Lupus & antiphospholipid syndrome

Circulating biomarkers and detection of pulmonary diseases in patients with systemic lupus erythematosus: A systematic review and meta-analysis of observational studies

Semin Arthritis RheumPublished Systematic review and meta-analysis of observational studies

Authors' conclusion

Through meta-analyses we identified CB that were significantly associated with PD in SLE including anti-dsDNA. Furthermore, anti-dsDNA, anti-Sm, anti-RNP, and CCL21 were associated with reduced pulmonary function in SLE.

Study context

Population
Patients with systemic lupus erythematosus (SLE) in observational studies addressing associations between circulating biomarkers (CB) and pulmonary diseases (PD)
Participants
1,883 patients24 studies
Comparison
Circulating biomarkers and detection of pulmonary diseases in SLE
Outcome
Associations between CB and PD in SLE
Methodological detailsMEDLINE and EMBASE search, forward and backward citation search, Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) and Outcome Reporting Bias in Trials (ORBIT) risk-of-bias assessment
  • MEDLINE and EMBASE search
  • Forward and backward citation search
  • QUADAS-2 and ORBIT risk-of-bias assessment

Pooled result

As reported in the abstract

CB significantly associated with PD in individual studies

21

Associations of potential clinical significance in meta-analyses between PD or PD-related outcomes and five CB (anti-dsDNA, anti-RNP, anti-Sm, CCL21, IP-10)

10

Different CB studied

43

Further pooled results

Anti-dsDNA, anti-Sm, anti-RNP and CCL21 associated with reduced pulmonary function in SLE

Original publication

Circulating biomarkers and detection of pulmonary diseases in patients with systemic lupus erythematosus: A systematic review and meta-analysis of observational studies. Semin Arthritis Rheum. Published 6 November 2025. doi:10.1016/j.semarthrit.2025.152861

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