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10.1159/000381965

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suck abstract from ncbi


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pmid25926050
      Am+J+Nephrol 2015 ; 41 (3 ): 241-7
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  • High titer anti-basement membrane antibodies in a subset of patients with pediatric systemic lupus erythematosus #MMPMID25926050
  • Orjuela A ; Suwanichkul A ; Canter D ; Minard CG ; Devaraj S ; Hicks MJ ; Muscal E ; Wenderfer SE
  • Am J Nephrol 2015[]; 41 (3 ): 241-7 PMID25926050 show ga
  • BACKGROUND/AIMS: There is a critical need for more noninvasive biomarkers to identify nephritis in patients with systemic lupus erythematosus (SLE). Recent studies in a model mouse and an adult SLE patient cohort suggest that anti-basement membrane antibody levels correlate well with lupus activity and kidney injury. The purpose of this study was to assess the anti-basement membrane reactivity in pediatric SLE (pSLE) patients with or without nephritis. METHODS: Auto-antibodies to basement membrane antigens were assessed using an anti-matrigel ELISA. Endpoint titers were measured in pSLE patients and healthy children, as well as in autoimmune and non-immune mice, with good reproducing capabilities. Findings were also analyzed with respect to the presence or absence of nephritis, dsDNA antibodies, and other manifestations of pSLE. RESULTS: MRL/lpr mice developed high-titer anti-matrigel antibodies, whereas C57BL/6 mice did not. In a cohort of 21 pSLE patients and 22 pediatric controls, high-titer anti-matrigel IgG, IgM and IgA antibody levels were specific for pSLE. High-titer anti-matrigel IgG3 levels could distinguish with good sensitivity the 13 pSLE patients with a history of nephritis from the 8 non-renal pSLE patients. High-titer anti-matrigel IgG, IgA, IgM or IgG3 did not correlate with positive anti-double stranded DNA, but defined an overlapping subset of patients. CONCLUSION: The addition of anti-basement membrane antibody testing to serologic testing in pSLE may help to monitor disease activity or to define important subsets of patients with risks for specific disease manifestations.
  • |Adolescent [MESH]
  • |Animals [MESH]
  • |Antibodies, Anti-Idiotypic/blood [MESH]
  • |Antibodies, Antinuclear/blood [MESH]
  • |Autoantibodies/*blood [MESH]
  • |Basement Membrane/*immunology [MESH]
  • |Biomarkers/*blood [MESH]
  • |Case-Control Studies [MESH]
  • |Child [MESH]
  • |DNA/immunology [MESH]
  • |Disease Models, Animal [MESH]
  • |Enzyme-Linked Immunosorbent Assay [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Immunoglobulin A/blood [MESH]
  • |Immunoglobulin G/blood [MESH]
  • |Immunoglobulin M/blood [MESH]
  • |Lupus Erythematosus, Systemic/blood/*complications/immunology [MESH]
  • |Lupus Nephritis/*blood/diagnosis/immunology [MESH]
  • |Male [MESH]
  • |Mice [MESH]
  • |Mice, Inbred C57BL [MESH]


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