Lupus & antiphospholipid syndrome

Data-independent acquisition (DIA) proteomics of formalin-fixed paraffin-embedded (FFPE) renal biopsies reveals two molecular subtypes of lupus nephritis and identifies APOL1 as candidate biomarker for stratification

Lupus Sci MedPublished Mechanistic study

Authors' conclusion

DIA-based proteomic profiling of FFPE renal biopsies identifies biologically and clinically relevant LN molecular subtypes and may support tissue-informed classification and risk stratification.

Study context

Population
Patients with biopsy-proven lupus nephritis (LN), FFPE renal biopsy specimens, four tertiary hospitals
Participants
292 patients4 tertiary hospitals
Comparison
Subtype_2 vs Subtype_1
Outcome
Proteomics-based molecular subtypes of LN and candidate biomarkers for subtype discrimination
Methodological detailsmulticentre, DIA-LC-MS/MS proteomics, non-negative matrix factorisation, XGBoost with SHAP, Least Absolute Shrinkage and Selection Operator (LASSO) logistic regression
  • Multicentre
  • DIA-LC-MS/MS proteomics
  • Non-negative matrix factorisation
  • XGBoost with SHAP
  • LASSO logistic regression

Main finding

As reported in the abstract

Proteomics-based molecular subtypes

Differential proteins between subtypes

1002

Further findings

Five-protein LASSO panel distinguishing class III/IV from class V LN

AUC (approximately)
0.76

Original publication

DIA proteomics of FFPE renal biopsies reveals two molecular subtypes of lupus nephritis and identifies APOL1 as candidate biomarker for stratification. Lupus Sci Med. Published 21 August 2026. doi:10.1136/lupus-2026-002123

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