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ArticleCurrent health sciences journal

Potential Biomarkers for Disease Activity in Systemic Lupus Erythematosus.

Oana Raluca Predescu, Ananu Florentin Vreju, Ștefan Cristian Dinescu, Alesandra Florescu, Cristina Elena Bita, Anca Emanuela Mușetescu, Andreea Lili Barbulescu, Paulina Lucia Ciurea

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Article in Current health sciences journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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

8 authors.

Oana Raluca PredescuDoctoral School of the University of Medicine and Pharmacy of Craiova, Romania.
Ananu Florentin VrejuDepartment of Rheumatology, University of Medicine and Pharmacy of Craiova, Romania.
Ștefan Cristian DinescuDepartment of Rheumatology, University of Medicine and Pharmacy of Craiova, Romania.
Alesandra FlorescuDepartment of Rheumatology, University of Medicine and Pharmacy of Craiova, Romania.
Cristina Elena BitaDepartment of Rheumatology, University of Medicine and Pharmacy of Craiova, Romania.
Anca Emanuela MușetescuDepartment of Rheumatology, University of Medicine and Pharmacy of Craiova, Romania.
Andreea Lili BarbulescuDepartment of Pharmacology, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, Romania.
Paulina Lucia CiureaDepartment of Rheumatology, University of Medicine and Pharmacy of Craiova, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe study has as main objective the evaluation of the potential roles of vitamin D, the neutrophil to lymphocyte ratio (NLR), and the systemic inflammation index (SII) as future biomarkers regarding the classification of flares in systemic lupus erythematosus (SLE). MATERIAL AND

methodsIndividuals diagnosed with SLE were encompassed in this observational study. The current applicable criteria, namely The European Alliance of Associations for Rheumatology (EULAR)/American College of Rheumatology (ACR) 2019 criteria had to be fulfilled. The participants underwent specific musculoskeletal examination, paraclinical investigations including complete blood count (CBC), determination of serum creatinine levels, as well as liver enzymes, and also the markers of inflammation. The fractions of the serum complement (C3 and C4) were also evaluated, together with serum vitamin D concentrations. Safety of Estrogens in Lupus National Assessment-Systemic Lupus Erythematosus Disease Activity Index (SELENA-SLEDAI) was required in order to analyze the research group's disease activity.

resultsNLR and SII demonstrated validity, having statistically significant correlations with SELENA-SLEDAI (p value less than 0.001). The ROC analysis proved a strong discriminative power for NLR (AUC=0.96) and SII (AUC=0.963) in predicting severe disease flares. Optimal cut-off values were 3.45 for NLR and 877,002.19 for SII. Serum vitamin D concentrations had a weak association with the SLEDAI score (p=0.048, r=0.213).

conclusionsNLR and SII can be considered reliable biomarkers for discriminating between the levels of disease activity in SLE individuals. Low serum levels of vitamin D may also influence disease severity, but require further validation.

Indexed as

disease activity scoreNLRSIIvitamin D

Identifiers

PMID39574502
PMCPMC11578361

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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.