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2015 ; 2015
(ä): 450351
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
Antibodies against C1q Are a Valuable Serological Marker for Identification of
Systemic Lupus Erythematosus Patients with Active Lupus Nephritis
#MMPMID26549923
Chi S
; Yu Y
; Shi J
; Zhang Y
; Yang J
; Yang L
; Liu X
Dis Markers
2015[]; 2015
(ä): 450351
PMID26549923
show ga
OBJECTIVE: An early diagnosis of lupus nephritis (LN) has an important clinical
implication in guiding treatments of systemic lupus erythematosus (SLE) in
clinical settings. In this study, the diagnostic values of circulating
autoantibodies to C1q alone or in combination with other markers for accessing
active SLE and LN were evaluated. METHODS: The diagnostic value of anti-C1q
autoantibodies for identification of patients with active SLE disease and LN was
evaluated by analyzing the level of anti-C1q antibodies in sera from 95 SLE
patients, 40 non-SLE patients, and 34 healthy cohorts. RESULTS: The prevalence of
anti-C1q antibodies was significantly higher in patients with SLE (50/95, 52.6%),
active SLE (40/51, 78.4%), and LN (30/35, 85.7%) in comparison with non-SLE
patient controls, patients with inactive SLE, and non-LN, respectively. A
combination of anti-C1q with anti-dsDNA and/or levels of complements C3 and C4
exhibited an increased specificity but a decreased sensitivity for identification
of patients with active SLE and LN diseases relative to each of these markers
alone. CONCLUSION: Anti-C1q antibodies were strongly associated with disease
activity and LN in SLE patients, suggesting that it may be a reliable serological
marker for identification of SLE patients with active LN and active SLE disease.