into a high LAR group (LAR ≥4.05, n = 738) and a low LAR group (LAR
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