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.