Research Article

Value of Urinary Neutrophil Gelatinase-Associated Lipocalin versus Conventional Biomarkers in Predicting Response to Treatment of Active Lupus Nephritis

Table 1

Patients’ characteristics and laboratory results.

VariableNo. (%) or mean/SD

Female35 (87.5%)
Age (years)25.63 ± 4.26
Duration of SLE (months)37 ± 29.5
Systolic blood pressure (mmHg)130.00 ± 11.98
Diastolic blood pressure (mmHg)75.00 ± 9.94
SLEDAI score19.55 ± 4.70
rSLEDAI score14.20 ± 3.13
Systemic organ involvement
Nephritis only8 (20.0%)
Arthritis11 (27.5%)
Cutaneous lupus11 (27.5%)
Serositis11 (27.5%)
Hematological involvement9 (22.5%)
Carditis4 (10%)
Vasculitis2 (5%)
Neurological lupus2 (5%)
ISN/RPS class
III5 (12.5%)
IV18 (45.0%)
V4 (10.0%)
III + V4 (10.0%)
IV + V9 (22.5%)
Activity index in renal biopsy7.53 ± 1.55
Chronicity index in renal biopsy4.75 ± 1.21
Immunosuppressive agents
IV cyclophosphamide25 (62.5%)
Mycophenolate mofetil15 (37.5%)
Laboratory results
Serum albumin2.56 ± 0.37 g/dL
Hemoglobin9.89 ± 1.46 gm/dL
BUN46.53 ± 8.86 mg/dL
Creatinine2.57 ± 0.96 mg/dL
eGFR41.63 ± 26.02 mL/min/1.73 m2
Complement component 3 (C3)63.90 ± 19.65 mg/dL
Complement component 4 (C4)16.75 ± 4.53 mg/dL
Pr/Cr ratio2.89 ± 1.39 mg/mg
UNGAL33.50 ± 18.34 ng/mL

SLE, systemic lupus erythematosus; SLEDAI, SLE disease activity index; rSLEDAI, renal SLE disease activity index; ISN/RPS, International Society of Nephrology/Renal Pathology Society; IV, intravenous; eGFR, estimated glomerular filtration rate; BUN, blood urea nitrogen; C3, complement component 3; C4, complement component 4; Pr/Cr ratio, protein-to-creatinine ratio; UNGAL, urinary neutrophil gelatinase-associated lipocalin.