Pediatric rheumatology

Serum levels and significance of soluble B-cell maturation antigen in childhood-onset systemic lupus erythematosus with renal involvement

LupusPublished Cross-sectional study

Authors' conclusion

In cSLE patients with renal involvement, serum sBCMA levels correlated significantly with disease activity, immunological, and hematological parameters, but not with renal parameters.

Study context

Population
Children with childhood-onset SLE with renal involvement (84 females, 32 males; median age 11.6 years), Department of Pediatric Nephrology and Rheumatology, First Affiliated Hospital, Sun Yat-sen University116 cSLE and 31 healthy controls (HCs)
Participants
116 vs 31
Exposure
cSLE with renal involvement vs healthy controls
  • cSLEn = 116
  • HCsn = 31reference
Outcome
Serum sBCMA levels and their association with clinical characteristics
Methodological detailsretrospective analysis of clinical and laboratory information, single-centre, enzyme-linked immunosorbent assay (ELISA)
  • Retrospective analysis of clinical and laboratory information
  • Single-centre
  • ELISA

Main finding

As reported in the abstract

Serum sBCMA levels
  • Serum soluble B-cell maturation antigen (sBCMA) significantly increased in primary cSLE vs treated cSLE and HCs
  • No significant difference between treated cSLE and HCs
  • Higher sBCMA with high disease activity vs no or mild to moderate activity
  • Positive correlation with SLEDAI-2K, ANA titers, anti-dsDNA titers, ESR and IgG levels
  • Negative correlation with white blood cell count, hemoglobin, platelet count, C3 and C4
  • No correlation with renal parameters

Observational data: associations, not effects.

Further findings

Serum sBCMA decreased as disease ameliorated after treatment
  • 11 cases with follow-up examinations

Original publication

Serum levels and significance of soluble B-cell maturation antigen in childhood-onset systemic lupus erythematosus with renal involvement. Lupus. Published 13 March 2023. doi:10.1177/09612033231164633

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