From: Clinical and histological significance of urinary CD11c+ macrophages in lupus nephritis
Inactive SLE (N = 10) | Active SLE (N = 5) | Inactive LN (N = 5) | Active LN (N = 41) | P value | |
---|---|---|---|---|---|
Age (years) | 40.7 ± 14.5 | 30.8 ± 10.6 | 36.6 ± 4.7 | 35.0 ± 13.5 | 0.515 |
Female | 10 (100) | 5 (100) | 5 (100) | 36 (87.8) | 0.136 |
Hypertension | 4 (40) | 0 (0) | 1 (20) | 18 (44) | 0.369 |
Diabetes mellitus | 0 (0) | 0 (0) | 0 (0) | 1 (2.4) | 0.524 |
Laboratory data | |||||
Creatinine (mg/dL) | 0.61 (0.56–0.72) | 0.55 (0.39–0.69) | 0.79 (0.60–1.08) | 0.68 (0.57–0.88) | 0.135 |
eGFR (ml/min/1.73 m2) | 117 (102–126) | 133 (115–135) | 94 (72–117) | 108 (81–128) | 0.180 |
Albumin (g/dL) | 3.6 (3.5–3.9) | 3.8 (3.2–4.2) | 3.7 (3.6–4.0) | 2.7 (2.1–3.3) | < 0.001 |
C3a (mg/dL) | 69.1 ± 20.0 (n = 9) | 71.0 ± 37.2 | 68.2 ± 15.9 | 52.0 ± 25.7 | 0.120 |
C4a (mg/dL) | 13.6 ± 6.5 (n = 9) | 8.4 ± 6.2 | 17.6 ± 6.5 | 12.6 ± 10.1 | 0.460 |
Anti-dsDNA aba (IU/mL) | 18.1 (9.4–30.0) (n = 9) | 60.1 (20.1–89.2) | 10.4 (6.9–30.8) | 85.4 (24.4–297.0) | 0.029 |
Proteinuriaa (mg/g) | 147.8 (70.3–316.5) (n = 9) | 179.1 (n = 3) | 135.1 (96.9–349.1) | 1715.1 (949.8–4429.9) | < 0.001 |
Urine specific gravity | 1.017 ± 0.008 | 1.014 ± 0.007 | 1.017 ± 0.008 | 1.016 ± 0.006 | 0.811 |
Lupus involvement | |||||
Kidney | 0 (0) | 0 (0) | 5 (100) | 41 (100) | < 0.001 |
Joint | 0 (0) | 5 (100) | 0 (0) | 5 (12.2) | 0.437 |
Hematologic | 2 (20) | 4 (80) | 3 (60) | 16 (39) | 0.748 |
Serositis | 0 (0) | 0 (0) | 0 (0) | 10 (24.4) | 0.029 |
Constitutional | 0 (0) | 3 (60) | 0 (0) | 15 (36.6) | 0.080 |
CNS | 0 (0) | 2 (40) | 0 (0) | 3 (7.3) | 0.901 |
SLEDAIa | 3.9 ± 1.3 | 14.6 ± 5.7 | 3.4 ± 0.9 | 14.1 ± 6.4 | < 0.001 |
Lupus nephritis histologic class | < 0.001 | ||||
II | 0 (0) | 0 (0) | 0 (0) | 5 (12.2) | |
III | 0 (0) | 0 (0) | 3 (60) | 13 (31.7) | |
IV | 0 (0) | 0 (0) | 2 (40) | 10 (24.4) | |
II + V | 0 (0) | 0 (0) | 0 (0) | 1 (2.4) | |
III + V or IV + V | 0 (0) | 0 (0) | 0 (0) | 4 (9.8) | |
V | 0 (0) | 0 (0) | 0 (0) | 8 (19.5) | |
Treatment | |||||
Hydroxychloroquine | 9 (90) | 5 (100) | 5 (100) | 40 (97.6) | 0.348 |
Steroids | 0.004 | ||||
None | 4 (40) | 0 (0) | 3 (60) | 2 (4.9) | |
Low dose | 2 (20) | 0 (0) | 2 (40) | 6 (14.6) | |
Medium dose | 4 (40) | 3 (60) | 0 (0) | 17 (41.5) | |
High dose | 0 (0) | 2 (40) | 0 (0) | 14 (34.1) | |
Pulse | 0 (0) | 0 (0) | 0 (0) | 2 (4.9) | |
Immunosuppressive drugs | |||||
None | 8 (80) | 0 (0) | 0 (0) | 4 (9.8) | < 0.001 |
Intravenous cyclophosphamide | 0 (0) | 1 (20) | 2 (40) | 13 (31.7) | 0.052 |
Mycophenolate mofetil | 2 (20) | 1 (20) | 5 (100) | 22 (53.7) | 0.045 |
Tacrolimus | 0 (0) | 1 (20) | 2 (40) | 19 (46.3) | 0.005 |
Azathioprine | 0 (0) | 1 (20) | 1 (20) | 7 (17.1) | 0.260 |
Methotrexate | 0 (0) | 2 (40) | 0 (0) | 0 (0) | 0.120 |