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Sninate S, Allioui S, Jroundi L, Lammrani F. Apport de l’IRM cérébrale dans le neuro-lupus. J Neuroradiol 2021. [DOI: 10.1016/j.neurad.2021.04.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Lee WF, Wu CY, Yang HY, Lee WI, Chen LC, Ou LS, Huang JL. Biomarkers associating endothelial Dysregulation in pediatric-onset systemic lupus erythematous. Pediatr Rheumatol Online J 2019; 17:69. [PMID: 31651352 PMCID: PMC6814049 DOI: 10.1186/s12969-019-0369-7] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/21/2019] [Accepted: 09/24/2019] [Indexed: 01/06/2023] Open
Abstract
BACKGROUND/PURPOSE Endothelium is a key element in the regulation of vascular homeostasis and its alteration can lead to the development of vascular diseases. Systemic lupus erythematosus (SLE) is a systemic autoimmune disease with potential extensive vascular lesions, involving skin vessels, renal glomeruli, cardiovascular system, brain, lung alveoli, gastrointestinal tract vessels and more. We aimed to assess endothelial dysregulation related biomarkers in pediatric-onset SLE (pSLE) patient serum and elucidate its correlation with their clinical features, laboratory parameters, and the overall disease activity. METHODS Disease activities were evaluated by SLE disease activity index (SLEDAI). Patient characteristics were obtained by retrospective chart review. Six biomarkers associated with endothelial dysregulation, including Angiopoietin-1 (Ang-1), Angiopoietin-2 (Ang-2), Tie2, Vascular endothelial growth factor (VEGF), thrombomodulin, and a disintegrin-like and metalloprotease with thrombospondin type 1 motif (ADAMTS13) were tested through enzyme-linked immunosorbent assay (ELISA) measurement. RESULTS This study comprised 118 pSLE patients. Data from 40 age-matched healthy controls were also obtained. The mean diagnostic age was 13 ± 4.12 years-old and 90.7% are females. Serum levels of VEGF, Tie2, thrombomodulin were significantly higher while serum ADAMTS13 was lower in active pSLE patients when compared to those with inactive diseases (all p < 0.05). In organ specific association, serum thrombomodulin level was higher in pSLE patient with renal involvement, and serum ADAMTS13 levels was negatively associated with neurological involvement (p < 0.05). A cutoff of thrombomodulin at 3333.6 pg/ml best correlated renal involvement. (AUC = 0.752, p < 0.01). CONCLUSION Endothelial dysregulation associating proteins seems to be potent biomarkers for pSLE activity as well as organ involvement in pSLE patients. These biomarkers may be beneficial in understanding of the vascular pathogenesis and disease monitoring.
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Affiliation(s)
- Wan-Fang Lee
- 0000 0004 1756 999Xgrid.454211.7Division of Allergy, Asthma, and Rheumatology, Department of Pediatrics, Chang Gung Memorial Hospital Linko branch, Taoyuan, Taiwan
| | - Chao-Yi Wu
- 0000 0004 1756 999Xgrid.454211.7Division of Allergy, Asthma, and Rheumatology, Department of Pediatrics, Chang Gung Memorial Hospital Linko branch, Taoyuan, Taiwan ,grid.145695.aChang Gung University, College of Medicine, Taoyuan, Taiwan
| | - Huang-Yu Yang
- grid.145695.aChang Gung University, College of Medicine, Taoyuan, Taiwan ,0000 0004 1756 999Xgrid.454211.7Department of Nephrology, Chang Gung Memorial Hospital Linko branch, Taoyuan, Taiwan
| | - Wen-I Lee
- 0000 0004 1756 999Xgrid.454211.7Division of Allergy, Asthma, and Rheumatology, Department of Pediatrics, Chang Gung Memorial Hospital Linko branch, Taoyuan, Taiwan
| | - Li-Chen Chen
- 0000 0004 1756 999Xgrid.454211.7Division of Allergy, Asthma, and Rheumatology, Department of Pediatrics, Chang Gung Memorial Hospital Linko branch, Taoyuan, Taiwan
| | - Liang-Shiou Ou
- 0000 0004 1756 999Xgrid.454211.7Division of Allergy, Asthma, and Rheumatology, Department of Pediatrics, Chang Gung Memorial Hospital Linko branch, Taoyuan, Taiwan
| | - Jing-Long Huang
- Division of Allergy, Asthma, and Rheumatology, Department of Pediatrics, Chang Gung Memorial Hospital Linko branch, Taoyuan, Taiwan. .,Chang Gung University, College of Medicine, Taoyuan, Taiwan.
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Kane BS, Sow M, Djiba B, Ndao AC, Dieng M, Ndongo S, Pouye A. Haemorrhage Secondary to Cerebral Aneurysm in a Senegalese Patient with Systemic Lupus Erythematosus: A Case Report. Health (London) 2019. [DOI: 10.4236/health.2019.1112123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Slouma M, Ben Abdelghani K, Tlili R, Kassab S, Laatar A, Zakraoui L. An uncommon cause of ischemic stroke in systemic lupus erythematosus: Giant Lambl's excrescence. INDIAN JOURNAL OF RHEUMATOLOGY 2016. [DOI: 10.1016/j.injr.2015.10.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Bouissar W, Moudatir M, Alaoui FZ, Echchilali K, El Kabli H. [Myelitis in systemic lupus erythematosus: Two new cases]. Rev Neurol (Paris) 2015; 171:799-802. [PMID: 26318900 DOI: 10.1016/j.neurol.2015.06.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2015] [Revised: 05/19/2015] [Accepted: 06/02/2015] [Indexed: 11/27/2022]
Affiliation(s)
- W Bouissar
- Service de médecine interne, CHU Ibn-Rochd, Pavillon 38, quartier des hôpitaux, Casablanca, Maroc.
| | - M Moudatir
- Service de médecine interne, CHU Ibn-Rochd, Pavillon 38, quartier des hôpitaux, Casablanca, Maroc
| | - F Z Alaoui
- Service de médecine interne, CHU Ibn-Rochd, Pavillon 38, quartier des hôpitaux, Casablanca, Maroc
| | - K Echchilali
- Service de médecine interne, CHU Ibn-Rochd, Pavillon 38, quartier des hôpitaux, Casablanca, Maroc
| | - H El Kabli
- Service de médecine interne, CHU Ibn-Rochd, Pavillon 38, quartier des hôpitaux, Casablanca, Maroc
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Özen G, Yılmaz-Öner S, Tuncer N, Akbaş T, Tuğlular S, Direskeneli H. A severe case of systemic lupus erythematosus with increased pressure communicating hydrocephalus. Eur J Rheumatol 2015; 2:76-77. [PMID: 27708931 DOI: 10.5152/eurjrheum.2015.0084] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2014] [Accepted: 08/22/2014] [Indexed: 11/22/2022] Open
Abstract
Normal/increased pressure hydrocephaly is an unusual manifestation of systemic lupus erythematosus (SLE), and the pathogenesis is still unclear. We report the case of an 18-year-old white female with severe refractory renal and pulmonary involvement who developed stupor during intensive immunosuppressive treatment. Enlarged ventricles on imaging and increased intracranial pressure with the exclusion of infectious and hemorrhagic/thrombotic processes suggested increased pressure communicating hydrocephalus associated with SLE. Few case reports are reviewed, and potential pathophysiologic mechanisms are discussed.
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Affiliation(s)
- Gülşen Özen
- Department of Rheumatology, Marmara University, Faculty of Medicine, Istanbul, Turkey
| | - Sibel Yılmaz-Öner
- Department of Rheumatology, Marmara University, Faculty of Medicine, Istanbul, Turkey
| | - Neşe Tuncer
- Department of Neurology, Marmara University, Faculty of Medicine, Istanbul, Turkey
| | - Türkay Akbaş
- Department of Internal Medicine and Critical Care Unit, Marmara University, Faculty of Medicine, Istanbul, Turkey
| | - Serhan Tuğlular
- Department of Nephrology, Marmara University, Faculty of Medicine, Istanbul, Turkey
| | - Haner Direskeneli
- Department of Rheumatology, Marmara University, Faculty of Medicine, Istanbul, Turkey
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Ha-ou-nou F, Dehbi S, Zahlane M, Kissani N, Essaadouni L. Polyradiculonévrite aiguë révélant un lupus érythémateux systémique : une présentation inhabituelle d’évolution fatale. Rev Med Interne 2014; 35:65-7. [DOI: 10.1016/j.revmed.2012.11.010] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2012] [Revised: 11/02/2012] [Accepted: 11/26/2012] [Indexed: 11/30/2022]
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