Volume 20 No 12 (2022)
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Soluble Urokinase Plasminogen Activator Receptor as a Predictor of Renal Damage in Systemic Lupus Patients
Nafesa M. Kamal, Salem Aly El Deeb , Ahmed Mohamed Gaballah , Sara Ghwnimy Bayomy El Said Eissa, Salama E. Farag
Abstract
Systemic lupus erythematosus (SLE) is a chronic inflammatory disorder of
autoimmune etiology with multisystemic affection. SLE represents a high burden on general
health world widely as it causes high morbidity and mortality rates. Lupus nephritis (LN) is a
severe organ lesion form which affect high percentage of SLE patients and may end by
developing of end-stage renal disease (ESRD) or even death. Urokinase plasminogen activator
receptor (uPAR) is a membrane-bound receptor which is mainly expresses on the membrane of
immunologically active cells and is involved in many physiological and pathological
processes, such as inflammation and immune responses. Soluble urokinase plasminogen
activator receptor (suPAR) is derived from shedding of the uPAR and is expressed on a variety
of cells, including neutrophils, lymphocytes, macrophages, and endotheliocytes. Recent
evidences indicate that suPAR is involved in various biological functions, including cell
adhesion, migration, and chemotaxis, and its elevated level is associated with poor clinical
outcomes in various inflammatory diseases, such as sepsis, bacteremia, and systemic
inflammatory response syndrome. Assessment of disease activity and organ damage in SLE
remains challenging due to lack of reliable biomarkers and to heterogeneity of the disease.
Additionally, it can be difficult to distinguish ongoing inflammation from permanent organ
damage caused by previous flares or medication side effects. The suPAR has emerged as a
potential marker of inflammation and disease severity, as well as a predictor of outcome of
several disparate conditions
Keywords
Soluble Urokinase Plasminogen Activator Receptor - Predictor – Renal Damage – Systemic Lupus Patients
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