Lupus & antiphospholipid syndrome

Serum RIPK3/MLKL as exploratory biomarker candidates for systemic lupus erythematosus

LupusPublished Case-control study

Authors' conclusion

Our study illuminate serum RIPK3/MLKL proteins are exploratory biomarker candidates for SLE and necroptosis may be involved in SLE pathogenesis.

Study context

Population
SLE patients and healthy controls
Participants
90 vs 50
Comparison
SLE vs healthy controls (HC)
  • SLEn = 90
  • HCn = 50reference
Outcome
Serum RIPK3/MLKL protein levels (enzyme-linked immune sorbent assay (ELISA))

Main finding

As reported in the abstract

Serum RIPK3/MLKL protein levels
  • SLE vs HC: P = 0.0004
  • SLE vs HC: P = 0.0005

Observational data: associations, not effects.

Further findings

OutcomeRIPK3MLKL
Diagnostic performance (ROC)
AUC0.63190.7374
Pp = 0.0099p < 0.0001
RIPK3/MLKL in active vs stable SLE · higher in active SLE
P = 0.0312
RIPK3/MLKL in active vs stable SLE · higher in active SLE
P = 0.0096
RIPK3 in lupus nephritis (LN) vs non-LN · significant upregulation in LN
P = 0.0017
RIPK3 by anti-nuclear antibody (ANA) titer · High ANA titers vs Low ANA titers · higher with high ANA titers
P < 0.0001

Original publication

Serum RIPK3/MLKL as exploratory biomarker candidates for systemic lupus erythematosus. Lupus. Published 23 June 2026. doi:10.1177/09612033261465072

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