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Diagnostic significance of anti-collectin 11 in systemic lupus erythematosus
Online published: 2016-12-18
Supported by
Supported by the National Natural Science Foundation of China (81501390)
Objective: To analyze the role of anti-collectin 11 in the diagnosis of systemic lupus erythematosus (SLE) and in the evaluation of disease activity. Methods: This was a cross-sectional study. Five groups of patients were enrolled: SLE active (SLE disease activity index-2000,SLEDAI-2000≥9), SLE remission (SLEDAI-2000≤4 and there was no organ involvement), rheumatoid arthritis (RA), primary Sj-gren Syndrome (SS) and healthy control (HC). Serum anticollectin 11 was detected in all the groups by ELISA. One-way ANOVA analysis and LSD-t test as post-hoc analysis were used to compare the levels of anticollectin 11 among all the groups. Receiver operating characteristic (ROC) curve and the area under curve (AUC) were used to analyze the value of anticollectin 11 in the diagnosis of SLE. Results: In the study, 30 patients were enrolled in each group, including 13 males and 137 females with an average age of (34±14) years (18-77 years). The age and gender of the other three groups were comparable to the two SLE groups. The difference of serum anti-collectin 11 between the SLE active group and SLE remission group was not statistically significant (88.8±16.8 vs. 89.7±24.7, P=0.896). The level of serum anti-collectin 11 was significantly higher in SLE group (as a whole) (89.1±19.4) than in RA group (49.1±22.0), SS group (56.9±30.1) and HC group (72.7±24.6) (P<0.001, P<0.001, P=0.007, respectively). The AUC was 0.806 for the diagnosis of SLE by serum anti-collectin 11. Further descriptive analysis showed that the positive rate of anti-collectin 11 was very high in the patients of SLE in whom both anti-double-stranded DNA (dsDNA) and Sm antibody were negative. The nervous system and gastrointestinal system involvement were the most common in the patients with positive anti-collectin 11. Conclusion: The level of serum anti-collectin 11 was significantly higher in SLE than in RA, SS and HC. Anti-collectin 11 antibody had a relatively high value in the diagnosis of SLE and it might have some complementary function in the diagnosis of SLE. It might be a relatively specific autoantibody for SLE.
Key words: Lupus erythematosus, systemic; Collectins; Diagnosis
DENG Xiao-li , ZHONG Li-jun , SUN Lin , LI Chang-hong , LIU Xiang-yuan . Diagnostic significance of anti-collectin 11 in systemic lupus erythematosus[J]. Journal of Peking University(Health Sciences), 2016 , 48(6) : 982 -986 . DOI: 10.3969/j.issn.1671-167X.2016.06.011
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