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New onco-nephrology research

Recent papers on anti-cancer drug nephrotoxicity, immune-related kidney injury, and onco-nephrology — pulled from PubMed automatically as records are indexed, newest first. This is a discovery feed, not curated commentary.

80 recent articlesFeed updated Oct 1, 2026 RSS

Curated highlights

Monoclonal gammopathy of clinical significance: a guide for nephrologists

A guide to monoclonal gammopathy of clinical significance (MGCS) — the umbrella under which MGRS sits, covering clones that are pathogenic without meeting criteria for hematologic malignancy. The authors classify these disorders by the pathogenic mechanism of the paraprotein rather than by clonal burden, and cover the entities that reach nephrology from outside the kidney: POEMS syndrome, TEMPI syndrome, monoclonal gammopathy-associated systemic capillary leak syndrome, and hematologic autoantibody-mediated disorders.

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Monoclonal gammopathy of undetermined significance (MGUS) is commonly encountered in older individuals. MGUS, by definition, is a benign finding where an expanded population of clonal plasma and B-cells produces a monoclonal antibody that is a biologically inactive. Even in patients with overt plasma cell neoplasms such as multiple myeloma, the monoclonal antibody is often a marker of disease burden but not pathogenic except in light chain cast nephropathy. However, there is a growing recognition that, in rare cases, clonal cells and/or monoclonal gammopathy not meeting criteria for hematologic malignancy can be pathogenic drivers of disease. These MGUS syndromes have been termed monoclonal gammopathies of clinical significance (MGCS), a larger umbrella under which sits the monoclonal gammopathies of renal significance (MGRS). In this review, we focus on MGCS entities beyond standard MGRS and provide a mechanism-based classification centered on the pathogenic nature of the paraprotein rather than on clonal disease burden. We highlight MGCS entities of relevance to nephrologists, including POEMS syndrome, TEMPI syndrome, monoclonal gammopathy-associated systemic capillary leak syndrome, and hematologic autoantibody-mediated disorders. Awareness and recognition of these rare processes are ultimately essential for accurate diagnosis and patient management.

Rituximab as Rescue Therapy for Atezolizumab-Induced IgA Vasculitis

Kidney Medicine (Riaza Ortiz, Arriola-Montenegro, Sethi, Herrmann; online 25 Jul 2026). The first biopsy-confirmed report of IgA vasculitis with necrotizing and crescentic glomerulonephritis on the PD-L1 inhibitor atezolizumab — a phenotype well outside the acute interstitial nephritis that dominates checkpoint-inhibitor kidney injury. High-dose oral and intravenous corticosteroids gave only partial renal improvement; rituximab produced sustained stabilisation of kidney function alongside normalised TNF-alpha, IL-18 and soluble IL-2 receptor, and complete peripheral B-cell depletion. One patient, so it supports rituximab as rescue in corticosteroid-refractory disease rather than establishing it.

Latest from PubMed

  1. BK Virus-Associated Hemorrhagic Cystitis in Nontransplanted Children With Hematological Malignancies: A Single-Center Case Series

    Morón-Cazalilla G, Pons-Espinal M, Alonso-Saladrigues A · Journal of pediatric hematology/oncology · 2026 Sep 30

  2. Rituximab Outcomes and Predictors of Treatment Failure in Primary Membranous Nephropathy: A Retrospective Cohort Study

    Güllülü Boz SE, Hunutlu FÇ, Çelik E · Journal of clinical medicine · 2026 Sep 11

  3. Renal Function Decline After (177)Lu-PSMA-617 Versus Taxane-Based Chemotherapy in Patients with Metastatic Castration-Resistant Prostate Cancer: A Propensity Score Analysis

    Sheheryar N, Nikanpour Y, Manohar S · Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026 Sep 24

  4. Severe hyponatremia following low-dose cyclophosphamide in a patient with breast cancer: a case report

    Cindoğlu Ç, Ağan FZ · International cancer conference journal · 2026 Oct

  5. ADP-Ribosylation Factor Guanine Nucleotide Exchange Factor 3 Aggravates Cisplatin-Induced Acute Kidney Injury by Impairing Mitochondrial Fatty Acid Oxidation

    Wang L, Guo J, Zhao Y · FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026 Sep 30

  6. Hematologic response assessment in monoclonal gammopathy of renal significance: critical appraisal of current criteria

    Domingo-González A, Cannata-Ortiz P, Fernández-Prado R · Frontiers in medicine · 2026

  7. Rituximab With or Without Avacopan in ANCA-Associated Vasculitis With Severe Renal Involvement

    Juanet C, Hassi I, Cara A · Kidney international reports · 2026 Oct

  8. Distinct Predictors of Early Postoperative and Long-Term Renal Function Decline Following Radical Nephroureterectomy for Upper Tract Urothelial Carcinoma

    Matsumoto S, Waseda Y, Kobayashi M · International journal of urology : official journal of the Japanese Urological Association · 2026 Sep

  9. Long-term safety of first-line osimertinib plus platinum-pemetrexed in EGFR-mutated advanced NSCLC: FLAURA2

    Planchard D, Jänne PA, Yang JC · Lung cancer (Amsterdam, Netherlands) · 2026 Sep 14

  10. Immune Checkpoint Inhibitor-Associated Acute Kidney Injury: A Single-Centre Study

    Kuppa J, Rao N, Juneja R · Asia-Pacific journal of clinical oncology · 2026 Sep 9

  11. A Step Forward - Obinutuzumab for Membranous Nephropathy

    Soler MJ · The New England journal of medicine · 2026 Sep 10

  12. Efficacy and safety of eculizumab-combined therapy for patients with anti-GBM disease

    Lang X, Hong X, Wu W · Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026 Sep 9

  13. Allogeneic CD19 CAR-NK cell therapy for a patient with relapsed and refractory lupus nephritis

    Tang Y, Wang Y, Shi W · Arthritis research & therapy · 2026 Sep 8

  14. Rituximab-Based Therapy in IgA Nephropathy With Crescents: A Comparative Study

    Berti GM, Tondolo F, Iandolo A · Clinical therapeutics · 2026 Sep 4

  15. Outcome of Children Treated with Rituximab for Steroid-Resistant Nephrotic Syndrome: Renal Histopathology as a Response Marker

    Alsalloum AA, Farhat AH, Alherbish · Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia · 2026 Nov 1

  16. Efficacy and safety of telitacicept for rituximab-refractory membranous nephropathy

    He X, Huang Y, Qu Z · International urology and nephrology · 2026 Sep 3

  17. Durvalumab-associated nephrotic syndrome and organizing pneumonia: a case report

    Nawata T, Shibuya M, Asami-Noyama M · CEN case reports · 2026 Sep 2

  18. Which patients should switch from rituximab to obinutuzumab in refractory nephrotic syndrome?

    Fujinaga S, Ono T, Saito A · Pediatric nephrology (Berlin, Germany) · 2026 Sep 1

  19. Protective Effects of Luteolin Against Cisplatin-Induced Hepatic and Renal Toxicity: Biochemical and Cellular Evidence

    Temiz Ö, Kizilyildirim S, Ozdemir-Sanci T · Journal of biochemical and molecular toxicology · 2026 Sep

  20. Infliximab for the Treatment of Immune Checkpoint Inhibitor-Associated Acute Kidney Injury

    Patel RR, Myers KE, Mirsky MM · Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026 Aug 29

  21. Immune Checkpoint Inhibitor-Associated Acute Kidney Injury

    Puttamreddy SM, Khalid Y, Tendulkar K · JCO oncology practice · 2026 Aug 27

  22. Emerging Immune Cell Biomarkers in Primary Membranous Nephropathy: Immune Cell Profiling During Anti-CD20 B Cell-Targeted Therapy

    Georgopoulos C, Stamellou E, Duni A · International journal of molecular sciences · 2026 Aug 13

  23. Perilipin 2 drives cisplatin-induced acute kidney injury in young but not aged kidneys

    Zhu S, Dai C, Zheng K · American journal of physiology. Renal physiology · 2026 Sep 1

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Article metadata via PubMed / NLM. This automated feed surfaces recent literature by search query — inclusion is not endorsement, and titles are not screened for clinical relevance. Medical-education content only — not medical advice.