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2015 ; 10
(10
): e0140441
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
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.