Lupus & antiphospholipid syndrome

Validity of immunoglobulin-binding protein 1 as a biomarker for lupus nephritis

LupusPublished Diagnostic accuracy study

Authors' conclusion

The serum IGBP1 levels were high in patients with LN and were positively correlated with the pathologic activity index. The serum IGBP1 level of 547.45 ng/mL is a valid biomarker for detecting active nephritis.

Study context

Population
Patients with systemic lupus erythematosus (SLE) (SLICC criteria) with and without lupus nephritis (LN), and controls3 groups
Participants
96 patients
Comparison
Serum IGBP1 in LN vs SLE without nephritis vs controls
Outcome
Validity of serum IGBP1 (enzyme-linked immunosorbent assay (ELISA)) as a biomarker for LN; relation to SLE disease activity and renal activity
Methodological detailscase-control
  • Case-control

Performance

As reported in the abstract

Serum IGBP1 for detecting active nephritis (vs renal SLEDAI)
Test or modelCut-offSensitivitySpecificity
Nephritis547.45 ng/mL93.8%96.9%

Nephritis

Cut-off547.45 ng/mL
Sensitivity93.8%
Specificity96.9%
Nephritis and nonnephritis groups had higher IGBP1 than controls; nephritis highest
P < 0.001

Further findings

Correlation of IGBP1 with proteinuria in nephritis group

R = 0.568
P = 0.001

Correlation of IGBP1 with renal SLEDAI in nephritis group

R = 0.475
P = 0.006

Correlation of IGBP1 with SLEDAI-2K

Non-significant in both nephritis and nonnephritis groups

IGBP1 across histopathologic classes

Significantly different among classes; class V highest
P < 0.001
Significant positive correlation with pathologic activity index

Original publication

Validity of immunoglobulin-binding protein 1 as a biomarker for lupus nephritis. Lupus. Published 23 November 2022. doi:10.1177/09612033221141278

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