The clinical significance of plasma CFHR 1-5 in lupus nephropathy

Xiaofang Hu1, Hengdao Liu2, Jie Du1

  • 1Department of Pharmacy, Xiangya Hospital, Central South University, Changsha 410008, Hunan, China; National Clinical Research Center for Geriatric Disorders (Xiangya), Xiangya Hospital, Central South University, Changsha 410008, Hunan, China.

Immunobiology
|April 13, 2019
PubMed

Insights

Elevated levels of complement factor H-related proteins 3 and 5 (CFHR3 and CFHR5) are linked to lupus nephritis severity. Higher CFHR3 and CFHR5 indicate worse disease activity and poorer prognosis in lupus nephritis patients.

Area of Science:

  • Immunology
  • Nephrology
  • Complement System Biology

Background:

  • Lupus nephritis is characterized by complement factor H deficiency, leading to C3 consumption and C3b deposition.
  • The role of complement factor H-related proteins (CFHRs 1-5) in lupus nephritis pathogenesis is not well understood.
  • Investigating CFHRs may reveal new insights into lupus nephritis development and progression.

Purpose of the Study:

  • To compare circulating levels of CFHR1-5 in lupus nephritis patients versus healthy individuals.
  • To explore the association between CFHR1-5 expression and lupus nephritis disease activity and progression.
  • To evaluate the prognostic value of CFHR3 and CFHR5 in lupus nephritis.

Main Methods:

  • Plasma levels of CFHR1-5 were measured in 152 lupus nephritis patients and 20 healthy controls.
  • Correlations were assessed between CFHR levels, disease activity (SLEDAI), proteinuria, creatinine, C3, and eGFR.
  • Receiver operating characteristic (ROC) curve analysis was used to determine predictive values for disease activity and endpoints.

Main Results:

  • Plasma CFHR3 and CFHR5 levels were significantly higher in lupus nephritis patients compared to controls.
  • CFHR3 and CFHR5 concentrations positively correlated with SLEDAI, proteinuria, creatinine, and anti-dsDNA levels.
  • CFHR3 and CFHR5 levels negatively correlated with C3 levels and eGFR, and were predictive of disease activity and outcomes.

Conclusions:

  • Elevated plasma CFHR3 and CFHR5 are associated with increased disease activity and severity in lupus nephritis.
  • CFHR3 and CFHR5 demonstrate prognostic value, with high levels indicating a worse prognosis and shorter progression-free survival.
  • CFHR3 and CFHR5 may serve as potential biomarkers for monitoring lupus nephritis activity and predicting disease progression.

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