GC promotes the conversion of human monocytes to CD163+ macrophages in vitro [32]. We therefore investigated the effect of GC treatment of LN on glomerular accumulation of CD163+ macrophages and u-sCD163 excretion. The number of glomerular CD163+ macrophages and u-sCD163 level were comparable between GC-treated and untreated populations in patients presenting class IV lesions (Table 3). Moreover, there was no association between GC dosage and CD163-related LN parameters (Supplementary data, Figure S2).

Table 3.

Clinical and laboratory data of class IV LN patients with or without GC treatment

Non-GCGC
Number of patients1721
Age (years)48.8 ± 17.340.7 ± 16.0
Sex (male:female)3:142:19
Dosage of GC (mg/day)036.2 ± 20.7
Serum creatinine (mg/dL)1.26 ± 0.991.40 ± 1.45
eGFR (mL/min/1.73 m2)53.7 ± 21.166.5 ± 39.3
Proteinuria (g/gCr)5.09 ± 3.856.15 ± 4.53
C3 (mg/dL)35.3 ± 16.042.8 ± 16.6
Anti-DNA antibody (IU/mL)158.0 ± 131.0134.3 ± 166.5
CRP (mg/dL)0.41 ± 0.680.96 ± 1.27
Total SLEDAI16.1 ± 4.8016.6 ± 5.20
Renal SLEDAI10.0 ± 3.3010.1 ± 3.50
Activity index7.47 ± 2.927.24 ± 2.62
u-sCD163/u-Cr (ng/mg)50.4 ± 48.343.9 ± 39.2
u-sCD163/u-TP (ng/mg)12.6 ± 7.4012.2 ± 9.50
CD163+ cells/glomerulusa13.6 ± 5.2014.5 ± 6.60
Non-GCGC
Number of patients1721
Age (years)48.8 ± 17.340.7 ± 16.0
Sex (male:female)3:142:19
Dosage of GC (mg/day)036.2 ± 20.7
Serum creatinine (mg/dL)1.26 ± 0.991.40 ± 1.45
eGFR (mL/min/1.73 m2)53.7 ± 21.166.5 ± 39.3
Proteinuria (g/gCr)5.09 ± 3.856.15 ± 4.53
C3 (mg/dL)35.3 ± 16.042.8 ± 16.6
Anti-DNA antibody (IU/mL)158.0 ± 131.0134.3 ± 166.5
CRP (mg/dL)0.41 ± 0.680.96 ± 1.27
Total SLEDAI16.1 ± 4.8016.6 ± 5.20
Renal SLEDAI10.0 ± 3.3010.1 ± 3.50
Activity index7.47 ± 2.927.24 ± 2.62
u-sCD163/u-Cr (ng/mg)50.4 ± 48.343.9 ± 39.2
u-sCD163/u-TP (ng/mg)12.6 ± 7.4012.2 ± 9.50
CD163+ cells/glomerulusa13.6 ± 5.2014.5 ± 6.60

CRP, C-reactive protein; SLEDAI, systemic lupus erythematosus disease activity index.

Data are expressed as the mean ± SD. None of the parameters showed a significant difference.

Two patients receiving GC pulse therapy (>500 mg/day) at the time of sample collection were excluded.

aKidney samples from 13 patients in the non-GC group and 16 in the GC group were evaluated.

Table 3.

Clinical and laboratory data of class IV LN patients with or without GC treatment

Non-GCGC
Number of patients1721
Age (years)48.8 ± 17.340.7 ± 16.0
Sex (male:female)3:142:19
Dosage of GC (mg/day)036.2 ± 20.7
Serum creatinine (mg/dL)1.26 ± 0.991.40 ± 1.45
eGFR (mL/min/1.73 m2)53.7 ± 21.166.5 ± 39.3
Proteinuria (g/gCr)5.09 ± 3.856.15 ± 4.53
C3 (mg/dL)35.3 ± 16.042.8 ± 16.6
Anti-DNA antibody (IU/mL)158.0 ± 131.0134.3 ± 166.5
CRP (mg/dL)0.41 ± 0.680.96 ± 1.27
Total SLEDAI16.1 ± 4.8016.6 ± 5.20
Renal SLEDAI10.0 ± 3.3010.1 ± 3.50
Activity index7.47 ± 2.927.24 ± 2.62
u-sCD163/u-Cr (ng/mg)50.4 ± 48.343.9 ± 39.2
u-sCD163/u-TP (ng/mg)12.6 ± 7.4012.2 ± 9.50
CD163+ cells/glomerulusa13.6 ± 5.2014.5 ± 6.60
Non-GCGC
Number of patients1721
Age (years)48.8 ± 17.340.7 ± 16.0
Sex (male:female)3:142:19
Dosage of GC (mg/day)036.2 ± 20.7
Serum creatinine (mg/dL)1.26 ± 0.991.40 ± 1.45
eGFR (mL/min/1.73 m2)53.7 ± 21.166.5 ± 39.3
Proteinuria (g/gCr)5.09 ± 3.856.15 ± 4.53
C3 (mg/dL)35.3 ± 16.042.8 ± 16.6
Anti-DNA antibody (IU/mL)158.0 ± 131.0134.3 ± 166.5
CRP (mg/dL)0.41 ± 0.680.96 ± 1.27
Total SLEDAI16.1 ± 4.8016.6 ± 5.20
Renal SLEDAI10.0 ± 3.3010.1 ± 3.50
Activity index7.47 ± 2.927.24 ± 2.62
u-sCD163/u-Cr (ng/mg)50.4 ± 48.343.9 ± 39.2
u-sCD163/u-TP (ng/mg)12.6 ± 7.4012.2 ± 9.50
CD163+ cells/glomerulusa13.6 ± 5.2014.5 ± 6.60

CRP, C-reactive protein; SLEDAI, systemic lupus erythematosus disease activity index.

Data are expressed as the mean ± SD. None of the parameters showed a significant difference.

Two patients receiving GC pulse therapy (>500 mg/day) at the time of sample collection were excluded.

aKidney samples from 13 patients in the non-GC group and 16 in the GC group were evaluated.

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