Lupus & antiphospholipid syndrome

Serum CXCL-13 levels are associated with active neurological involvement in patients with systemic lupus erythematosus

LupusPublished Cross-sectional study

Authors' conclusion

This study underscores the association between serum CXCL-13 levels and neuropsychiatric involvement in SLE, as well as their correlation with disease activity.

Study context

Population
Systemic lupus erythematosus (SLE) patients with and without neuropsychiatric involvement and healthy controls
Participants
125 patients
Exposure
Active NPSLE vs inactive NPSLE vs SLE without NPSLE vs healthy controls
  • Active NPSLEn = 6
  • Inactive NPSLEn = 26
  • SLE without NPSLEn = 71
  • Healthy controlsn = 22reference
Outcome
Serum CXCL-13 levels (Enzyme Linked ImmunoSorbent Assay (ELISA))
Follow-up
At enrollment

Main finding

As reported in the abstract

Serum CXCL-13 levels
  • Significantly elevated CXCL-13 in active NPSLE vs other SLE groups and healthy controls
  • Active NPSLE vs Inactive NPSLE: P < 0.001
  • Active NPSLE vs SLE without NPSLE: P < 0.001
  • Active NPSLE vs Healthy controls: P < 0.001

Observational data: associations, not effects.

Further findings

OutcomeP value
Serum CXCL-13 in SLE (inactive NPSLE or no NPSLE history) vs controlsInactive NPSLE vs Healthy controls · significantly higherP < 0.001
Serum CXCL-13 in SLE (inactive NPSLE or no NPSLE history) vs controlsSLE without NPSLE vs Healthy controls · significantly higherP < 0.001

Correlation of serum CXCL-13 with disease activity (Systemic Lupus Erythematosus Disease Activity Index (SLEDAI))

Serum CXCL-13 positively correlated with SLEDAI

Original publication

Serum CXCL-13 levels are associated with active neurological involvement in patients with systemic lupus erythematosus. Lupus. Published 7 February 2025. doi:10.1177/09612033251319405

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