Lupus & antiphospholipid syndrome

Clinical algorithm model based on cell-free DNA (cfDNA) to predict systemic lupus erythematosus (SLE) disease activity

LupusPublished Cross-sectional study

Authors' conclusion

Through systematic stratified analysis and clinical algorithm model, this study found that plasma cfDNA concentration is closely related to SLE disease severity

Study context

Population
Patients with active and inactive SLE (plasma samples)
Participants
88 vs 39
Exposure
Active SLE vs inactive SLE
  • Active SLEn = 88
  • Inactive SLEn = 39reference
Outcome
Plasma cfDNA concentration
Methodological detailsclinical algorithm model
  • Clinical algorithm model

Main finding

As reported in the abstract

P = 0.043

Observational data: associations, not effects.

Further findings

cfDNA fragment length distribution

cfDNA fragments enriched in the ranges of 153-198 bp and 300-599 bp

Correlation of cfDNA concentration with anti-dsDNA antibody titer reduction

R
−0.301
p
P = 0.034

Autoantibodies possibly associated with variation of cfDNA concentration

anti-U1 ribonucleoprotein
P = 0.012
anti-Sjogren syndrome A
P = 0.024
anti-dsDNA
P = 0.0208
Anti-nucleosome antibodies
P = 0.0382

cfDNA concentration by renal damage in active SLE (reduced cfDNA associated with renal damage)

Renal damage vs no renal damage (presumed order as printed), ng/µL
0.31 [0.11-0.73] vs 0.65 [0.27-1.53]
p
P = 0.009

Active index (cfDNA concentration plus other clinical indices) for distinguishing active SLE

AUC
0.886

Correlation of Active index with SLE disease activity index score

R
0.6724
p
P < 0.0001

Original publication

Clinical algorithm model based on cfDNA to predict SLE disease activity. Lupus. Published 6 January 2024. doi:10.1177/09612033231226314

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

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