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2018 ; 97
(16
): e0343
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Combined utilization of untimed single urine of MCP-1 and TWEAK as a potential
indicator for proteinuria in lupus nephritis: A case-control study
#MMPMID29668584
Dong X
; Zheng Z
; Luo X
; Ding J
; Li Y
; Li Z
; Li S
; Rong M
; Fu Y
; Wu Z
; Zhu P
Medicine (Baltimore)
2018[Apr]; 97
(16
): e0343
PMID29668584
show ga
The aim of this study was to determine whether combined utilization of untimed
single urine monocyte chemoattractant protein 1 (uMCP-1) and tumor necrosis
factor (TNF)-like weak inducer of apoptosis (uTWEAK) could serve as a screening
test for proteinuria in patients with lupus nephritis (LN).A case-control study
that contained 39 biopsy-proven LN patients, 20 non-LN systemic lupus
erythematosus (SLE) patients, and 10 healthy controls (HCs) were carried out.
Correlations between uMCP-1, uTWEAK, and traditional clinical markers were
analyzed by Spearman correlation test. Diagnostic values of uMCP-1, uTWEAK, and
urine albumin/creatinine ratio (uACR) in the assessment of proteinuria were
investigated by receiver operating characteristic (ROC) curves.Biopsy-proven LN
patients showed higher levels of uMCP-1 and uTWEAK than non-LN patients. uMCP-1
and uTWEAK were elevated in renal active patients (rSLEDAI ?4). Both uMCP-1 and
uTWEAK showed significant correlation with patients' rSLEDAI, 24-hour urine
proteinuria (24hr UP), and anti-double-stranded DNA (anti-dsDNA) antibodies. No
correlations of these 2 biomarkers between cystatin C (Cys-C), creatinine (Cr),
and blood urea nitrogen (BUN) were observed. An algorithm combining the moderate
sensitivity of uMCP-1 and high specificity of uTWEAK displayed great specificity
and sensitivity for proteinuria screening.Both uMCP-1 and uTWEAK were positively
correlated with the impairments of LN, and the combined utility of untimed single
uMCP-1 and uTWEAK might be used as potential predictors for proteinuria in LN.
|*Lupus Nephritis/complications/diagnosis
[MESH]
|*Proteinuria/diagnosis/etiology
[MESH]
|*Urinalysis/methods/statistics & numerical data
[MESH]
|Adult
[MESH]
|Biomarkers/urine
[MESH]
|Biopsy/methods
[MESH]
|Chemokine CCL2/*urine
[MESH]
|Creatinine/analysis
[MESH]
|Cytokine TWEAK/*urine
[MESH]
|Female
[MESH]
|Humans
[MESH]
|Kidney/pathology
[MESH]
|Male
[MESH]
|Mass Screening/methods/statistics & numerical data
[MESH]