PMID- 35967565 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240113 IS - 2296-2360 (Print) IS - 2296-2360 (Electronic) IS - 2296-2360 (Linking) VI - 10 DP - 2022 TI - Stability of novel urinary biomarkers used for lupus nephritis. PG - 974049 LID - 10.3389/fped.2022.974049 [doi] LID - 974049 AB - BACKGROUND: The Renal Activity Index for Lupus (RAIL) is a composite score of six urinary biomarkers (neutrophil gelatinase-associated lipocalin (NGAL), monocyte chemoattractant protein-1 (MCP-1), kidney injury molecule-1 (KIM-1), ceruloplasmin, adiponectin, and hemopexin) used to monitor lupus nephritis activity in children. We tested stability of RAIL biomarkers prior to meaningful clinical use. METHODS: Urine samples were tested by ELISA under shipping conditions, freeze/thaw, ambient and longer-term storage. Statistical analysis was performed via Deming Regression, Bland-Altman and Spearman Correlation Coefficient. RESULTS: Biomarker concentration were comparable to freshly collected urine following storage at -80 degrees C for up to 3 months, and at 4 or 25 degrees C up to 48 h followed by -80 degrees C. Neither shipping on dry or wet ice exposure nor addition of two freeze-thaw cycles led to loss of signal, with excellent Spearman Correlation coefficients under all conditions. CONCLUSIONS: RAIL biomarkers are stable following short-term storage at clinically relevant conditions. CI - Copyright (c) 2022 Cody, Rose, Huang, Qiu, Brunner and Devarajan. FAU - Cody, Ellen M AU - Cody EM AD - Division of Nephrology and Hypertension, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States. FAU - Rose, James E AU - Rose JE AD - Division of Nephrology and Hypertension, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States. FAU - Huang, Bin AU - Huang B AD - Division of Nephrology and Hypertension, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States. AD - Division of Biostatics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States. AD - School of Medicine, University of Cincinnati, Cincinnati, OH, United States. FAU - Qiu, Tingting AU - Qiu T AD - Division of Nephrology and Hypertension, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States. AD - Division of Biostatics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States. FAU - Brunner, Hermine I AU - Brunner HI AD - Division of Nephrology and Hypertension, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States. AD - School of Medicine, University of Cincinnati, Cincinnati, OH, United States. AD - Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States. FAU - Devarajan, Prasad AU - Devarajan P AD - Division of Nephrology and Hypertension, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States. AD - School of Medicine, University of Cincinnati, Cincinnati, OH, United States. LA - eng GR - P30 AR076316/AR/NIAMS NIH HHS/United States GR - P50 DK096418/DK/NIDDK NIH HHS/United States PT - Journal Article DEP - 20220729 PL - Switzerland TA - Front Pediatr JT - Frontiers in pediatrics JID - 101615492 PMC - PMC9372620 OTO - NOTNLM OT - SLE OT - biomarker OT - lupus nephritis OT - stability OT - urine COIS- Author PD is a co-inventor on submitted patents for the use of NGAL as a biomarker of kidney disease. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/08/16 06:00 MHDA- 2022/08/16 06:01 PMCR- 2022/07/29 CRDT- 2022/08/15 04:00 PHST- 2022/06/20 00:00 [received] PHST- 2022/07/11 00:00 [accepted] PHST- 2022/08/15 04:00 [entrez] PHST- 2022/08/16 06:00 [pubmed] PHST- 2022/08/16 06:01 [medline] PHST- 2022/07/29 00:00 [pmc-release] AID - 10.3389/fped.2022.974049 [doi] PST - epublish SO - Front Pediatr. 2022 Jul 29;10:974049. doi: 10.3389/fped.2022.974049. eCollection 2022.