Lupus & antiphospholipid syndrome

Expression and significance of TWEAK and CD163 in monocytes of patients with newly diagnosed systemic lupus erythematosus with renal involvement

LupusPublished Diagnostic accuracy study

Authors' conclusion

The expression levels of TWEAK and CD163 are increased in SLE patients, and the expression levels in SLE+RI patients are greater than those in SLE-RI patients. These findings are closely related to disease activity, autoantibody production and clinical symptoms and can be used as biomarkers for the diagnosis and activity of SLE+RI.

Study context

Population
Patients with systemic lupus erythematosus (SLE), including SLE with renal involvement (SLE+RI)70 SLE patients
Comparison
TWEAK and CD163 expression in monocytes: SLE vs healthy controls and rheumatoid arthritis (RA)
  • SLEn = 70
Outcome
Expression levels of TWEAK and CD163 in peripheral blood monocytes and their diagnostic value for SLE and SLE+RI
Methodological detailsRT-qPCR, ROC curve analysis, Western blot
  • RT-qPCR
  • ROC curve analysis
  • Western blot

Performance

As reported in the abstract

Diagnostic accuracy for SLE+RI (ROC)
Test or modelAUC
TWEAK0.869
CD1630.792
TWEAK + CD1630.842

AUC

TWEAK0.869
CD1630.792
TWEAK + CD1630.842

Further findings

OutcomeP value
TWEAK and CD163 expression after vs before treatment in SLE+RISignificantly lower after treatmentP < 0.05

TWEAK and CD163 expression by anti-double-stranded DNA antibody (anti-dsDNA) and proteinuria status

Greater in anti-dsDNA-positive vs anti-dsDNA-negative patients and in patients with vs without proteinuria

Correlation with SLEDAI in SLE+RI

TWEAK and CD163 expression positively correlated with SLEDAI

TWEAK and CD163 protein expression (Western blot) in SLE+RI

Significantly increased vs controls

Original publication

Expression and significance of TWEAK and CD163 in monocytes of patients with newly diagnosed systemic lupus erythematosus with renal involvement. Lupus. Published 25 August 2025. doi:10.1177/09612033251371335

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