Lupus & antiphospholipid syndrome

Serum glutathione reductase level as a disease activity biomarker in systemic lupus erythematosus: a single-centre preliminary study

Lupus Sci MedPublished Retrospective diagnostic accuracy study

Authors' conclusion

Serum GR levels are positively correlated with SLE disease activity and exhibit clinical value in identifying moderate-to-severe disease activity in SLE.

Study context

Population
Patients with SLE and healthy controls142 SLE, 100 healthy controls
Comparison
Serum glutathione reductase (GR) vs C3 and C4 as markers of SLE disease activity
Outcome
Association of serum GR levels with SLE disease activity (SLEDAI 2000, SLE-DAS)
Methodological detailssingle-centre, preliminary
  • Single-centre
  • Preliminary

Performance

As reported in the abstract

Correlation with SLE disease activity (Spearman ρ)
Test or modelρ with SLEDAI 2000ρ with SLE Disease Activity Score (SLE-DAS)
GR0.3350.454
C3−0.544−0.290
C4−0.418−0.242

ρ with SLEDAI 2000

GR0.335
C3−0.544
C4−0.418

ρ with SLE Disease Activity Score (SLE-DAS)

GR0.454
C3−0.290
C4−0.242

Further findings

Identification of moderate-to-severe disease activity (SLEDAI 2000 >6), ROC AUC
AUC
GR
0.700(95% CI: 0.617 to 0.774)
C3
0.784(95% CI: 0.707 to 0.848)
C4
0.697(95% CI: 0.615 to 0.771)
GR AUC comparable to C3 and C4
Identification of moderate-to-severe disease activity (SLE-DAS >7.64), ROC AUC
AUC
GR
0.767(95% CI: 0.689 to 0.834)
C3
0.661(95% CI: 0.576 to 0.738)
C4
0.617(95% CI: 0.532 to 0.698)
GR equal to C3 but superior to C4

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Serum glutathione reductase level as a disease activity biomarker in systemic lupus erythematosus: a single-centre preliminary study. Lupus Sci Med. Published 24 June 2025. doi:10.1136/lupus-2025-001593

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