Biomarkers Associated with Organ-Specific Involvement in Juvenile Systemic Lupus Erythematosus

Juvenile systemic lupus erythematosus (JSLE) is characterised by onset before 18 years of age and more severe disease phenotype, increased morbidity and mortality compared to adult-onset SLE. Management strategies in JSLE rely heavily on evidence derived from adult-onset SLE studies; therefore, iden...

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Main Authors: James Greenan-Barrett, Georgia Doolan, Devina Shah, Simrun Virdee, George A. Robinson, Varvara Choida, Nataliya Gak, Nina de Gruijter, Elizabeth Rosser, Muthana Al-Obaidi, Maria Leandro, Michael S. Zandi, Ruth J. Pepper, Alan Salama, Elizabeth C. Jury, Coziana Ciurtin
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/22/14/7619
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author James Greenan-Barrett
Georgia Doolan
Devina Shah
Simrun Virdee
George A. Robinson
Varvara Choida
Nataliya Gak
Nina de Gruijter
Elizabeth Rosser
Muthana Al-Obaidi
Maria Leandro
Michael S. Zandi
Ruth J. Pepper
Alan Salama
Elizabeth C. Jury
Coziana Ciurtin
author_facet James Greenan-Barrett
Georgia Doolan
Devina Shah
Simrun Virdee
George A. Robinson
Varvara Choida
Nataliya Gak
Nina de Gruijter
Elizabeth Rosser
Muthana Al-Obaidi
Maria Leandro
Michael S. Zandi
Ruth J. Pepper
Alan Salama
Elizabeth C. Jury
Coziana Ciurtin
author_sort James Greenan-Barrett
collection DOAJ
description Juvenile systemic lupus erythematosus (JSLE) is characterised by onset before 18 years of age and more severe disease phenotype, increased morbidity and mortality compared to adult-onset SLE. Management strategies in JSLE rely heavily on evidence derived from adult-onset SLE studies; therefore, identifying biomarkers associated with the disease pathogenesis and reflecting particularities of JSLE clinical phenotype holds promise for better patient management and improved outcomes. This narrative review summarises the evidence related to various traditional and novel biomarkers that have shown a promising role in identifying and predicting specific organ involvement in JSLE and appraises the evidence regarding their clinical utility, focusing in particular on renal biomarkers, while also emphasising the research into cardiovascular, haematological, neurological, skin and joint disease-related JSLE biomarkers, as well as genetic biomarkers with potential clinical applications.
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spelling doaj.art-71b48ce4195847ff9924718486a695c72023-11-22T04:01:28ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-07-012214761910.3390/ijms22147619Biomarkers Associated with Organ-Specific Involvement in Juvenile Systemic Lupus ErythematosusJames Greenan-Barrett0Georgia Doolan1Devina Shah2Simrun Virdee3George A. Robinson4Varvara Choida5Nataliya Gak6Nina de Gruijter7Elizabeth Rosser8Muthana Al-Obaidi9Maria Leandro10Michael S. Zandi11Ruth J. Pepper12Alan Salama13Elizabeth C. Jury14Coziana Ciurtin15Centre for Adolescent Rheumatology Versus Arthritis, University College London, London WC1E 6DH, UKCentre for Adolescent Rheumatology Versus Arthritis, University College London, London WC1E 6DH, UKCentre for Adolescent Rheumatology Versus Arthritis, University College London, London WC1E 6DH, UKDepartment of Ophthalmology, Royal Free Hospital, London NW3 2QG, UKCentre for Adolescent Rheumatology Versus Arthritis, University College London, London WC1E 6DH, UKCentre for Adolescent Rheumatology Versus Arthritis, University College London, London WC1E 6DH, UKDepartment of Rheumatology, University College London Hospital NHS Foundation Trust, London NW1 2BU, UKCentre for Adolescent Rheumatology Versus Arthritis, University College London, London WC1E 6DH, UKCentre for Adolescent Rheumatology Versus Arthritis, University College London, London WC1E 6DH, UKDepartment of Paediatric Rheumatology, Great Ormond Street Hospital, London WC1N 3JH, UKDepartment of Rheumatology, University College London Hospital NHS Foundation Trust, London NW1 2BU, UKDepartment of Neurology, National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London NW1 2BU, UKDepartment of Renal Medicine, Royal Free Hospital, University College London, London NW3 2QG, UKDepartment of Renal Medicine, Royal Free Hospital, University College London, London NW3 2QG, UKCentre for Rheumatology, Division of Medicine, University College London, London WC1E 6DH, UKCentre for Adolescent Rheumatology Versus Arthritis, University College London, London WC1E 6DH, UKJuvenile systemic lupus erythematosus (JSLE) is characterised by onset before 18 years of age and more severe disease phenotype, increased morbidity and mortality compared to adult-onset SLE. Management strategies in JSLE rely heavily on evidence derived from adult-onset SLE studies; therefore, identifying biomarkers associated with the disease pathogenesis and reflecting particularities of JSLE clinical phenotype holds promise for better patient management and improved outcomes. This narrative review summarises the evidence related to various traditional and novel biomarkers that have shown a promising role in identifying and predicting specific organ involvement in JSLE and appraises the evidence regarding their clinical utility, focusing in particular on renal biomarkers, while also emphasising the research into cardiovascular, haematological, neurological, skin and joint disease-related JSLE biomarkers, as well as genetic biomarkers with potential clinical applications.https://www.mdpi.com/1422-0067/22/14/7619juvenile systemic lupus erythematosusorgan-specific biomarkersrenal biomarkerscardiovascular biomarkershaematological biomarkersneurological biomarkers
spellingShingle James Greenan-Barrett
Georgia Doolan
Devina Shah
Simrun Virdee
George A. Robinson
Varvara Choida
Nataliya Gak
Nina de Gruijter
Elizabeth Rosser
Muthana Al-Obaidi
Maria Leandro
Michael S. Zandi
Ruth J. Pepper
Alan Salama
Elizabeth C. Jury
Coziana Ciurtin
Biomarkers Associated with Organ-Specific Involvement in Juvenile Systemic Lupus Erythematosus
International Journal of Molecular Sciences
juvenile systemic lupus erythematosus
organ-specific biomarkers
renal biomarkers
cardiovascular biomarkers
haematological biomarkers
neurological biomarkers
title Biomarkers Associated with Organ-Specific Involvement in Juvenile Systemic Lupus Erythematosus
title_full Biomarkers Associated with Organ-Specific Involvement in Juvenile Systemic Lupus Erythematosus
title_fullStr Biomarkers Associated with Organ-Specific Involvement in Juvenile Systemic Lupus Erythematosus
title_full_unstemmed Biomarkers Associated with Organ-Specific Involvement in Juvenile Systemic Lupus Erythematosus
title_short Biomarkers Associated with Organ-Specific Involvement in Juvenile Systemic Lupus Erythematosus
title_sort biomarkers associated with organ specific involvement in juvenile systemic lupus erythematosus
topic juvenile systemic lupus erythematosus
organ-specific biomarkers
renal biomarkers
cardiovascular biomarkers
haematological biomarkers
neurological biomarkers
url https://www.mdpi.com/1422-0067/22/14/7619
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