2010
DOI: 10.1007/s10157-010-0322-z
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Increased urinary levels of the leukocyte adhesion molecules ICAM-1 and VCAM-1 in human lupus nephritis with advanced renal histological changes: preliminary findings

Abstract: The significantly high urinary levels of the adhesion molecules in the LN group with advanced histological changes may reflect their renal tissue expression and therefore the severity of the nephritis. Renal tissue damage in these cases may be the result of transmigration of activated inflammatory cells, inducing serious tissue damage. The hypocomplementemia combined with increased urinary levels of adhesion molecules seems to be a useful biomarker of disease severity in LN.

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Cited by 60 publications
(54 citation statements)
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“…In human SLE, specific genetic polymorphisms in the gene for MCP-1 are associated with the development of LN [58, 59], and urinary MCP-1 levels reflect disease activity and correlate with renal histology and SLEDAI score [60, 61], and predict disease relapse [62]. Urine VCAM-1, an adhesion molecule important in cell recruitment into tissues, is increased in mice and patients with lupus nephritis [19, 63], and correlates with proteinuria, disease activity scores [19], and histological damage [64]. Urinary levels of IP-10, a monocyte secreted chemokine that regulates T cell migration into the kidney, accurately identifies active class IV LN, and predicts response to therapy [65].…”
Section: Discussionmentioning
confidence: 99%
“…In human SLE, specific genetic polymorphisms in the gene for MCP-1 are associated with the development of LN [58, 59], and urinary MCP-1 levels reflect disease activity and correlate with renal histology and SLEDAI score [60, 61], and predict disease relapse [62]. Urine VCAM-1, an adhesion molecule important in cell recruitment into tissues, is increased in mice and patients with lupus nephritis [19, 63], and correlates with proteinuria, disease activity scores [19], and histological damage [64]. Urinary levels of IP-10, a monocyte secreted chemokine that regulates T cell migration into the kidney, accurately identifies active class IV LN, and predicts response to therapy [65].…”
Section: Discussionmentioning
confidence: 99%
“…121 VCAM-1 plays a role in tethering leukocytes, which are drawn to sites of inflammation, to endothelial cells. 122 Urinary VCAM-1 has been shown in several studies of human disease to be strongly correlated with LN activity and severity 77,123,124 in LN. Serum levels of VCAM have previously been shown to correlate with the severity of LN, being highest in WHO Class III and IV, versus inactive or mild nephritis (WHO Class I or II), 125 and levels diminished with treatment.…”
Section: Types Of Ln Biomarkersmentioning
confidence: 99%
“…The histology of DPH in SLE patients is characterized by acute lupus pneumonitis, associated interstitial infiltration by mononuclear and polynuclear leukocytes, the presence of hyaline membranes, alveolar necrosis, edema, microvascular thrombi, and intima proliferation with deposits of hemosiderin phagocytosing macrophages (6). Several studies reporting histologic evaluations of skin or kidney specimens in human SLE patients showed that the interaction between complement activated leukocytes and endothelial expression of VCAM-1 and ICAM-1 on the vasculature may be important for leukocyte migration into immune complex (IC)-deposited tissue (7,8). However, the underlying mechanism of SLE-related DPH remains unclear because lung biopsy has not been performed routinely for diagnosis in patients with hemorrhagic complications, and no suitable animal model exists for recapitulating DPH.…”
mentioning
confidence: 99%