Serum Levels of Angiotensin Converting Enzyme in Systemic Lupus Erythematous Patients
- Conditions
- Systemic Lupus Erythematosus
- Interventions
- Diagnostic Test: Angiotensin Converting Enzyme test
- Registration Number
- NCT05516511
- Lead Sponsor
- Sohag University
- Brief Summary
Systemic lupus erythematosus (SLE) is a heterogeneous autoimmune disease that involve many different organs and display a variable clinical course.The prevalence of SLE varies across gender, race/ethnicity, and geographic regions. SLE demonstrates a striking female predominance with a peak incidence of disease during the reproductive years. In adults, the female to male ratio is 10- Renal involvement is common in SLE and is a significant cause of morbidity and mortality. It is estimated that as many as 90% of patients with SLE will have pathologic evidence of renal involvement on biopsy, but clinically significant nephritis will develop in only 50%. AII is a potent pro-inflammatory modulator with the ability to augment the immune responses in renal and non-renal tissues. Specifically in the kidney, AII stimulates mononuclear cells, favoring hyperplasia and hypertrophy of mesangial, tubular cells and interstitial fibroblasts, and increases expression and synthesis of the extracellular protein matrix leading to fibrosis.
Angiotensin II and strong candidate for a mediator of the development and progression of renal disease in SLE has been found to promote glomerular cell proliferation, alter growth factor expression, and activate proinflammatory cytokines, all of which promote glomerulosclerosis
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 75
- 1-Patients who fulfill the 2019 American College of Rheumatology/European League against Rheumatism classification criteria of Systemic Lupus Erythematosus 2-Patients diagnosed as lupus nephritis , actually did renal biobsy 3-Patients who is able to give informed consent to join the study
-
- Any patient with any collagen disease other than systemic lupus erythematosus.
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description cases Angiotensin Converting Enzyme test systemic lupus erythematosus patients control Angiotensin Converting Enzyme test healthy individuals
- Primary Outcome Measures
Name Time Method serum creatine test 3 months lab test , to asses renal function
protein creatine ratio 3 months laboratory test, urine sample used to measure amount of proteinurea
Angiotensin Converting Enzyme test 3 months laboratory test, ELISA kits, measure serum levels of angiotensin converting enzyme in SLE patients , control
- Secondary Outcome Measures
Name Time Method anti ds-DNA test 3 months lab test , for diagnosis of SLE , lupus nephritis
Anti nuclear Anti body tset 3 months lab tset, IF technique, for diagnosis of SLE disease
Trial Locations
- Locations (1)
Sohag University Hospital
🇪🇬Sohag, Egypt