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Table 4 Baseline clinical and renal pathological features of patients with systemic lupus erythematosus, depending on renal response at week 12 and year 3

From: Lack of partial renal response by 12 weeks after induction therapy predicts poor renal response and systemic damage accrual in lupus nephritis class III or IV

 

Renal response at week 12/year 3

 

Baseline characteristics

PR/CR (n = 34)

PR/non-CR (n = 20)

Non-PR/CR (n = 10)

Non-PR/non-CR (n = 16)

p Value

Female sex, n (%)

33 (97.1)

15 (75.0)

7 (70.0)

12 (75.0)

0.05

Age, years

38.9 ± 12.8

38.8 ± 11.5

42.6 ± 14.5

37.8 ± 11.9

0.82

BMI, kg/m2

22.3 ± 3.1

21.6 ± 2.9

21.9 ± 2.9

21.9 ± 3.5

0.94

Systolic blood pressure, mmHg

128.8 ± 17.7

130.3 ± 15.4

126.5 ± 14.0

129.9 ± 22.1

0.91

Diastolic blood pressure, mmHg

80.8 ± 14.1

79.9 ± 13.3

77.4 ± 9.4

79.9 ± 14.6

0.86

Disease duration, years

4.6 ± 7.4

6.3 ± 6.5

10.8 ± 8.9

9.6 ± 7.9

0.09

SLEDAI

16.9 ± 4.5

14.1 ± 5.7

13.8 ± 4.9

12.6 ± 3.8

0.15

SDI

0.3 ± 0.6

0.5 ± 0.5

0.6 ± 0.7

0.6 ± 0.7

0.33

Proteinuria, g/g creatinine

2.4 ± 2.1

3.1 ± 1.9

2.9 ± 2.5

3.1 ± 1.7

0.47

eGFR, ml/minute/1.73 m2

73.5 ± 27.0

78.3 ± 32.2

70.9 ± 29.9

76.8 ± 33.4

0.84

Anti-dsDNA antibody, IU/ml

234.5 ± 332.1

106.3 ± 104.59

139.3 ± 150.1

212.9 ± 364.9

0.21

Anticardiolipin antibody, IU/ml

27.6 ± 14.1

19.1 ± 32.4

11.9 ± 7.7

10.5 ± 11.5

0.13

Lupus anticoagulant-positive, n (%)

8 (23.5)

2 (10.0)

1 (10.0)

1 (6.2)

0.34

CH50, U/ml

27.6 ± 14.1

19.1 ± 32.4

11.9 ± 7.7

10.5 ± 11.5

0.12

Prednisolone, mg/day

46.5 ± 14.0

41.5 ± 14.6

44.3 ± 18.6

40.7 ± 14.3

0.58

Induction therapy, n (%)

 IVCY

20 (58.8)

10 (50.0)

5 (50.0)

5 (33.3)

0.36

 MMF

5 (14.7)

0 (0.0)

3 (30.0)

3 (18.8)

0.18

 Tacrolimus

5 (14.7)

4 (20.0)

2 (20.0)

2 (12.5)

0.94

 PSL monotherapy

2 (5.8)

4 (20.0)

0 (0.0)

2 (12.5)

0.15

 Others

2 (5.8)

2 (10.0)

0 (0.0)

4 (25.0)

0.16

Maintenance therapy, n (%)

 Azathioprine

14 (41.2)

4 (20.0)

3 (30.0)

3 (18.8)

0.33

 MMF

8 (23.5)

3 (15.0)

3 (30.0)

4 (25.0)

0.84

 Tacrolimus

6 (17.6)

6 (30.0)

2 (20.0)

3 (18.8)

0.71

 PSL monotherapy

4 (11.8)

4 (20.0)

1 (10.0)

1 (6.3)

0.66

 Others

2 (5.9)

3 (15.0)

1 (10.0)

5 (31.3)

0.17

Renal pathological findings, n (%)

 ISN/RPS classification

  III (A) or III (A/C)

13 (38.2)

5 (27.9)

4 (40.0)

4 (25.0)

0.65

  III (A) or III (A/C) + V

4 (11.8)

2 (10.0)

1 (10.0)

3 (18.8)

0.94

  IV (A) or IV (A/C)

12 (35.3)

9 (45.0)

3 (30.0)

6 (37.5)

0.93

  IV (A) or IV (A/C) + V

6 (17.6)

3 (15.0)

2 (20.0)

3 (18.8)

1.00

 Endocapillary hypercellularity, %

31.2 ± 21.2

40.3 ± 13.1

41.3 ± 10.1

48.1 ± 8.2

0.64

 Leukocyte infiltration, %

2.0 ± 3.5

1.1 ± 2.4

2.9 ± 1.3

2.2 ± 1.3

0.35

 Subendothelial hyaline deposits, %

40.1 ± 10.1

29.1 ± 12.4

27.9 ± 12.7

38.1 ± 11.3

0.42

 Fibrinoid necrosis/karyorrhexis, %

7.0 ± 10.1

6.0 ± 11.2

6.1 ± 10.4

5.9 ± 11.4

0.53

 Cellular crescents, %

7.1 ± 7.2

8.1 ± 6.1

7.2 ± 7.4

8.8 ± 7.1

0.52

 Interstitial inflammation, %

1.0 ± 4.8

1.2 ± 4.8

1.2 ± 4.8

1.2 ± 4.8

0.84

 Glomerular sclerosis, %

3.9 ± 7.2

3.7 ± 8.1

3.2 ± 7.1

3.3 ± 6.2

0.71

 Fibrous crescents, %

1.6 ± 3.0

1.5 ± 2.8

2.0 ± 1.1

1.7 ± 2.9

0.46

 Tubular atrophy, %

5.2 ± 5.1

3.2 ± 5.1

3.1 ± 5.1

3.0 ± 6.1

0.27

 Interstitial fibrosis, %

5.2 ± 6.2

4.1 ± 6.1

4.3 ± 6.3

4.0 ± 5.2

0.95

Activity index

5.3 ± 2.8

5.1 ± 2.9

5.4 ± 3.1

6.0 ± 2.1

0.27

Chronicity index

1.4 ± 0.1

1.3 ± 0.2

1.4 ± 0.1

1.8 ± 1.6

0.88

  1. Abbreviations: SLEDAI Systemic Lupus Erythematosus Disease Activity Index, SDI Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index, dsDNA Double-stranded DNA, IVCY Intravenous cyclophosphamide, MMF Mycophenolate mofetil, ISN/RPS International Society of Nephrology/Renal Pathology Society, BMI Body mass index, eGFR Estimated glomerular filtration rate, PSL Prednisolone, CR Complete renal response, PR Partial renal response