Pediatric rheumatology

Serum and urinary soluble CD163 in children with active lupus nephritis

Pediatr Rheumatol Online JPublished Cross-sectional study

Authors' conclusion

Both sCD163 levels were associated with LN activity and differed from levels in extrarenal SLE and non-inflammatory CKD, suggesting that sCD163 may serve as a potential biomarker of kidney inflammation in pediatric SLLE patients.

Study context

Population
Children with active lupus nephritis (LN), systemic lupus erythematosus (SLE) with active extrarenal disease, non-lupus chronic kidney disease (CKD) and healthy matched controls4 equal groups
Participants
60 children
Exposure
Active LN vs SLE non-LN with active extrarenal disease vs non-lupus CKD vs healthy matched controls
Outcome
Serum and urinary sCD163 levels (ELISA) and their association with clinical and laboratory markers of SLE activity
Methodological detailsfour groups, healthy matched controls
  • Four groups
  • Healthy matched controls

Main finding

As reported in the abstract

  • Serum and urinary soluble CD163 (sCD163) differed significantly among groups, highest in active LN
  • Renal BILAG A or B had significantly higher sCD163 than BILAG E; no significant differences across histopathological classes
  • Serum sCD163 correlated negatively with eGFR and positively with proteinuria
  • Urinary sCD163 correlated positively with SLEDAI, proteinuria and prednisolone dose
  • No significant correlation between serum and urinary sCD163

Observational data: associations, not effects.

Further findings

Discrimination of renal vs extrarenal SLE activity and LN vs non-inflammatory CKD (serum and urinary sCD163)

AUC, complete separation between groups
1

Original publication

Serum and urinary soluble CD163 in children with active lupus nephritis. Pediatr Rheumatol Online J. Published 24 March 2026. doi:10.1186/s12969-026-01201-y

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