Lupus & antiphospholipid syndrome

Association of regulatory T cells with renal outcomes in patients with proliferative lupus nephritis

LupusPublished Retrospective cohort study

Authors' conclusion

Treg cell counts are closely related to the long-term renal outcomes of patients with PLN, and increasing Treg cell levels may play an important role in improving the prognosis of the kidney, but there may be a turning point (i.e., threshold effect) at the Treg cell counts that leads to directional changes in the renal outcomes.

Study context

Population
Patients with biopsy-proven proliferative lupus nephritis (LN)follow-up 71.53 (53.13–97.47) months
Participants
405 patients
Exposure
Renal endpoint vs non-renal endpoint; Treg cell level and long-term renal outcomes
Outcome
Renal endpoint: End-stage kidney disease (ESKD) or doubling of SCr
Methodological detailsCox regression, curve fitting and threshold effect analysis
  • Cox regression
  • Curve fitting and threshold effect analysis

Main finding

As reported in the abstract

Renal endpoint by Treg cell counts

Renal endpoint

10.4%

42 events

P < 0.001

When Treg cell counts <46/μL, risk of renal endpoint decreased per 1 μL increase in Treg levels (p = 0.0029)
6.8%

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Association of regulatory T cells with renal outcomes in patients with proliferative lupus nephritis. Lupus. Published 11 September 2023. doi:10.1177/09612033231201619

Composed by AI from the published abstract and checked against it. How Briefs are made →

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