Evidence map›Paper›PMID 39404817›Full record

ArticleRheumatology (Oxford, England)2025

Soluble urine activated leukocyte cell adhesion molecule is a strong predictor of lupus nephritis.

Dalena Chu, Noa Schwartz, Jeanette Ampudia, Joel Guthridge, Judith James, Jill P Buyon, Stephen Connelly, Maple Fung, Cherie T Ng, Accelerating Medicines Partnership: RA/SLE Network and 4 more

Abstract readMulticenter Study
In one paragraph

Article in Rheumatology (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Dalena ChuEquillium, La Jolla, CA, USA.ORCID 0000-0002-6292-9435
Noa SchwartzDepartment of Medicine, Division of Rheumatology, Albert Einstein College of Medicine, Bronx, NY, USA.
Jeanette AmpudiaEquillium, La Jolla, CA, USA.
Joel GuthridgeOklahoma Medical Research Foundation, Oklahoma City, OK, USA.
Judith JamesOklahoma Medical Research Foundation, Oklahoma City, OK, USA.
Jill P BuyonDepartment of Medicine, Division of Rheumatology, New York University School of Medicine, New York, NY, USA.
Stephen ConnellyEquillium, La Jolla, CA, USA.
Maple FungEquillium, La Jolla, CA, USA.
Cherie T NgEquillium, La Jolla, CA, USA.
Accelerating Medicines Partnership: RA/SLE Network
Andrea FavaDepartment of Medicine, Division of Rheumatology, John Hopkins Medicine, Baltimore, MD, USA.ORCID 0000-0001-6738-4836
Michelle PetriDepartment of Medicine, Division of Rheumatology, John Hopkins Medicine, Baltimore, MD, USA.
Chandra MohanDepartment of Biomedical Engineering, University of Houston, Houston, TX, USA.
Chaim PuttermanDepartment of Medicine, Division of Rheumatology, Albert Einstein College of Medicine, Bronx, NY, USA.ORCID 0000-0002-3204-6068

Funding

PEARL: Pathway Exploration and Analysis in Renal LupusUH2AR067688 · NIAMS · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI DIAMOND, BETTY, WOFSY, DAVID · 2014 to 2020
$9.0M
Tissue Acquisition Research GroupUM2AR067678 · NIAMS · STANFORD UNIVERSITY · PI HOLERS, VERNON MICHAEL, UTZ, PAUL JOSEPH · 2014 to 2020
$8.2M
Multi-Ethnic Translational Research Optimization (METRO) Lupus ConsortiumUH2AR067689 · NIAMS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BUYON, JILL P, PUTTERMAN, CHAIM · 2014 to 2020
$6.3M
Evolving Adaptive and Effector Mechanisms from Pre-RA Through Established DiseaseUH2AR067681 · NIAMS · UNIVERSITY OF COLORADO DENVER · PI HOLERS, VERNON MICHAEL · 2014 to 2020
$5.5M
Molecular and Cellular Dissection of Early Rheumatoid ArthritisUH2AR067694 · NIAMS · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI BRENNER, MICHAEL B., GREGERSEN, PETER K. · 2014 to 2020
$5.4M
RA-SLE Molecular Deconstruction Leadership CenterUH2AR067677 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI BRENNER, MICHAEL B., RAYCHAUDHURI, SOUMYA · 2014 to 2020
$4.3M
Cellular Dynamics at the Synovium-Bone interface in RAUH2AR067690 · NIAMS · UNIVERSITY OF ROCHESTER · PI ANOLIK, JENNIFER HOWITT · 2014 to 2020
$3.0M
Clinical applications of urine proteomics to lupus nephritisR01DK134625 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI Andrea Fava · 2023 to 2026
$2.8M
Stanford Technology Accelerating Medicines Partnership CenterUH2AR067676 · NIAMS · STANFORD UNIVERSITY · PI ROBINSON, WILLIAM H, UTZ, PAUL JOSEPH · 2014 to 2020
$2.6M
Accelerating Medicines Partnership in RA and Lupus: Network Sites (UH2/UH3)UH2AR067679 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI PETRI, MICHELLE A · 2014 to 2020
$2.1M
Molecular Pathways in Treatment Response and Flare in RAUH2AR067691 · NIAMS · HOSPITAL FOR SPECIAL SURGERY · PI BYKERK, VIVIAN P, IVASHKIV, LIONEL B · 2014 to 2020
$2.0M
UPITT Rheumatoid Arthritis Combined Center (UPITT RACC)UH2AR067685 · NIAMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MCGEACHY, MANDY J, MORELAND, LARRY W · 2014 to 2019
$1.2M
NIAMS NIH HHS UH2 AR067676NIAMS NIH HHS UH2 AR067677NIAMS NIH HHS UH2 AR067679NIAMS NIH HHS UH2 AR067681NIAMS NIH HHS UH2 AR067685NIAMS NIH HHS UH2 AR067688NIAMS NIH HHS UH2 AR067689NIAMS NIH HHS UH2 AR067690NIAMS NIH HHS UH2 AR067691NIAMS NIH HHS UH2 AR067694NIAMS NIH HHS UM2 AR067678NIDDK NIH HHS R01 DK134625NIH HHS UH2-AR067676
6 · The paper itself

Abstract

objectivesTo evaluate urinary activated leucocyte cell adhesion molecule (ALCAM) and CD6 as predictors of LN progression or disease resolution across a 1-year study.

methodsSerum and urine samples from biopsy proven LN subjects (n = 122) were prospectively collected over the course of a year at 3- or 6-month intervals (weeks 0, 12, 26 and 52) across multiple study sites and assessed for soluble ALCAM and CD6 levels. Urine creatinine from the same urine sample was used to normalize the levels of urinary ALCAM and urinary CD6. Measured levels of serum and urine ALCAM and CD6 were then analysed against disease metrics cross-sectionally and longitudinally.

resultsCross-sectional analysis at baseline revealed that urinary ALCAM significantly correlated with urine protein creatinine ratio, renal SLEDAI, and the Physician Global Assessment (PGA), and negatively correlated with serum C3 and C4. Receiver operating characteristic curve analysis demonstrated that urinary ALCAM is a predictor of LN with an area under the curve (AUC) of 0.97, compared with urinary CD6 with an AUC of 0.71. Importantly, the change in urinary ALCAM over a 3-month period distinguished between non-responders and responders at week 52.

conclusionUrinary ALCAM is reflective of changes in LN and may be predictive of response status.

Indexed as

Activated-Leukocyte Cell Adhesion MoleculeAntigens, CDAntigens, Differentiation, T-LymphocyteCell Adhesion Molecules, NeuronalLupus NephritisAdultBiomarkersCross-Sectional StudiesDisease ProgressionFemaleHumansLongitudinal StudiesMaleMiddle AgedPredictive Value of TestsProspective StudiesActivated-Leukocyte Cell Adhesion MoleculeALCAM protein, humanAntigens, CDAntigens, Differentiation, T-LymphocyteBiomarkersCD6 antigenCell Adhesion Molecules, NeuronalALCAMCD6lupus nephritisurine biomarkers

Identifiers

PMID39404817
PMCPMC12048083

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.