Lupus & antiphospholipid syndrome

Novel CSF biomarkers for diagnosis and integrated analysis of neuropsychiatric systemic lupus erythematosus: based on antibody profiling

Arthritis Res TherPublished Diagnostic accuracy study

Authors' conclusion

The dual-chips screening strategy demonstrated KLK5, L-selectin, Trappin-2, TCN2, and CST6 as CSF biomarkers for diagnosing NPSLE.

Study context

Population
CSF from controls, systemic lupus erythematosus (SLE) (non-NPSLE) patients and neuropsychiatric systemic lupus erythematosus (NPSLE) patients
Comparison
CSF protein expression in NPSLE vs SLE vs controls
Outcome
Novel CSF biomarkers for diagnosing NPSLE
Methodological detailsquantitative planar protein antibody microarray screening of 1000 proteins, validation with custom multiplexed protein antibody array in an independent larger cohort, LASSO and multivariable logistic regression, ROC analysis
  • Quantitative planar protein antibody microarray screening of 1000 proteins
  • Validation with custom multiplexed protein antibody array in an independent larger cohort
  • LASSO and multivariable logistic regression
  • ROC analysis

Performance

As reported in the abstract

CSF biomarkers for NPSLE

Proteins with significantly altered CSF expression across the three groups

29

Candidate biomarkers selected by protein interaction analysis

17

Differentially expressed proteins (DEPs) identified as NPSLE biomarkers in the larger cohort (TCN2, CST6, KLK5, L-selectin, Trappin-2)

5

Further findings

Association of CSF biomarkers with disease activity

CSF biomarkers highly associated with disease activity

Molecules with remarkable changes in NPSLE CSF and hippocampus

Molecules with remarkable changes in NPSLE CSF and hippocampus
6

Original publication

Novel CSF biomarkers for diagnosis and integrated analysis of neuropsychiatric systemic lupus erythematosus: based on antibody profiling. Arthritis Res Ther. Published 8 September 2023. doi:10.1186/s13075-023-03146-z

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