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266663

The Pattern of Soluble Urokinase Plasminogen Activator Receptor (suPAR) Levels in Lupus Nephritis and Its Correlation with Renal Biopsy

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Last updated: 03 Jan 2025

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Abstract

Background: Systemic lupus erythematosus (SLE) is systemic autoimmune disease with variable clinical presentations. Lupus nephritis (LN) is type of glomerulonephritis that affect SLE patients and considers one of the most serious organ manifestations of SLE. SLE patients may develop LN within 5 years of SLE diagnosis and, in many cases, LN is the presenting manifestation. Objective: Our study aimed to determine the value of suPAR levels in lupus nephritis patients and its correlation with renal biobsy. Patients and Methods: This study was conducted in the Outpatient Clinics of Internal Medicine of Zagazig University Hospitals, Egypt, on 90 subjects both females and males. These participants were divided into three groups: Group (A): Comprised 30 SLE patients according to the 2019 EULAR/ACR classification criteria for SLE, without LN. Group (B): Included 30 SLE with LN patients. Group (C): Involved 30 healthy individuals were chosen with age and sex matching previous groups. Soluble urokinase plasminogen activator receptor (suPAR) was measured for all groups. Results: Our study revealed there was statistically significant increase suPAR in LN and SLE patients compared to control participants and also in LN patients compared to SLE patients. There was a statistically significant positive correlation between suPAR and LN class in LN patients as suPAR level increased with increased degree of LN class. Our results show suPAR had sensitivity 93.3%, specificity 90% and accuracy 91.7% in diagnosis of LN. Conclusion: Circulating suPAR can be considered a good marker to identify high risky patients with disease progression especially LN.  

DOI

10.21608/ejhm.2022.266663

Keywords

Soluble urokinase plasminogen activator receptor, Lupus nephritis, inflammatory biomarker, Immune Disease, Systemic Lupus Patients

Authors

First Name

Nafesa M.

Last Name

Kamal

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Email

nanaashraf8979@gmail.com

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Orcid

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First Name

Salem Aly

Last Name

El Deeb

MiddleName

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City

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Orcid

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First Name

Ahmed Mohamed

Last Name

Gaballah

MiddleName

-

Affiliation

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First Name

Sara Ghwnimy Bayomy

Last Name

El Said Eissa

MiddleName

-

Affiliation

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Email

drsara.eesa@gmail.com

City

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Orcid

-

First Name

Salama E.

Last Name

Farag

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-

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-

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Volume

89

Article Issue

1

Related Issue

36332

Issue Date

2022-10-01

Receive Date

2022-10-22

Publish Date

2022-10-01

Page Start

5,875

Page End

5,881

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_266663.html

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https://ejhm.journals.ekb.eg/service?article_code=266663

Order

274

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

The Pattern of Soluble Urokinase Plasminogen Activator Receptor (suPAR) Levels in Lupus Nephritis and Its Correlation with Renal Biopsy

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Article

Created At

22 Jan 2023