Research Article

Prognostic Factors for Clinical Response in Systemic Lupus Erythematosus Patients Treated by Allogeneic Mesenchymal Stem Cells

Table 2

Patient’s characteristics divided by CR.

VariablesCR
()
Without CR
()
value

Age/years, median (range)38 (23-54)30 (20-54)0.03
SLE duration/months, median (range)53.5 (13-232)78 (2-264)0.33
Female15 (93.75%)46 (86.79%)0.67
Prior SLE medication history
 Prednisone daily dose (mg)
  ≤205 (31.25%)23 (43.4%)0.39
  >2011 (68.75%)30 (56.6%)
 CYC use6 (37.5%)41 (77.4%)0.003
 MMF use4 (25.0%)15 (28.3%)0.80
 HCQ use3 (18.8%)28 (52.8%)0.02
 LEF use1 (6.3%)13 (24.5%)0.11
Clinical and biological symptoms
 Fever5 (31.3%)20 (37.7%)0.64
 Rash12 (75.0%)32 (60.4%)0.38
 Photosensitivity10 (62.5%)23 (43.4%)0.18
 Oral ulcers4 (25.0%)8 (15.1%)0.45
 Arthralgia/arthritis6 (37.5%)43 (81.1%)0.001
 Serositis1 (6.3%)16 (30.2%)0.09
 Vasculitis5 (31.3%)9 (17.0%)0.21
 Alopecia5 (31.3%)14 (26.4%)0.70
 Renal disorder14 (87.5%)50 (94.3%)0.33
 Active lupus nephritis13 (81.3%)50 (94.3%)0.10
lupus nephritis®
  Stage III0 (0%)2 (20%)0.63
  Stage IV1 (100%)5 (50%)
  Stage V0 (0%)3 (30%)
 Neurologic disorder3 (18.8%)2 (3.8%)0.08
 Cardiorespiratory disorder2 (12.5%)17 (32.1%)0.20
 Hematological disorder7 (43.8%)25 (47.2%)0.81
 Immunologic disorder8 (50.0%)32 (60.4%)0.46
 Antinuclear antibodies11 (68.8%)43 (81.1%)0.29
 Anti-dsDNA6 (37.5%)21 (39.6%)0.88
 Anti-Sm4 (25.0%)17 (32.1%)0.76
 Anti-SSA6 (37.5%)11 (20.8%)0.17
 Anti-SSB0 (0%)6 (11.3%)0.32
 Low complement7 (43.8%)23 (43.4%)0.98
CYC induction
 CYC induction7 (43.8%)35 (66.0%)0.11
  <1.2 g0 (0%)3 (8.6%)0.42
  ≥1.2 g7 (100%)32 (91.4%)
Allo-MSC transplantation
 UC-MSCs10 (62.5%)41 (77.4%)0.33
 Second MSCs4 (25.0%)20 (37.7%)0.35
SLEDAI median (range)
 Baseline13 (9-34)13 (8-27)0.72
 M16 (4-20)10 (4-18)0.01
 M36 (0-16)8 (4-14)0.04
 M64 (0-8)7 (3-18)<0.001
 M122 (0-8)6 (4-18)<0.001

CR: clinical remission; SLE: systemic lupus erythematosus; Anti-dsDNA: anti-double-stranded DNA antibody; Allo-MSCs: allogenic mesenchymal stem cells; BM: bone marrow-derived; UC: umbilical cord-derived; SLEDAI: Systemic Lupus Erythematosus Disease Activity Index; CYC: cyclophosphamide; MMF: mycophenolate mofetil; HCQ: hydroxychloroquine; LEF: leflunomide; M: follow-up months. Fisher test. ®Only for the patients with available kidney biopsy.