Posts tagged Abstract
Prospective Risk Stratification for Lupus Nephritis in SLE: Retrospective Validation of a Multi-Layer Computational Engine

Lupus nephritis (LN) is a major cause of renal morbidity in SLE patients. To address the need for earlier and more individualized risk identification, we developed a computational engine incorporating longitudinal phenotype trajectories, treatment burden, and traditional biomarkers into a unified risk-scoring framework. The engine was retrospectively validated across a synthetic longitudinal cohort of 377 SLE patients, outputting a continuous composite score (0–100) and a four-tier risk classification: Low / Moderate / High / Critical. At the Moderate+ screening threshold, the engine achieved 100% sensitivity and 100% NPV within 90 days of confirmed LN diagnosis — meaning zero missed progressors. These findings suggest that this computational engine can identify patients approaching lupus nephritis up to 90 days before diagnosis, giving clinicians a critical window to intervene early, triage high-risk patients, and initiate nephrology referrals sooner.

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Clinical Validation of a Refined Lupus Disease Activity Index Informed by Immune Mediators that Characterizes Clinical and Serological Disease Activity In Systemic Lupus Erythematosus

This study sought to identify an optimal panel of immune mediators to distinguish SLE patients with active versus low/quiescent disease and refine the Lupus Disease Activity Index (L-DAI). Using plasma immune mediators and serum autoantibody specificities from classified SLE patients, we applied random forest modeling to determine the most informative analytes. A refined panel of 9 immune mediators, including IFN-α, significantly differentiated SLE patients with active versus low disease activity, with strong correlation to clinical disease activity scores (hSLEDAI). The L-DAI demonstrated a large effect size and strong discriminatory performance (AUC=0.795). The findings support the use of a sensitive, objective biomarker surrogate for clinical disease activity in SLE, with the potential to improve disease management and prevent organ damage.

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Medical Record Natural Language Processing and Patient Biometric and Self-Reported Measures Inform an Artificial Intelligence Augmented Remote Care Management Strategy for Lupus Patients

This study combined natural language processing of medical records with patient biometric and self-reported data. Strong correlations identified 24 metrics predicting physician assessments, supporting AI-augmented remote lupus management strategies.

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Expediting Systemic Lupus Erythematosus Classification of at-Risk Individuals Using Novel Technology: Outcomes of a Pilot Study

This study used a virtual/digital program to recruit at-risk individuals via online screening and sequential telehealth evaluations, classifying 18% with SLE in a mean of 371 days—shortening typical diagnosis time from 5-7 years—demonstrating potential for remote, accurate lupus assessment.

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Innate, adaptive, and TNF-Superfamily immune pathways inform a lupus disease activity immune index that characterizes disease activity in SLE

This study developed a Lupus Disease Activity Immune Index integrating 32 soluble mediators weighted by autoantibody burden, successfully distinguishing active from low disease activity, correlating with SLEDAI scores, and identifying renal involvement to guide objective SLE management.

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Ability of Innate, Adaptive, and TNF-Superfamily Immune Pathways to CharacterizeDisease Activity and Inform a Refined Lupus Disease Activity Immune in a Confirmatory Cohortof SLE Patients

This study refined a Lupus Disease Activity Immune Index using 12 prioritized soluble mediators and autoantibody breadth, significantly distinguishing low versus active SLE, correlating with hSLEDAI, and identifying renal involvement, supporting objective, treat-to-target disease monitoring in practice

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A Refined Disease Activity Immune Index Informed by Select Immune Mediators That Characterizes Clinical Disease Activity in Systemic Lupus Erythematosus

This study refined a blood-based Lupus Disease Activity Immune Index using nine key soluble mediators and autoantibody breadth, accurately distinguishing active from low/quiescent SLE and correlating with hSLEDAI, supporting objective, treat-to-target monitoring in clinical practice.

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Select Soluble Mediators Inform a Refined Lupus Disease Activity Immune Index that Characterizes Clinical Disease Activity in Systemic Lupus Erythematosus

This study refined a blood-based Lupus Disease Activity Immune Index(L-DAI) using 33 soluble mediators and autoantibody breadth with machine learning, accurately distinguishing active from low SLE activity and offering clinically actionable, objective augmentation to traditional scoring systems

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Complementary Lupus-Specfic Indexes Informed by Select Immune Mediators Characterize Risk of Concurrent Disease Activity and Future Iimpending Flare in Systemic Lupus Erythematosus

This study assessed the parallel use of L-FRI and L-DAI to assess simultaneous risk of future disease flare and concurrent disease activity to guide therapy. Results showed that combined assessment best identified imminent flares and concurent disease activity, supporting early intervention and clinical trial utility.

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Simultaneous Assessment of Complementary Lupus-Specific Immune Mediator-Informed Indexes Improves Their Ability to Concurrently Discern Current Disease Activity And Future Flare Risk In Systemic Lupus Erythematosus

This study evaluated L-FRI and L-DAI in parallel to determine the risk of future flare and concurrent disease activity. Simultaneous assessment improves identification of lupus patients with concurrent active disease and imminent flare risk.

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Ability of Inflammatory and Regulatory Soluble Mediators to Forecast Impending Clinical Disease Flare and Inform a Refined Lupus Flare Prediction Index in a Confirmatory Cohort of SLE Patients

This study evaluated whether immune mediators predicts lupus flares. Using plasma samples and machine learning algorithm, 31 mediators ditinguished pre-flare from stable state. A refined lupus flare prediction index achieved high sensitivity and specificity supporting its use as a predictive tool for early flare detection and lupus management.

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