Urine Extracellular Vesicles Size Subsets as Lupus Nephritis Biomarkers

Systemic lupus erythematosus (SLE) is an autoimmune disorder that often leads to kidney injury, known as lupus nephritis (LN). Although renal biopsy is the primary way to diagnose LN, it is invasive and not practical for regular monitoring. As an alternative, several groups have proposed urinary extracellular vesicles (uEVs) as potential biomarkers for LN, as recent studies have shown their significance in reflecting kidney-related diseases. As a result, we developed a flow cytometry approach that allowed us to determine that LN patients exhibited a significantly higher total uEV concentration compared to SLE patients without kidney involvement. Additionally, an analysis of different-sized uEV subsets revealed that microvesicles ranging from 0.3 to 0.5 μm showed the most promise for distinguishing LN. These findings indicate that evaluating uEV concentration and size distribution could be a valuable diagnostic and monitoring tool for LN, pending further validation in more comprehensive studies.

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Publication Details

Journal
Diagnostics
Published
2024-10-12
DOI
https://doi.org/10.3390/diagnostics14202271
Citations
3
Primary Topic
Extracellular vesicles in disease
Type
article
Field-Weighted Citation Impact
0.70

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article

Urine Extracellular Vesicles Size Subsets as Lupus Nephritis Biomarkers

Guillermo Juárez‐Vega, José Luis Maravillas‐Montero, Raúl F. Reyes-Huerta, J. Manuel Hernández‐Hernández et al.
3 citations
Diagnostics
Extracellular vesicles in disease
0.70
article

Urine Extracellular Vesicles Size Subsets as Lupus Nephritis Biomarkers

Guillermo Juárez‐Vega, José Luis Maravillas‐Montero, Raúl F. Reyes-Huerta, J. Manuel Hernández‐Hernández, Diana Gómez‐Martín, Daniel Alberto Carrillo-Vázquez, David Eduardo Meza-Sánchez, Itze C. Navarro-Hernandez, Mariana Cañez-Hernández, Jiram Torres‐Ruiz, Laura Whittall-Garcia
article en
3 citations

Abstract

Systemic lupus erythematosus (SLE) is an autoimmune disorder that often leads to kidney injury, known as lupus nephritis (LN). Although renal biopsy is the primary way to diagnose LN, it is invasive and not practical for regular monitoring. As an alternative, several groups have proposed urinary extracellular vesicles (uEVs) as potential biomarkers for LN, as recent studies have shown their significance in reflecting kidney-related diseases. As a result, we developed a flow cytometry approach that allowed us to determine that LN patients exhibited a significantly higher total uEV concentration compared to SLE patients without kidney involvement. Additionally, an analysis of different-sized uEV subsets revealed that microvesicles ranging from 0.3 to 0.5 μm showed the most promise for distinguishing LN. These findings indicate that evaluating uEV concentration and size distribution could be a valuable diagnostic and monitoring tool for LN, pending further validation in more comprehensive studies.

DiagnosticsVol. 14(20)
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (MX), Instituto Politécnico Nacional (MX), Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional (MX), Universidad Nacional Autónoma de México (MX)
Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional
Good health and well-being
Openalex Percentile: Top 29%
Extracellular vesicles in disease
0.70
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