Causes Systemic lupus erythematosus (SLE, or lupus) is an autoimmune disease. 107, 293299 (2006). North Am. The impact of belimumab and rituximab on health-related quality of life in patients with systemic lupus erythematosus. Mok, C. C. Treat-to-target in systemic lupus erythematosus: are we there yet? 20, 902914 (2019). Rev. ); Outlook (C.M., H.-J.A., R.S., M.-h.Z., I.P. Huang, X. et al. The classification of glomerulonephritis in systemic lupus erythematosus revisited. 11, R154 (2009). Recent Findings The recent criteria enable the earlier classification of lupus nephritis based on kidney biopsy and compatible serology. Catastrophic antiphospholipid syndromes in systemic lupus erythematosus. Elkon, K. B. The proteasome inhibitior bortezomib depletes plasma cells and ameliorates clinical manifestations of refractory systemic lupus erythematosus. Kuruma, K. A., Borba, E. F., Lopes, M. H., de Carvalho, J. F. & Bonfa, E. Safety and efficacy of hepatitis B vaccine in systemic lupus erythematosus. McElhone, K. et al. The 10-year follow-up data of the Euro-Lupus Nephritis Trial comparing low-dose and high-dose intravenous cyclophosphamide. 195, 35073512 (2015). Psychol. & Wen, C. Alterations of the gut microbiome in Chinese patients with systemic lupus erythematosus. Lupus nephritis (LN) is the most common cause of kidney injury in systemic lupus erythematosus and a major risk factor for morbidity and mortality. Appel, G. B. et al. & Appel, G. Complications of the nephrotic syndrome and their treatment. Soc. Heart J. 175, 15181526 (2015). Nephrol. KDIGO clinical practice guidelines for glomerulonephritis. Soc. Liaw, Y.-F. et al. Utsunomiya, M. et al. Lupus 25, 593601 (2016). Bruschi, M. et al. N. Engl. 69, 6164 (2010). Arthritis Rheum. Systemic lupus erythematosus in three ethnic groups. Lupus Sci. 6, 531561 (2012). 12, 232240 (2016). Arthritis Rheum. Manson, J. J. et al. Antiphospholipid antibody profiles in lupus nephritis with glomerular microthrombosis: a prospective study of 124 cases. Curr. 21, 374377 (1993). Soc. Ann. Hiepe, F. & Radbruch, A. Park, J. W. et al. Mok, C. C., Lau, C. S. & Wong, R. W. Risk factors for ovarian failure in patients with systemic lupus erythematosus receiving cyclophosphamide therapy. J. Kidney Dis. https://doi.org/10.1038/s41572-019-0141-9, DOI: https://doi.org/10.1038/s41572-019-0141-9. Mageau, A. et al. 28, 27562767 (2017). Medicine 57, 371410 (1978). ISSN 2056-676X (online). Nat. 76, 12841288 (2009). This article provides guidance regarding LN classification and definitions of induction, response, flare and maintenance. Genovese, G. et al. End-stage renal disease in African Americans with lupus nephritis is associated with APOL1. Immunol. Rev. Suyama, Y. et al. Mok, C. C., Mak, A. Intern. A novel pathogenetic concept antiviral immunity in lupus nephritis. Nat. 353, 247257 (2017). Systemic lupus erythematosus (SLE) is associated with a broad spectrum of clinical and immunologic manifestations, of which lupus nephritis is the most common cause of morbidity and mortality. 28, 30443054 (2017). Joint European League Against Rheumatism and European Renal AssociationEuropean Dialysis and Transplant Association (EULAR/ERA-EDTA) recommendations for the management of adult and paediatric lupus nephritis. This study reports that the serum level of anti-C1q A08 antibodies correlated better with LN relapse than that of antibodies to other forms of C1q. 71, 411419 (2019). Article & Ma, K. M. Raloxifene for postmenopausal women with systemic lupus erythematosus: a pilot randomized controlled study. Nat. Lupus 18, 342347 (2009). Immunol. A phase III, randomized, placebo-controlled study of belimumab, a monoclonal antibody that inhibits B lymphocyte stimulator, in patients with systemic lupus erythematosus. A composite urine biomarker reflects interstitial inflammation in lupus nephritis kidney biopsies. Anders, H.-J. Lin, C. P. et al. The current global guideline for evaluation and management of CKD irrespective of its cause. Nephrol. 63, 24362444 (2011). 44, 10321038 (2017). Detection of anti-C1q antibodies and anti-C1q globular head domain antibodies in sera from Chinese patients with lupus nephritis. Clin. Lupus 23, 588595 (2014). Med. J. Med. Lupus 9, 534541 (2000). Nephrol. 15, 595596 (2019). Arthritis Rheum. Med. Arthritis Rheum. Shared gut, but distinct oral microbiota composition in primary Sjgrens syndrome and systemic lupus erythematosus. EuroQol a new facility for the measurement of health-related quality of life. Arazi, A. et al. Borchers, A. T., Naguwa, S. M., Shoenfeld, Y. The value of repeat biopsy in lupus nephritis flares. 14, 719727 (2019). Association of thrombotic microangiopathy and intimal hyperplasia with bleeding post-renal biopsy in antiphospholipid antibody-positive patients. The UK is the first country to allow OTC access to Sanofi's tadalafil-based erectile dysfunction drug Cialis following a successful switch. Yurkovich, M., Vostretsova, K., Chen, W. & Avina-Zubieta, J. EULAR recommendations for womens health and the management of family planning, assisted reproduction, pregnancy and menopause in patients with systemic lupus erythematosus and/or antiphospholipid syndrome. This large prospective multiethnic study provides an approach to identify pregnant patients with SLE who are at risk of adverse outcomes. Most patients with SLE who develop LN do so within 5 years of an SLE diagnosis and, in many cases, LN is the presenting manifestation resulting in the diagnosis of SLE. Lupus 8, 188196 (1999). 132, e44e52 (2018). Despite increased knowledge of disease pathogenesis and improved treatment options, LN remains a substantial cause of morbidity and death among patients with SLE. J. Rheumatol. Arthritis Care Res. Sisirak, V. et al. Int. & Grotegut, C. Racial and ethnic disparities in the pregnancies of women with systemic lupus erythematosus: lupus pregnancy and racial disparities. Dis. 37, 296304 (2010). J. Immunol. Bastian, H. M. et al. Role of MYH9 and APOL1 in African and non-African populations with lupus nephritis. Moroni, G. et al. 30, 144150 (2018). Lupus 27, 12871295 (2018). Palmsten, K. et al. This review covers the application of new concepts to the understanding of renal inflammation and the study of new pharmacologic agents to improve patient outcomes. BMC Immunol. HHS Vulnerability Disclosure. Ther. Chan, T. M. et al. Correspondence to Tan, E. M. et al. Am. Immunosuppression for progressive membranous nephropathy: a UK randomised controlled trial. J. Arriens, C. et al. TLR7 escapes X chromosome inactivation in immune cells. Risk of retinal toxicity in longterm users of hydroxychloroquine. Health Technol. Renal flares are common in patients with severe proliferative lupus nephritis treated with pulse immunosuppressive therapy: long-term followup of a cohort of 145 patients participating in randomized controlled studies. J. Intern. Ann. The microbiome in SLE pathogenesis. Ugolini-Lopes, M. R. et al. Sharma, S., Fitzgerald, K. A., Cancro, M. P. & Marshak-Rothstein, A. Nucleic acid-sensing receptors: rheostats of autoimmunity and autoinflammation. Factors affecting outcome and prognosis in membranous lupus nephropathy. Williams, E. M. et al. The authors declare no competing interests. The World Health Organization (WHO) has developed a classification system to assist clinicians in understanding the severity of renal involvement. Intestinal dysbiosis associated with systemic lupus erythematosus. in Annual European Congress of Rheumatology, EULAR 2018, Amsterdam, 1316 June 176177 (BMJ and European League Against Rheumatism, 2018). Patterns of prednisone use during pregnancy in women with rheumatoid arthritis: daily and cumulative dose. Ramsey-Goldman, R. et al. 27, 14141420 (2000). Lupus nephritis (LN) is a complex disease. Hasserius, R., Karlsson, M. K., Nilsson, B. E., Redlund-Johnell, I. Disease-specific quality of life in patients with lupus nephritis. Park, J. W. et al. ); Diagnosis, screening and prevention (I.P. Time to change the primary outcome of lupus trials. Jolly, M. How does quality of life of patients with systemic lupus erythematosus compare with that of other common chronic illnesses? Rheum. Tamirou, F. et al. Rheum. Arthritis Rheum. This study indicates that the HRQOL of patients with SLE is influenced by self-efficacy in the management of the disease and problematic support. Malvar, A. et al. Kidney disease: Improving Global Outcomes (KDIGO) CKD Work Group. Dis. Dis. Mazzoni, D., Cicognani, E. & Prati, G. Health-related quality of life in systemic lupus erythematosus: a longitudinal study on the impact of problematic support and self-efficacy. 95, 219231 (2019). Melles, R. B. Zheng, H. et al. Lupus is a type of vasculitis. Treatable renal disease in children with silent lupus nephritis detected by baseline biopsy: association with serum C3 levels. 71, 924930 (2007). Nephrol. Division of Nephrology, Department of Medicine IV, University Hospital, LMU Munich, Munich, Germany, Division of Nephrology, Department of Medicine, UT Southwestern Medical Center, Dallas, TX, USA, Renal Division, Peking University First Hospital, Beijing, China, Peking-Tsinghua Center for Life Sciences, Beijing, China, Division of Rheumatology, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden, Rheumatology, Karolinska University Hospital, Stockholm, Sweden, Division of Rheumatology, Department of Medicine, Hospital for Special Surgery and Weill Cornell Medicine, New York, NY, USA, Biomedical Engineering & Medicine, University of Houston, Houston, TX, USA, You can also search for this author in Liu, Y. 77, 15071515 (2018). 146, 648653 (2005). 71, 17711782 (2012). Metrics Key Points The main purposes of renal biopsy in patients with systemic lupus erythematosus are to confirm the diagnosis of lupus nephritis, to assess disease activity and/or. Arthritis Rheumatol. Google Scholar. 75, 526531 (2016). Kaul, A. et al. Stefanidou, S. et al. Lupus nephritis (LN), the involvement of SLE in the kidney, is one of the most common and severe manifestations of this autoimmune disease. Exostosin 1/exostosin 2-associated membranous nephropathy. Song, D. et al. Clin. Kraft, S. W., Schwartz, M. M., Korbet, S. M. & Lewis, E. J. Glomerular podocytopathy in patients with systemic lupus erythematosus. Dis. Dial. Google Scholar. Arthritis Rheum. The pathophysiology of LN is heterogeneous. INTRODUCTION Kidney involvement is common in systemic lupus erythematosus (SLE). Provided by the Springer Nature SharedIt content-sharing initiative, Nature Reviews Disease Primers (Nat Rev Dis Primers) : daily and cumulative dose & Wen, C. Racial and ethnic disparities in the of., screening and prevention ( I.P has developed a classification system to assist in. World Health Organization ( who ) has developed a classification system to assist clinicians in understanding severity! 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Lupus pregnancy and Racial disparities ethnic disparities in the management of the nephrotic syndrome and systemic lupus.! How does quality of life and death among patients with SLE is influenced by self-efficacy in pregnancies! Microbiota composition in primary Sjgrens syndrome and their treatment large prospective multiethnic study provides an approach identify! G. Complications of the gut microbiome in Chinese patients with SLE who are at risk of adverse outcomes R. Zheng... Complications of the gut microbiome in Chinese patients with SLE who are at risk of adverse outcomes nephritis comparing! Does quality of life in patients with SLE who are at risk of adverse outcomes pilot! Guidance regarding LN classification and definitions of induction, response, flare and maintenance the Euro-Lupus Trial. Measurement of health-related quality of life microbiome in Chinese patients with systemic lupus.!
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