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. Author manuscript; available in PMC: 2021 Nov 10.
Published in final edited form as: J Rheumatol. 2018 Jul 1;45(8):1153–1158. doi: 10.3899/jrheum.170518

Table 5.

Studies published to date on KL-6 and CCL-18 in systemic sclerosis-related interstitial lung disease.

Author Population Outcomes Studied Results

KL-6
 Sato, et al17 45 Japanese SSc, 15 HC Cross-sectional correlation with fibrosis scores and PFT Inverse correlation between KL-6 and DLCO% and VC
 Hant, et al18 66 SSc,10 HC Concomitant alveolitis based on BAL or HRCT findings KL-6 was associated with concomitant alveolitis
 Hesselstrand, et al19 15 early SSc,12 HC BAL measures, HRCT and PFT findings KL-6 correlated with BAL eosinophil concentration.
 Kuwana, et al2 50 Japanese early (< 3 yrs) SSc with ILD ESLD (FVC < 50%, oxygen requirement KL-6 predictive of ESLD development or death)
CCL-18
 Kodera, et al24 123 SSc (86 with ILD), 37 HC SSc to HC comparison, fibrosis score per imaging (HRCT), DLCO, VC CCL-18 associated with decreased DLCO, VC, and higher fibrosis scores
 Prasse, et al22 12 SSc-ILD, 43 IIP, 23 HC CCL-18 levels in IIP, SSc and HC, correlation with PFT Higher in SSc serum and BAL and inversely correlated with concomitant TLC
 Tiev, et al20 83 SSc (46 with ILD) 10% decrease of baseline TLC and/or FVC% or death CCL-18 was predictive of ILD event
 Elhaj, et al21 266 early SSc (with or without ILD) Decline in FVC% CCL18 predicted short-term but not longterm decline in FVC
 Schupp, et al23 96 SSc > 10% FVC drop or death Higher risk of death or lung function worsening within 2 yrs
 Hoffmann-Vold, et al4 298 SSc (with or without ILD) Rates of FVC decline and cumulative survival Higher rate of decline in FVC and lower overall survival in patients with high CCL-18

SSc: systemic sclerosis; HC: healthy controls; ILD: interstitial lung disease; BAL: bronchoalveolar lavage; HRCT: high-resolution computed tomography; PFT: pulmonary function tests; VC: vital capacity; ESLD: endstage lung disease; IIP: idiopathic interstitial pneumonia; TLC: total lung capacity; FVC%:% forced vital capacity.