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Analyses of Proteinuria, Renal Infiltration of Leukocytes, and Renal Deposition of Proteins in Lupus-prone MRL/lpr Mice
Published on: June 8, 2022
Fractional excretion magnesium (FE Mg) in systemic lupus erythematosus
1Department of Pediatrics, King Chulalongkorn Memorial Hospital, Rama IV Rd, Bangkok 10330, Thailand.
Background:
Tubulointerstitial fibrosis is an index of clinical severity. FE Mg has been delineated to correlate directly with the magnitude of tubulointerstitial fibrosis in clinical setting of glomerulonephropathy. A correlation between FE Mg tubulointerstitial fibrosis has never been assessed in nephritis associated with systemic lupus erythematosus.
Material And Method:
Thirty-six patients diagnosed of having lupus nephritis were included for the determination of renal functions namely creatinine clearance, FE Mg, urinary protein. Of these 36 patients, 18 patients were associated with intact tubulointerstitial structure (group I) and 18 age matched patients were associated with tubulointerstitial fibrosis (group II) RESULTS: The mean FE Mg observed in group I was 1.5 +/- 0.3 which differed significantly from that observed in group II; 2.6 +/- 1; p = 0.006. CCr, total urinary protein, systolic and diastolic pressure were not significantly different between the two groups.
Conclusion:
FE Mg is a sensitive marker for the detection of tubulointerstitial disease in lupus nephritis. It is useful in early screening of disease severity in systemic lupus erythematosus.
Insights
Fractional excretion of magnesium (FE Mg) effectively detects tubulointerstitial fibrosis in lupus nephritis. This sensitive marker aids in early screening of disease severity in systemic lupus erythematosus patients.
Area of Science:
- Nephrology
- Rheumatology
- Biomarker Discovery
Background:
- Tubulointerstitial fibrosis is a key indicator of kidney disease severity.
- Fractional excretion of magnesium (FE Mg) correlates with tubulointerstitial fibrosis in various glomerulonephropathies.
- The relationship between FE Mg and tubulointerstitial fibrosis in lupus nephritis has not been previously established.
Purpose of the Study:
- To investigate the correlation between FE Mg and tubulointerstitial fibrosis in patients with lupus nephritis.
- To assess the utility of FE Mg as a potential biomarker for lupus nephritis severity.
Main Methods:
- A cohort of 36 lupus nephritis patients was analyzed.
- Patients were divided into two groups: 18 with intact tubulointerstitial structure and 18 with tubulointerstitial fibrosis.
- Renal function tests including FE Mg, creatinine clearance (CCr), and urinary protein were measured.
Main Results:
- The mean FE Mg was significantly higher in patients with tubulointerstitial fibrosis (2.6 ± 1) compared to those with intact structures (1.5 ± 0.3; p = 0.006).
- Creatinine clearance, total urinary protein, and blood pressure did not differ significantly between the groups.
Conclusions:
- FE Mg is a sensitive marker for detecting tubulointerstitial disease in lupus nephritis.
- FE Mg can be a valuable tool for the early screening of disease severity in systemic lupus erythematosus.
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