Urinary soluble CD163 is useful as 'liquid biopsy' marker in lupus nephritis at both diagnosis and follow-up to predict impending flares

Autor: Yves Renaudineau, Dominique Chauveau, Stanislas Faguer, Antoine Huart, David Ribes, Gregory Pugnet, Laurent Sailler, Thibaut Jamme, Emmanuel Treiner, Françoise Fortenfant, Chloé Bost, Caroline Carlé, Julie Belliere
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Translational Autoimmunity, Vol 9, Iss , Pp 100244- (2024)
Druh dokumentu: article
ISSN: 2589-9090
DOI: 10.1016/j.jtauto.2024.100244
Popis: Lupus nephritis (LN) diagnosis and follow-up requires noninvasive biomarkers. Therefore, the added value of coupling the urinary soluble (s)CD163/creatinuria ratio with serological markers was evaluated in a real-world clinical practice. To this end, a monocentric and retrospective study was conducted in 139 SLE patients with biopsy-proven nephritis having an active LN (LN-A, n = 63 with a positive SLEDAI-renal score) or inactive (n = 76), as well as 98 non-renal SLE patients. The urinary sCD163/creatinuria ratio outperformed serological markers for predicting LN-A (AUC>0.972; p 0.750 versus non-LN patients, and AUC>0.640 versus LN-IR patients) best predicted LN-A, and higher levels were retrieved in class III/IV proliferative LN-A. In multivariate logistic regression analysis, the urinary sCD163/creatinuria ratio remained the only statistically significant biomarker to predict LN-A (p
Databáze: Directory of Open Access Journals