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10.1371/journal.pone.0140441

http://scihub22266oqcxt.onion/10.1371/journal.pone.0140441
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suck abstract from ncbi


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pmid26465327
      PLoS+One 2015 ; 10 (10 ): e0140441
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  • Co-Positivity for Anti-dsDNA, -Nucleosome and -Histone Antibodies in Lupus Nephritis Is Indicative of High Serum Levels and Severe Nephropathy #MMPMID26465327
  • Yang J ; Xu Z ; Sui M ; Han J ; Sun L ; Jia X ; Zhang H ; Han C ; Jin X ; Gao F ; Liu Y ; Li Y ; Cao J ; Ling H ; Zhang F ; Ren H
  • PLoS One 2015[]; 10 (10 ): e0140441 PMID26465327 show ga
  • OBJECTIVE: To characterize the significance of correlated autoantibodies in systemic lupus erythematosus (SLE) and its complication lupus nephritis (LN) in a large cohort of patients. METHODS: Clinical data were statistically analyzed in 1699 SLE patients with or without nephritis who were diagnosed and treated during 2002-2013 in the northeast region of China. Reactivity to a list of 16 autoantibodies was detected by the serum test Euroline ANA profile (IgG). Serum titers of the anti-nucleosome autoantibodies were measured by ELISA assays. Kidney biopsies were examined by pathologists. Immune complex deposition was identified by immunohistochemistry stain. RESULTS: Simultaneous positivity of anti-dsDNA, -nucleosome and -histone antibodies (3-pos) was prevalent in SLE patients with LN compared to Non-renal SLE patients (41% vs 11%, p< 0.001). Significant correlations were found between any two of the above three anti-nucleosome antibodies in LN patients. In comparison to non-3-pos cohorts, 3-pos patients with LN had significantly higher serum levels of the three antibodies and more active disease; was associated with type IV disease; suffered from more severe renal damages; received more intensive treatment and had worse disease outcome. The serum levels of these three autoantibodies in 3-pos LN patients were significantly decreased when they underwent clinical recovery. CONCLUSIONS: Simultaneous reactivity to anti-dsDNA, -nucleosome and -histone antibodies by Euroline ANA profile (IgG) may indicate severe nephropathy in patients with SLE.
  • |Adolescent [MESH]
  • |Adult [MESH]
  • |Aged [MESH]
  • |Aged, 80 and over [MESH]
  • |Autoantibodies/blood/*immunology [MESH]
  • |Biopsy [MESH]
  • |Child [MESH]
  • |China [MESH]
  • |DNA/blood/*immunology [MESH]
  • |Female [MESH]
  • |Histones/blood/immunology [MESH]
  • |Humans [MESH]
  • |Kidney/immunology/pathology [MESH]
  • |Lupus Nephritis/blood/*immunology/pathology [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]


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