Lupus & antiphospholipid syndrome

Interleukin-23 levels and their association with systemic lupus erythematosus: A systematic review and meta-analysis

LupusPublished Systematic review and meta-analysis of observational studies

Pooled result · Circulating IL-23 levels (pooled)Result — go to the resultMD 71.467 95% CI 26.44–116.49

Authors' conclusion

This meta-analysis reveals a significant association between elevated IL-23 levels and SLE

Study context

Population
Observational studies comparing circulating IL-23 levels in SLE patients and healthy controls, with SLE Disease Activity Index (SLEDAI) for disease activity12 studies
Participants
680 vs 416
Comparison
Circulating IL-23 levels in SLE vs healthy controls
  • SLEn = 680
  • Healthy controlsn = 416reference
Outcome
Circulating IL-23 levels, SLE vs healthy controls
Methodological detailstrial sequential analysis, sensitivity analysis, Newcastle-Ottawa Scale quality assessment
  • Trial sequential analysis
  • Sensitivity analysis
  • Newcastle-Ottawa Scale quality assessment

Pooled result

Circulating IL-23 levels (pooled)

MD

71.467

95% CI 26.44–116.49

P = 0.002

SLEvs Healthy controls
MD 71.467 (95% CI 26.44–116.49); P = 0.002

As reported in the abstract

Further pooled results

OutcomeMDP value
IL-23 levels, active vs inactive SLEStatistically insignificant27.777P = 0.085

Correlation of IL-23 with SLEDAI scores

Correlation coefficient (p = 0.027)
0.510

Ethnicity-specific analysis

Similar trends in East Asian and Middle Eastern populations

Original publication

Interleukin-23 levels and their association with systemic lupus erythematosus: A systematic review and meta-analysis. Lupus. Published 6 January 2026. doi:10.1177/09612033251414739

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