Table 5.
Changes of major metabolite features detected in 1H-MRS in NPSLE patients vs. healthy controls.
| Brain region | Metabolites | HCs (n = 16) | NPSLE (n = 23) | p value | AUC |
|---|---|---|---|---|---|
| RPCG | Cr | 2.304 ± 0.473 | 3.124 ± 0.418 | 0.274 | 0.591 |
| PCr∗ | 4.184 ± 0.651 | 2.479 ± 0.583 | 0.035 | 0.588 | |
| Cr+PCr | 3.465 ± 0.506 | 2.900 ± 0.491 | 0.391 | 0.432 | |
| NAA | 4.457 ± 0.428 | 3.935 ± 0.419 | 0.478 | 0.457 | |
| NAAG∗∗ | 3.604 ± 0.550 | 3.782 ± 0.581 | 0.848 | 0.548 | |
| NAA+NAAG | 6.222 ± 0.728 | 4.996 ± 0.692 | 0.183 | 0.283 | |
| NAA+NAAG/Cr+PCr | 3.622 ± 0.776 | 5.316 ± 0.649 | 0.086 | 0.62 | |
| mI | 2.075 ± 0.388 | 2.535 ± 0.335 | 0.274 | 0.557 | |
| mI/Cr+PCr∗∗ | 2.626 ± 0.473 | 3.437 ± 0.399 | 0.165 | 0.567 | |
| Cho+PCh∗ | 5.151 ± 0.477 | 3.892 ± 0.502 | 0.039 | 0.492 | |
| Cho+PCh/Cr+PCr∗∗ | 4.138 ± 0.535 | 4.867 ± 0.377 | 0.249 | 0.466 | |
| Glu+Gln | 4.799 ± 0.503 | 4.452 ± 0.407 | 0.322 | 0.398 | |
| Glu+Gln/Cr+PCr | 4.296 ± 0.494 | 4.253 ± 0.456 | 0.953 | 0.389 | |
|
| |||||
| LPCG | Cr | 4.211 ± 0.591 | 3.452 ± 0.491 | 0.442 | 0.485 |
| PCr | 4.248 ± 0.758 | 4.125 ± 0.602 | 0.825 | 0.435 | |
| Cr+PCr∗∗ | 2.803 ± 0.620 | 3.788 ± 0.506 | 0.225 | 0.41 | |
| NAA | 4.208 ± 0.340 | 3.395 ± 0.319 | 0.104 | 0.401 | |
| NAAG | 4.681 ± 0.321 | 3.817 ± 0.437 | 0.249 | 0.444 | |
| NAA+NAAG∗∗∗ | 7.005 ± 0.497 | 6.009 ± 0.333 | 0.005 | 0.66 | |
| NAA+NAAG/Cr+PCr∗∗∗ | 7.655 ± 0.199 | 6.571 ± 0.259 | 0.006 | 0.658 | |
| mI∗ | 7.284 ± 0.207 | 6.273 ± 0.293 | 0.009 | 0.62 | |
| mI/Cr+PCr∗∗ | 6.893 ± 0.167 | 6.513 ± 0.159 | 0.132 | 0.413 | |
| Cho+PCh | 6.303 ± 0.354 | 6.395 ± 0.369 | 0.636 | 0.391 | |
| Cho+PCh/Cr+PCr | 8.776 ± 0.201 | 7.673 ± 0.486 | 0.076 | 0.457 | |
| Glu+Gln∗∗ | 5.625 ± 0.898 | 6.886 ± 0.513 | 0.595 | 0.682 | |
| Glu+Gln/Cr+PCr | 5.601 ± 0.174 | 5.385 ± 0.264 | 0.745 | 0.457 | |
|
| |||||
| RDT | Cr | 5.898 ± 0.163 | 5.931 ± 0.226 | 0.859 | 0.535 |
| PCr∗ | 9.658 ± 0.691 | 8.485 ± 0.431 | 0.008 | 0.694 | |
| Cr+PCr∗ | 10.614 ± 0.269 | 9.178 ± 0.316 | 0.001 | 0.747 | |
| NAA∗ | 8.094 ± 0.265 | 6.612 ± 0.314 | 0.002 | 0.76 | |
| NAAG | 8.705 ± 0.266 | 7.739 ± 0.382 | 0.058 | 0.576 | |
| NAA+NAAG | 7.660 ± 0.333 | 7.239 ± 0.427 | 0.636 | 0.435 | |
| NAA+NAAG/Cr+PCr∗ | 9.645 ± 0.271 | 7.703 ± 0.529 | 0.004 | 0.639 | |
| mI | 7.552 ± 1.146 | 8.459 ± 0.549 | 0.496 | 0.66 | |
| mI/Cr+PCr∗ | 8.821 ± 0.195 | 7.907 ± 0.331 | 0.041 | 0.766 | |
| Cho+PCh∗ | 9.435 ± 0.245 | 7.537 ± 0.374 | 0.001 | 0.776 | |
| Cho+PCh/Cr+PCr | 0.753 ± 0.173 | 0.852 ± 0.207 | 0.79 | 0.5 | |
| Glu+Gln | 0.830 ± 0.268 | 0.896 ± 0.219 | 0.767 | 0.478 | |
| Glu+Gln/Cr+PCr | 0.501 ± 0.197 | 0.618 ± 0.217 | 0.767 | 0.457 | |
|
| |||||
| LDT | Cr | 2.163 ± 0.388 | 1.821 ± 0.378 | 0.221 | 0.591 |
| PCr | 0.429 ± 0.263 | 0.776 ± 0.247 | 0.188 | 0.435 | |
| Cr+Cr | 1.005 ± 0.343 | 0.744 ± 0.326 | 0.274 | 0.457 | |
| NAA∗∗ | 0.923 ± 0.344 | 1.594 ± 0.275 | 0.076 | 0.639 | |
| NAAG∗∗∗ | 1.242 ± 0.161 | 0.559 ± 0.118 | 0.002 | 0.673 | |
| NAA+NAAG | 1.272 ± 0.214 | 1.010 ± 0.223 | 0.255 | 0.598 | |
| NAA+NAAG/Cr+PCr∗ | 10.263 ± 0.725 | 9.027 ± 0.449 | 0.003 | 0.735 | |
| mI∗ | 11.241 ± 0.256 | 9.843 ± 0.341 | 0.002 | 0.60 | |
| mI/Cr+PCr∗ | 8.411 ± 0.204 | 6.993 ± 0.349 | 0.002 | 0.779 | |
| Cho+PCh∗∗ | 10.063 ± 0.258 | 8.924 ± 0.224 | 0.002 | 0.685 | |
| Cho+PCh/Cr+PCr | 7.884 ± 0.328 | 7.748 ± 0.465 | 0.929 | 0.435 | |
| Glu+Gln∗ | 10.173 ± 0.233 | 8.251 ± 0.492 | 0.001 | 0.548 | |
| Glu+Gln/Cr+PCr | 8.047 ± 1.213 | 9.348 ± 0.544 | 0.615 | 0.629 | |
|
| |||||
| RLN | Cr∗ | 9.868 ± 0.231 | 8364 ± 0.362 | 0.005 | 0.648 |
| PCr∗∗∗ | 10.409 ± 0.309 | 8.383 ± 0.389 | 0.001 | 0.673 | |
| Cr+PCr∗∗ | 1.394 ± 0.098 | 1.555 ± 0.068 | 0.478 | 0.5 | |
| NAA | 1.501 ± 0.055 | 1.556 ± 0.068 | 0.359 | 0.5 | |
| NAAG | 1.163 ± 0.024 | 1.112 ± 0.029 | 0.515 | 0.5 | |
| NAA+NAAG | 1.508 ± 0.047 | 1.410 ± 0.047 | 0.225 | 0.5 | |
| NAA+NAAG/Cr+PCr | 1.323 ± 0.066 | 1.215 ± 0.079 | 0.478 | 0.5 | |
| mI∗ | 1.170 ± 0.029 | 1.044 ± 0.058 | 0.036 | 0.5 | |
| mI/Cr+PCr | 1.118 ± 0.172 | 1.358 ± 0.077 | 0.701 | 0.603 | |
| Cho+PCh∗∗∗ | 1.801 ± 0.032 | 1.611 ± 0.048 | 0.003 | 0.588 | |
| Cho+PCh/Cr+PCr∗∗∗ | 1.800 ± 0.067 | 1.461 ± 0.067 | 0.003 | 0.598 | |
| Glu+Gln | 5.246 ± 0.447 | 4.649 ± 0.582 | 0.231 | 0.482 | |
| Glu+Gln/Cr+PCr∗∗ | 5.429 ± 0.512 | 5.604 ± 0.313 | 0.836 | 0.432 | |
|
| |||||
| LLN | Cr | 4.839 ± 0.442 | 5.584 ± 0.395 | 0.107 | 0.457 |
| PCr∗ | 4.220 ± 0.296 | 5.574 ± 0.390 | 0.008 | 0.641 | |
| Cr+PCr | 3.167 ± 0.687 | 4.850 ± 0.692 | 0.076 | 0.501 | |
| NAA | 5.630 ± 0.443 | 5.205 ± 0.608 | 0.953 | 0.504 | |
| NAAG | 3.816 ± 0.642 | 5.529 ± 0.545 | 0.124 | 0.526 | |
| NAA+NAAG | 5.370 ± 0.249 | 5.819 ± 0.503 | 0.722 | 0.557 | |
| NAA+NAAG/Cr+PCr | 5.729 ± 0.304 | 5.901 ± 0.366 | 0.88 | 0.651 | |
| mI∗ | 0.703 ± 0.055 | 5.674 ± 0.071 | 0.894 | 0.5 | |
| mI/Cr+Cr∗∗ | 0.708 ± 0.628 | 5.838 ± 0.034 | 0.036 | 0.478 | |
| Cho+PCh∗∗∗ | 0.655 ± 0.061 | 0.883 ± 0.061 | 0.007 | 0.601 | |
| Cho+PCh/Cr+PCr∗∗∗ | 0.610 ± 0.038 | 0.844 ± 0.055 | 0.001 | 0.541 | |
| Glu+Gln | 0.480 ± 0.094 | 1.033 ± 0.395 | 0.132 | 0.435 | |
| Glu+Gln/Cr+PCr | 0.611 ± 0.029 | 0.667 ± 0.085 | 0.344 | 0.5 | |
|
| |||||
| RI | Cr∗ | 0.532 ± 0.095 | 0.786 ± 0.062 | 0.005 | 0.603 |
| PCr | 0.944 ± 0.037 | 1.109 ± 0.067 | 0.193 | 0.5 | |
| Cr+PCr | 0.982 ± 0.047 | 1.016 ± 0.044 | 0.478 | 0.5 | |
| NAA∗ | 1.322 ± 0.093 | 1.179 ± 0.072 | 0.023 | 0.457 | |
| NAAG | 1.667 ± 0.050 | 1.548 ± 0.078 | 0.124 | 0.5 | |
| NAA+NAAG | 2.107 ± 0.071 | 2.051 ± 0.019 | 0.615 | 0.5 | |
| NAA+NAAG/Cr+PCr∗∗ | 1.983 ± 0.061 | 1.893 ± 0.063 | 0.261 | 0.5 | |
| mI | 1.561 ± 0.094 | 1.668 ± 0.012 | 0.209 | 0.466 | |
| mI/Cr+PCr | 2.285 ± 0.696 | 2.153 ± 0.131 | 0.626 | 0.5 | |
| Cho+PCh∗∗ | 1.496 ± 0.240 | 1.872 ± 0.138 | 0.329 | 0.603 | |
| Cho+PCh/Cr+PCr | 2.056 ± 0.088 | 1.895 ± 0.098 | 0.425 | 0.5 | |
| Glu+Gln | 2.127 ± 0.068 | 2.034 ± 0.076 | 0.461 | 0.5 | |
| Glu+Gln/Cr+PCr | 0.176 ± 0.012 | 0.201 ± 0.011 | 0.359 | 0.5 | |
|
| |||||
| RPWM | Cr | 0.220 ± 0.008 | 0.232 ± 0.008 | 0.442 | 0.5 |
| PCr∗ | 0.292 ± 0.007 | 0.330 ± 0.011 | 0.008 | 0.5 | |
| Cr+PCr | 0.292 ± 0.006 | 0.292 ± 0.005 | 0.859 | 0.5 | |
| NAA | 0.253 ± 0.011 | 0.261 ± 0.018 | 0.657 | 0.5 | |
| NAAG | 0.260 ± 0.006 | 0.274 ± 0.017 | 0.274 | 0.5 | |
| NAA+NAAG | 0.201 ± 0.030 | 0.263 ± 0.013 | 0.174 | 0.5 | |
| NAA+NAAG/Cr+PCr | 0.381 ± 0.015 | 0.372 ± 0.018 | 0.723 | 0.5 | |
| mI | 0.369 ± 0.012 | 0.355 ± 0.013 | 0.329 | 0.5 | |
| mI/Cr+PCr | 15.876 ± 1.396 | 14.623 ± 0.850 | 0.165 | 0.622 | |
| Cho+PCh | 15.208 ± 1.396 | 14.357 ± 0.687 | 0.132 | 0.495 | |
| Cho+PCh/Cr+PCr∗∗∗ | 15.249 ± 0.636 | 11.941 ± 1.002 | 0.01 | 0.576 | |
| Glu+Gln | 11.651 ± 0.901 | 13.566 ± 0.755 | 0.261 | 0.432 | |
| Glu+Gln/Cr+PCr∗∗ | 8.923 ± 1.758 | 12.151 ± 1.041 | 0.104 | 0.535 | |
|
| |||||
| LPWM | Cr∗ | 17.459 ± 0.726 | 14.326 ± 1.757 | 0.005 | 0.726 |
| PCr∗∗ | 10.796 ± 1.628 | 14.001 ± 0.975 | 0.375 | 0.735 | |
| Cr+PCr | 11.579 ± 0.701 | 10.167 ± 0.996 | 0.79 | 0.704 | |
| NAA | 11.621 ± 0.585 | 11.756 ± 0.604 | 0.813 | 0.457 | |
| NAAG∗ | 2.113 ± 0.163 | 2.569 ± 0.145 | 0.036 | 0.5 | |
| NAA+NAAG∗∗ | 2.028 ± 0.149 | 2.267 ± 0.138 | 1 | 0.5 | |
| NAA+NAAG/Cr+PCr∗∗ | 2.089 ± 0.083 | 1.855 ± 0.154 | 0.225 | 0.5 | |
| mI∗ | 1.668 ± 0.119 | 2.094 ± 0.116 | 0.033 | 0.516 | |
| mI/Cr+PCr | 1.526 ± 0.288 | 1.788 ± 0.147 | 0.679 | 0.548 | |
| Cho+PCh | 2.007 ± 0.097 | 1.875 ± 0.244 | 0.132 | 0.603 | |
| Cho+PCh/Cr+PCr | 1.499 ± 0.236 | 1.996 ± 0.117 | 0.091 | 0.603 | |
| Glu+Gln | 2.004 ± 0.077 | 1.925 ± 0.159 | 0.515 | 0.5 | |
| Glu+Gln/Cr+PCr | 2.028 ± 0.079 | 2.153 ± 0.158 | 0.813 | 0.5 | |
∗Metabolites with significant difference (p < 0.05). ∗∗Metabolites for our model. ∗∗∗Metabolites for our model and metabolites with significant difference (p < 0.05).