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205090

Anti-ficolin-2 Antibody: Could it be a Predictor of Proliferative Lupus Nephritis in Lupus Patients?

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Last updated: 03 Jan 2025

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Abstract

Background: Nephritis is a challenging domain of systemic lupus erythematosus (SLE). There is a growing need for identification of a non-invasive marker for diagnosing and monitoring nephritis. Objective: To explore the relevance of using anti-ficolin-2 antibody (Anti-FCN2) as a biomarker for detecting lupus nephritis (LN), and its relation to renal biopsy histopathology and disease activity. Patients and Methods: Sixty SLE patients were compared to 30 apparently healthy individuals. Thirty of the patients were LN patients (documented by a recent renal biopsy). Full history, examination and laboratory investigations were done. Activity was assessed by SLE disease activity index (SLEDAI) score, and Anti-FCN2 titer was measured by enzyme-linked immunosorbent assay technique (ELISA). Results: Forty-four of our SLE patients were in disease activity by SLEDAI score. Anti-FCN2 titer was significantly higher among SLE patients compared to control group (p value <0.001). It was also higher among patients with high disease activity compared to those with low disease activity and cutoff value was at 37 ng/ml (p value is <0.001). Anti-FCN2 titer was significantly higher among patients with LN compared to those without LN (p value is <0.001) with best cutoff value at 72.50 ng/ml. Regarding LN patients, it was significantly higher among patients with proliferative changes than LN patients with non-proliferative changes (p value is 0.05) with best cutoff value at 155 ng/ml. Conclusion: Anti-FCN2 shows promising results as a biomarker for lupus disease activity, especially regarding LN and proliferative changes. Further longitudinal studies on larger samples are needed to confirm.  

DOI

10.21608/ejhm.2021.205090

Keywords

Anti-ficolin-2 antibody, biomarker, Lupus activity, Lupus nephritis, Systemic lupus erythematosus

Authors

First Name

Sylvia Talaat

Last Name

Kamal

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Email

drsylviatalaat@gmail.com

City

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Orcid

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First Name

Mohamed Nazmy

Last Name

Farres

MiddleName

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Affiliation

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Email

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Orcid

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First Name

Rehab Ali

Last Name

Ibrahim

MiddleName

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Affiliation

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Email

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Orcid

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First Name

Ibrahim Sami

Last Name

Ibrahim

MiddleName

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Affiliation

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Email

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Orcid

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First Name

Fatma Abdelrahman

Last Name

Ahmed

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-

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City

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Orcid

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Volume

85

Article Issue

2

Related Issue

28296

Issue Date

2021-10-01

Receive Date

2021-11-16

Publish Date

2021-10-01

Page Start

3,865

Page End

3,871

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_205090.html

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https://ejhm.journals.ekb.eg/service?article_code=205090

Order

68

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Anti-ficolin-2 Antibody: Could it be a Predictor of Proliferative Lupus Nephritis in Lupus Patients?

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Article

Created At

22 Jan 2023