Evidence map›Paper›PMID 37874503›Full record

ArticleIrish journal of medical science2024

YKL-40 in serum: a promising biomarker of juvenile SLE and strongly correlated with disease duration.

Asmaa A Ali, Rasha N Yousef, Mai S Elsheikh, Abeer R Salamah, Liang L Wu, Alshaimaa R Alnaggar, Noha M Khalil, Mervat E Behiry

Abstract read
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Article in Irish journal of medical science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Asmaa A AliDepartment of Laboratory Medicine, School of Medicine, Jiangsu University, Zhenjiang, 212013, P. R., Zhenjiang, China.
Rasha N YousefDepartment of Clinical and Chemical Pathology, Medical Research and Clinical Studies Institute, National Research Center, Giza, Egypt. rashanazzih@yahoo.com.ORCID http://orcid.org/0000-0002-1694-4968
Mai S ElsheikhDepartment of Complementary Medicine, Medical Research and Clinical Studies Institute, National Research Center, Giza, Egypt.
Abeer R SalamahDepartment of Molecular Genetics and Enzymology, Human Genetics and Genomic Research Institute, National Research Center, Giza, Egypt.
Liang L WuDepartment of Laboratory Medicine, School of Medicine, Jiangsu University, Zhenjiang, 212013, P. R., Zhenjiang, China.
Alshaimaa R AlnaggarInternal Medicine Department, Rheumatology and Clinical Immunology Unit, KasrAlainy School of Medicine, Cairo University, Cairo, Egypt.
Noha M KhalilInternal Medicine Department, Rheumatology and Clinical Immunology Unit, KasrAlainy School of Medicine, Cairo University, Cairo, Egypt.
Mervat E BehiryInternal Medicine Department, Rheumatology and Clinical Immunology Unit, KasrAlainy School of Medicine, Cairo University, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe biological function of YKL-40 is not well determined in different inflammatory and autoimmune diseases; however, some data highlighted its possible connection with disease activity.

aimWe investigated the diagnostic utility of serum YKL-40 in patients with SLE and examined its correlation with disease activity. Additionally, we examined any differences in serum YKL-40 levels between juvenile and adult SLE patients.

methodsWe included 78 female patients with SLE and 42 controls. The level of YKL-40 in serum was measured by ELISA.

resultsThe serum YKL-40 level in SLE patients was significantly higher compared to the control group (9 (3) ng/mL vs. 5.5 (0.1) ng/mL; p < 0.001). YKL-40 showed excellent diagnostic utility with an AUC of 1 (p < 0.001) and a cutoff point of 5.6, providing sensitivity and specificity of 100%. YKL-40 was higher in adolescents and those with a positive family history of SLE (p = 0.01 for both) and positively correlated with disease duration (r = 0.45, p < 0.001). YKL-40 level was significantly higher in patients with photosensitivity, fever, vasculitis, blood disorders, positive anti-dsDNA, and APL ab (p < 0.05 for all). Conversely, patients with skin manifestations had a significantly lower YKL-40 (p = 0.004). In juvenile SLE, the AUC was 0.65 and a p-value of 0.01, and at a cutoff value of (8.7) ng/mL, the sensitivity and specificity were 72% and 60%, respectively.

conclusionYKL-40 in serum could be a promising biomarker in patients with SLE, especially in adolescent-onset cases. It is independently influenced by disease duration, anemia, thrombocytopenia, positive anti-dsDNA, and APL ab features.

Indexed as

BiomarkersChitinase-3-Like Protein 1Lupus Erythematosus, SystemicAdolescentAdultCase-Control StudiesChildFemaleHumansYoung AdultBiomarkersCHI3L1 protein, humanChitinase-3-Like Protein 1Disease durationJuvenile onset SLESLEYKL-40

Identifiers

PMID37874503
PMCPMC11128401

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