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Table 4 Predictivity of anti-ENA in SLE flares

From: Predictive biological markers of systemic lupus erythematosus flares: a systematic literature review

Biomarker(s)

Number of patients (n)

Findings

Study

Anti-Sm ab, ANA

110

Presence of anti-Sm ab at baseline was found at a higher incidence in patients developing exacerbation(s)

Swaak et al., 1989 [5]

ANA

120

ANA titre was associated with flares in the subsequent year

Mirzayan et al., 2000 [6]

ANA, anti-nucleosome and anti-histone ab

199

Patients with anti-histone ab (≥ 3 SDs above control mean) at baseline had a higher risk of developing lupus nephritis

Cortes-Hernandez et al., 2004 [22]

Anti-nucleosome ab

21

Time to first flare was significantly correlated with the presence of anti-nucleosome and high anti-nucleosome ab titres

Ng et al., 2006 [42]

Anti-ENA

32

Baseline anti-ENA was an independent predictor of flare

Ng et al., 2007 [36]

ANA, anti-Sm ab

562

Anti-Sm positivity (≥ 15 units/ml) at baseline predicted flares

Petri et al., 2013 [9]

Anti-Ro

47

Fluctuations of anti-Ro/SS-A ab levels were not predictive of flares

Praprotnik et al., 1999 [43]

Anti-Ro, anti-La, anti-Sm and anti-RNP ab

45

Fluctuations of anti-Ro, anti-La, anti-Sm and anti-RNP were not associated with flares

Agarwal et al., 2009 [41]

  1. ab antibody, ANA anti-nuclear antibodies, anti-RNP anti-ribonucleoprotein, anti-ENA anti-extractable nuclear antigen, SD standard deviation, SLE systemic lupus erythematosus