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Increased Urinary CD163 Levels in Systemic Vasculitis with Renal Involvement
Xiayire Aierken1, Qing Zhu1, Ting Wu1
1Hypertension Center of People's Hospital of Xinjiang Uygur Autonomous Region, Xinjiang Hypertension Institute, National Health Committee Key Laboratory of Hypertension Clinical Research, Urumqi, Xinjiang 830001, China.
Insights
Urinary CD163 levels are elevated in systemic vasculitis patients, particularly those with kidney involvement. This suggests urinary CD163 may serve as a biomarker for systemic vasculitis and associated renal complications.
Area of Science:
- Nephrology
- Immunology
- Rheumatology
Background:
- Systemic vasculitis involves inflammation of blood vessels and can lead to severe hypertension.
- CD163 is a specific marker for anti-inflammatory macrophages.
Purpose of the Study:
- To evaluate CD163 levels in patients with systemic vasculitis.
- To assess the relationship between CD163 levels and renal involvement in systemic vasculitis.
Main Methods:
- Retrospective analysis of urinary CD163 levels using ELISA.
- Comparison of CD163 levels in 51 systemic vasculitis patients, 42 essential hypertension patients, and 36 healthy controls.
- Correlation analysis between urinary CD163 and clinical indicators.
Main Results:
- Urinary CD163 levels were significantly higher in systemic vasculitis patients compared to controls and essential hypertension patients.
- Patients with renal involvement showed markedly elevated urinary CD163 levels.
- Urinary CD163 levels correlated positively with markers of kidney function (serum creatinine, BUN) and beta-2 microglobulin.
- Granulomatous vasculitis subtypes exhibited higher CD163 levels than necrotizing vasculitis.
Conclusions:
- Urinary CD163 is significantly elevated in systemic vasculitis, especially with renal involvement.
- Urinary CD163 demonstrates potential as a diagnostic biomarker for systemic vasculitis with renal complications.
Objectives:
Systemic vasculitis includes a group of disorders characterized by inflammation of the vessel wall, involving multiple systems, and can cause malignant hypertension. CD163 is a specific marker of anti-inflammatory macrophages. This study is aimed at evaluating the CD163 levels in relation to systemic vasculitis and renal involvements.
Methods:
Urinary CD163 levels were retrospectively measured by enzyme-linked immunosorbent assay (ELISA) in 51 patients with systemic vasculitis, 42 essential hypertensions, and 36 healthy volunteers. The associations between urinary CD163 levels and clinical indicators were analyzed.
Results:
Urinary CD163 levels were significantly higher in patients with systemic vasculitis [68.20 (38.25~158.78) (pg/ml)] compared to essential hypertension [43.86 (23.30-60.71) (pg/ml)] (p = 0.003) and the healthy volunteers [30.76 (9.30-54.16) (pg/ml)] (p < 0.001). Furthermore, systemic vasculitis patients with renal involvement had significantly higher urinary CD163 levels relative to patients without renal involvement [86.95 (47.61 and 192.38) pg/ml] vs. [41.99 (17.70 and 71.95) pg/ml, p = 0.005]. After control factors age, sex, and BMI, urinary CD163 levels in systemic vasculitis patients were positively correlated with serum creatinine, blood urea nitrogen, and β-2 microglobulin (r = 0.45, 0.48, and 0.46; p = 0.001, 0.001, and 0.002, respectively). In addition, we found the level of urinary CD163 in granulomatous vasculitis (including TA, GPA, and EGPA) was significantly higher than that in necrotizing vasculitis (including PAN) [86.95 (41.99 and 184.82) pg/ml] vs. [45.73 (21.43 and 74.43) pg/ml, p = 0.016].
Conclusion:
Urinary CD163 levels were significantly higher in patients with systemic vasculitis, especially in patients with renal involvement. Thus, urinary CD163 has the potential to be a biomarker for systemic vasculitis with renal involvement.
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