Lupus & antiphospholipid syndrome

CD56brightCD16- to CD57+CD56dimCD16+ natural killer (NK) cell ratio discriminates disease activity and renal involvement in patients with systemic lupus erythematosus

Clin Exp RheumatolPublished Cross-sectional study

Authors' conclusion

Our data indicate that the imbalance in Im NK and MD NK cells may play a role in lupus development and serve as a predictive biomarker to assess disease activity and renal involvement in patients with SLE.

Study context

Population
Patients with systemic lupus erythematosus (SLE) and healthy controls; disease activity assessed by SLEDAI-2K
Participants
68 vs 35
Exposure
SLE vs healthy controls; high-activity vs low-activity SLE
  • SLEn = 68
  • Healthy controlsn = 35reference
Outcome
Peripheral NK cells and subpopulations (Im NK-to-MD NK ratio) and their usability in monitoring disease activity
Methodological detailsflow cytometry
  • Flow cytometry

Main finding

As reported in the abstract

Im NK-to-MD NK ratio

AUC of ratio for severe SLE

0.722

AUC of ratio for LN

0.773

Optimal cut-off for severe SLE

0.075

Optimal cut-off for LN

0.108

Observational data: associations, not effects.

Original publication

CD56brightCD16- to CD57+CD56dimCD16+ NK cell ratio discriminates disease activity and renal involvement in patients with systemic lupus erythematosus. Clin Exp Rheumatol. Published 12 August 2022. doi:10.55563/clinexprheumatol/o6bjl8

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