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. Author manuscript; available in PMC: 2012 Dec 1.
Published in final edited form as: Nat Rev Rheumatol. 2011 Nov 1;7(12):708–717. doi: 10.1038/nrrheum.2011.157

Table 4.

Studies of erythrocyte-bound or reticulocyte-bound C4d as biomarkers for disease activity assessment in SLE

Study Number of cases Findings Matching or adjustments Controls for treatment effect Validated disease-activity measures used Study design Included patients with a wide range of DAS?
Singh et al. (2008)48 111 Erythrocyte-bound C4d levels associated with disease activity but with low correlation None None SELENA-SLEDAI Cross-sectional Not stated
Yang et al. (2009)49 63 Erythrocyte-bound C4d levels correlated with disease activity None None SLEDAI Cross-sectional No (SLEDAI score 6 ± 0.52)
Kao et al. (2010)50 157 Erythrocyte-bound C4d levels correlated with disease activity None None SLAM SELENA-SLEDAI Longitudinal (5 years) Yes
Liu et al. (2005)51 156 Erythrocyte-bound C4d and reticulocyte-bound C4d levels correlated with disease activity None None SLAM SELENA-SLEDAI Cross-sectional Longitudinal Yes

Abbreviations: SELENA-SLEDAI, Safety of Estrogens in Lupus Erythematosus: National Assessment (SELENA)-Systemic Lupus Erythematosus (SLE) Disease Activity Index (SLEDAI); SLAM, Systemic Lupus Activity Measure.