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10.1097/MD.0000000000010343

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suck abstract from ncbi


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pmid29668584
      Medicine+(Baltimore) 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]
  • |Predictive Value of Tests [MESH]
  • |ROC Curve [MESH]
  • |Sensitivity and Specificity [MESH]


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