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Serum Levels of Angiotensin Converting Enzyme in Systemic Lupus Erythematous Patients

Not yet recruiting
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
Inclusion Criteria
  • 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
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Exclusion Criteria
    • Any patient with any collagen disease other than systemic lupus erythematosus.
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
casesAngiotensin Converting Enzyme testsystemic lupus erythematosus patients
controlAngiotensin Converting Enzyme testhealthy individuals
Primary Outcome Measures
NameTimeMethod
serum creatine test3 months

lab test , to asses renal function

protein creatine ratio3 months

laboratory test, urine sample used to measure amount of proteinurea

Angiotensin Converting Enzyme test3 months

laboratory test, ELISA kits, measure serum levels of angiotensin converting enzyme in SLE patients , control

Secondary Outcome Measures
NameTimeMethod
anti ds-DNA test3 months

lab test , for diagnosis of SLE , lupus nephritis

Anti nuclear Anti body tset3 months

lab tset, IF technique, for diagnosis of SLE disease

Trial Locations

Locations (1)

Sohag University Hospital

🇪🇬

Sohag, Egypt

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