Reduced ADAMTS13 activity and high D-dimer levels are associated with thrombosis in patients with systemic lupus
Tipparat Penglong1, Anuchit Boontanvansom2, Pongtep Viboonjuntra3
1Haematology Unit, Department of Pathology, Faculty of Medicine.
Insights
Reduced ADAMTS13 activity and elevated D-dimer levels are key indicators for predicting thrombosis risk in patients with Systemic Lupus Erythematosus (SLE). These findings highlight potential prognostic biomarkers for vascular events in SLE patients.
Area of Science:
- Rheumatology
- Hematology
- Vascular Biology
Background:
- Systemic Lupus Erythematosus (SLE) patients face a higher risk of vascular thrombosis.
- There is a critical need for biomarkers to predict thrombosis in SLE patients.
Purpose of the Study:
- To investigate the potential of ADAMTS13 activity and D-dimer levels as biomarkers for thrombosis risk in SLE patients.
Main Methods:
- Assessed ADAMTS13 activity, D-dimer levels, and antiphospholipid antibodies in 66 SLE patients (22 with thrombosis, 44 without).
- Matched cases and controls for age and sex.
- Collected data on clinical manifestations, disease activity, and risk factors.
Main Results:
- Significantly lower ADAMTS13 activity and higher D-dimer levels were observed in SLE patients with a history of thrombosis.
- Receiver operating characteristic analysis confirmed a correlation between reduced ADAMTS13 activity and thrombosis history.
- Reduced ADAMTS13 activity correlated with increased D-dimer levels specifically in the thrombotic group.
Conclusions:
- Reduced ADAMTS13 activity and elevated D-dimer levels are associated with thrombosis in SLE.
- These markers may serve as valuable prognostic indicators for predicting thrombosis in SLE patients.
Introduction:
Patients with systemic lupus erythematosus (SLE) have an increased risk of vascular thrombosis compared to the general population. Therefore, biomarkers for predicting the risk of thrombosis in patients with SLE are needed.
Methods:
In the present study, a total of 66 patients with SLE (22 with and 44 without a history of thrombosis) were enrolled. The cases with thrombosis and the controls without thrombosis were matched for age (± 5 years) and sex. We assessed ADAMTS13 activity, D-dimer levels, and antiphospholipid antibodies. Clinical manifestations, SLE disease activity, classical risk factors, and medical history were collected.
Results:
ADAMTS13 activity was significantly reduced, and D-dimer levels were significantly increased in patients with SLE with a history of thrombosis compared with those in patients without thrombosis. Receiver operating characteristic curve analysis revealed a good correlation between reduced ADAMTS13 activity and a history of thrombosis. Reduced ADAMTS13 activity was correlated with increased D-dimer levels only in the thrombotic group.
Conclusion:
Reduced ADAMTS13 activity and high D-dimer levels are associated with thrombosis and may serve as prognostic markers for thrombosis in patients with SLE.
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