Immunoglobulin abnormalities are frequent in patients with lupus nephritis

<p>Hypogammaglobulinemia is a complication of B-cell targeting therapies (BCTT), used in vasculitis, rheumatoid arthritis and systemic lupus erythematosus (SLE). Since autoimmune diseases are associated with underlying and induced immune abnormalities, several societies recommend assessing imm...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: M. J. Cuadrado (14153439) (author)
مؤلفون آخرون: I. Calatayud (14153442) (author), M. Urquizu-Padilla (14153445) (author), S. Wijetilleka (14153448) (author), S. Kiani-Alikhan (14153451) (author), M. Y. Karim (14153454) (author)
منشور في: 2021
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author M. J. Cuadrado (14153439)
author2 I. Calatayud (14153442)
M. Urquizu-Padilla (14153445)
S. Wijetilleka (14153448)
S. Kiani-Alikhan (14153451)
M. Y. Karim (14153454)
author2_role author
author
author
author
author
author_facet M. J. Cuadrado (14153439)
I. Calatayud (14153442)
M. Urquizu-Padilla (14153445)
S. Wijetilleka (14153448)
S. Kiani-Alikhan (14153451)
M. Y. Karim (14153454)
author_role author
dc.creator.none.fl_str_mv M. J. Cuadrado (14153439)
I. Calatayud (14153442)
M. Urquizu-Padilla (14153445)
S. Wijetilleka (14153448)
S. Kiani-Alikhan (14153451)
M. Y. Karim (14153454)
dc.date.none.fl_str_mv 2021-08-21T06:00:00Z
dc.identifier.none.fl_str_mv 10.1186/s41927-019-0079-2
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Immunoglobulin_abnormalities_are_frequent_in_patients_with_lupus_nephritis/21598551
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Immunology
Immunoglobulins
SLE
Lupus nephritis
Hypogammaglobulinemia
Rituximab
Autoimmune
B-cells
dc.title.none.fl_str_mv Immunoglobulin abnormalities are frequent in patients with lupus nephritis
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p>Hypogammaglobulinemia is a complication of B-cell targeting therapies (BCTT), used in vasculitis, rheumatoid arthritis and systemic lupus erythematosus (SLE). Since autoimmune diseases are associated with underlying and induced immune abnormalities, several societies recommend assessing immune function before and during rituximab treatment. In SLE, polyclonal hypergammaglobulinemia is the typical alteration of gammaglobulins, though hypogammaglobulinemia has also been reported. This is a cross-sectional study describing immunoglobulin levels measured as part of routine care in patients with lupus nephritis, a group with multiple factors contributing to immunoglobulin abnormalities, including immune dysregulation, immunosuppression and nephrotic syndrome. Polyclonal hypergammaglobulinemia occurred in 15/83 (18.1%) patients. In contrast, low levels of immunoglobulins were found as follows: selective IgA deficiency 2/83 (2.4%), reduced IgG levels 7/83 (8.4%), reduced IgM 14/83 (16.9%). Only 1 patient required immunoglobulin replacement. Immunoglobulin abnormalities are frequently found in lupus nephritis, ranging from polyclonal hypergammaglobulinemia to hypogammglobulinemia. Consequently, immunoglobulin levels should be assessed prior to commencing BCTT.</p><h2>Other Information</h2> <p> Published in: BMC Rheumatology<br> License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1186/s41927-019-0079-2" target="_blank">http://dx.doi.org/10.1186/s41927-019-0079-2</a></p>
eu_rights_str_mv openAccess
id Manara2_179046aac29464f30c5000a806afa35a
identifier_str_mv 10.1186/s41927-019-0079-2
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/21598551
publishDate 2021
repository.mail.fl_str_mv
repository.name.fl_str_mv
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rights_invalid_str_mv CC BY 4.0
spelling Immunoglobulin abnormalities are frequent in patients with lupus nephritisM. J. Cuadrado (14153439)I. Calatayud (14153442)M. Urquizu-Padilla (14153445)S. Wijetilleka (14153448)S. Kiani-Alikhan (14153451)M. Y. Karim (14153454)Biomedical and clinical sciencesClinical sciencesImmunologyImmunoglobulinsSLELupus nephritisHypogammaglobulinemiaRituximabAutoimmuneB-cells<p>Hypogammaglobulinemia is a complication of B-cell targeting therapies (BCTT), used in vasculitis, rheumatoid arthritis and systemic lupus erythematosus (SLE). Since autoimmune diseases are associated with underlying and induced immune abnormalities, several societies recommend assessing immune function before and during rituximab treatment. In SLE, polyclonal hypergammaglobulinemia is the typical alteration of gammaglobulins, though hypogammaglobulinemia has also been reported. This is a cross-sectional study describing immunoglobulin levels measured as part of routine care in patients with lupus nephritis, a group with multiple factors contributing to immunoglobulin abnormalities, including immune dysregulation, immunosuppression and nephrotic syndrome. Polyclonal hypergammaglobulinemia occurred in 15/83 (18.1%) patients. In contrast, low levels of immunoglobulins were found as follows: selective IgA deficiency 2/83 (2.4%), reduced IgG levels 7/83 (8.4%), reduced IgM 14/83 (16.9%). Only 1 patient required immunoglobulin replacement. Immunoglobulin abnormalities are frequently found in lupus nephritis, ranging from polyclonal hypergammaglobulinemia to hypogammglobulinemia. Consequently, immunoglobulin levels should be assessed prior to commencing BCTT.</p><h2>Other Information</h2> <p> Published in: BMC Rheumatology<br> License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1186/s41927-019-0079-2" target="_blank">http://dx.doi.org/10.1186/s41927-019-0079-2</a></p>2021-08-21T06:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1186/s41927-019-0079-2https://figshare.com/articles/journal_contribution/Immunoglobulin_abnormalities_are_frequent_in_patients_with_lupus_nephritis/21598551CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/215985512021-08-21T06:00:00Z
spellingShingle Immunoglobulin abnormalities are frequent in patients with lupus nephritis
M. J. Cuadrado (14153439)
Biomedical and clinical sciences
Clinical sciences
Immunology
Immunoglobulins
SLE
Lupus nephritis
Hypogammaglobulinemia
Rituximab
Autoimmune
B-cells
status_str publishedVersion
title Immunoglobulin abnormalities are frequent in patients with lupus nephritis
title_full Immunoglobulin abnormalities are frequent in patients with lupus nephritis
title_fullStr Immunoglobulin abnormalities are frequent in patients with lupus nephritis
title_full_unstemmed Immunoglobulin abnormalities are frequent in patients with lupus nephritis
title_short Immunoglobulin abnormalities are frequent in patients with lupus nephritis
title_sort Immunoglobulin abnormalities are frequent in patients with lupus nephritis
topic Biomedical and clinical sciences
Clinical sciences
Immunology
Immunoglobulins
SLE
Lupus nephritis
Hypogammaglobulinemia
Rituximab
Autoimmune
B-cells