Lupus & antiphospholipid syndrome

Soluble urine activated leukocyte cell adhesion molecule is a strong predictor of lupus nephritis

Rheumatology (Oxford)Published Prospective cohort study

Authors' conclusion

Urinary ALCAM is reflective of changes in LN and may be predictive of response status.

Study context

Population
Biopsy-proven LN subjects; serum and urine sampled at weeks 0, 12, 26 and 52 across multiple study sites
Participants
122 subjects
Exposure
Urinary activated leucocyte cell adhesion molecule (ALCAM) vs urinary CD6 as predictors of LN
Outcome
Urinary ALCAM and CD6 as predictors of LN progression or disease resolution
Follow-up
1 year
Methodological detailsmulticentre, biomarker study, cross-sectional and longitudinal analyses
  • Multicentre
  • Biomarker study
  • Cross-sectional and longitudinal analyses

Main finding

As reported in the abstract

Prediction of LN (ROC analysis)
GroupAUC
Urinary ALCAM0.97
Urinary CD60.71

AUC

Urinary ALCAM0.97
Urinary CD60.71

Observational data: associations, not effects.

Further findings

Baseline cross-sectional correlations of urinary ALCAM

Significant correlation with urine protein creatinine ratio, renal SLEDAI and Physician Global Assessment (PGA)
Negative correlation with serum C3 and C4

Original publication

Soluble urine activated leukocyte cell adhesion molecule is a strong predictor of lupus nephritis. Rheumatology (Oxford). Published 15 October 2024. doi:10.1093/rheumatology/keae559

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