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2018 ; 97
(26
): e11287
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Rapid detection of urinary soluble intercellular adhesion molecule-1 for
determination of lupus nephritis activity
#MMPMID29953010
Wang Y
; Tao Y
; Liu Y
; Zhao Y
; Song C
; Zhou B
; Wang T
; Gao L
; Zhang L
; Hu H
Medicine (Baltimore)
2018[Jun]; 97
(26
): e11287
PMID29953010
show ga
The current methods of monitoring the activity of lupus nephritis (LN) may cause
unnecessary hospital visits or delayed immunosuppressive therapy. We aimed to
find a urinary biomarker that could be developed as a home-based test for
monitoring the activity of LN.Urine samples were collected immediately before a
renal biopsy from patients of suspected active LN, and also from patients with
inactive LN, systemic lupus erythematous without LN or healthy controls.
Biomarker search was conducted on a cytokine antibody array and confirmation was
done by quantitative evaluation with enzyme-linked immunosorbent assay. The
Mann-Whiney test or Student t test was used to compare the levels of 9 cytokines
between different groups. The sensitivity and specificity of each cytokine for
diagnosis of LN was evaluated by receiver operating characteristic curve. A rapid
test based on colloidal gold immunochromatography was then developed for bedside
or home use. Furthermore, an experimental e-healthcare system was constructed for
recording and sharing the results of the rapid test a cloud-assisted internet of
things (IoT) consisting of a sensing device, an IoT device and a cloud
server.Adiponectin (Acrp30), soluble intercellular cell adhesion molecule-1
(sICAM-1), neural cell adhesion molecule 1 (NCAM-1), and CD26 were significantly
higher in urine samples of active LN patients. sICAM-1 appeared more sensitive
and specific among these candidates. When the cut-off value of sICAM-1 was set at
1.44?ng/mL, the sensitivity reached 98.33% with a specificity at 85.71%. The
sICAM-1 strip test showed comparable sensitivity of 95% and a specificity of
83.3% for assessing the LN activity. Meanwhile, the e-healthcare system was able
to conveniently digitize and share the sICAM-1 rapid test results.sICAM-1
appeared to be an excellent biomarker for monitoring LN activity. The
e-healthcare system with cloud-assisted IoT could assist the digitalization and
sharing of the bedside or home-based sICAM-1 test results.