Lupus & antiphospholipid syndrome

Expression and significance of NF-κB and HSP90 in renal puncture tissues and peripheral blood mononuclear cells of patients with lupus nephritis

Clin Exp RheumatolPublished Mechanistic study

Authors' conclusion

NF-κ B and HSP90 may play a synergistic role in the pathogenesis of LN. Their elevated expression has a high diagnostic accuracy for LN or SLE without renal damage.

Study context

Population
Patients with lupus nephritis (LN), patients with systemic lupus erythematosus (SLE) and controls, single hospital
Participants
52 / 32 / 12 / 16 / 16
Comparison
LN vs controls; LN vs SLE vs healthy controls
  • LNn = 52
  • Controln = 32reference
  • LN (PBMC)n = 12
  • SLEn = 16
  • Healthy controlsn = 16reference
Outcome
Expression of NF-κB and HSP90 in kidney tissue and PBMCs
Methodological detailscase-control
  • Case-control

Main finding

As reported in the abstract

NF-κB and HSP90 expression
High NF-κB and HSP90 protein expression associated with severe LN activity (SLEDAI >15)
p<0.05
NF-κB and HSP90 mRNA in peripheral blood mononuclear cells (PBMCs) up-regulated in SLE vs controls
p<0.05
NF-κB and HSP90 mRNA in PBMCs up-regulated in LN vs SLE
p<0.05
NF-κB and HSP90 mRNA in PBMCs of LN positively correlated
p<0.05

Further findings

OutcomeNF-κB mRNAHSP90 mRNA
Diagnosis of SLE kidney damage by PBMC mRNA expression (ROC)
AUC0.929 (95% CI 0.833-1.000, p<0.001)0.742 (95% CI 0.556-0.927, p<0.05)

Original publication

Expression and significance of NF-κB and HSP90 in renal puncture tissues and peripheral blood mononuclear cells of patients with lupus nephritis. Clin Exp Rheumatol. Published 12 November 2024. doi:10.55563/clinexprheumatol/jzt8sp

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