Baseline characteristics of patients with SLE with and without lupus nephritis from the Latin American multiethnic GLADEL 2.0 cohort

Pons-Estel G.J.; Nieto R.E.; Quintana R.; Serrano Morales R.; Borba E.F.; Hernández L.; Harvey G.B.; Roberts K.; Fernández-Ávila D.C.; Scolnik M.; Funes Soaje C.; Otaduy C.; Saurit V.; Arturi V.; Berbotto G.A.; González Lucero L.; Kerzberg E.; Gómez G.N.; Pisoni C.N.; Juárez V.; Martínez Serventi J.; Isnardi C.A.; Parente Costa Seguro L.; Montadon A.C.O.S.; Monticielo O.A.; Mariz H.A.; Machado Ribeiro F.; dos Reis-Neto E.T.; Guerra I.; Massardo L.; Aroca Martínez G.; Iglesias Gamarra A.; Cañas C.A.; Quintana López G.; Toro Gutiérrez C.E.; Moreno Álvarez M.J.; Saavedra M.A.; Portela Hernández M.; Pérez Cristóbal M.; Fragoso Loyo H.; Juárez-Vicuña Y.; González-Bello Y.C.; Abud-Mendoza C.; Esquivel-Valerio J.A.; Langjahr P.; Paats A.; Mora Trujillo C.; Ugarte-Gil M.F.; Calvo-Quiroz A.; Muñoz Louis R.; Rebella M.; Danza Á.; Sbarigia U.; Zazzetti F.; Orillion A.; Gómez Puerta J.A.; Alarcon G.S.; Pons-Estel B.A. · Lupus Science and Medicine (2026) · DOI: 10.1136/lupus-2025-001878

Resumen

Objective: To describe baseline characteristics of a multinational, multiethnic Latin American cohort of SLE patients with and without lupus nephritis (LN) from Latin American Group for the Study of Lupus (GLADEL) 2.0. Methods: GLADEL 2.0 is an observational prevalent and incident cohort. Adult patients (≥18 years) with SLE who fulfilled the 1982/1997 American College of Rheumatology (ACR) and/or the 2012 Systemic Lupus International Collaborating Clinics (SLICC) classification criteria from 43 centres in 10 Latin American countries were categorised into four groups: (1) without LN, (2) prevalent inactive LN, (3) prevalent active LN and (4) incident LN. Baseline demographics, clinical manifestations, treatments, disease activity and damage were recorded. A cross-sectional analysis and logistic regression was conducted to identify factors associated with LN and cumulative damage (SLICC/ACR Damage Index (SDI)). Results: Among 1083 patients, 89.6% were female, median age at diagnosis was 27 years, median disease duration was 66.2 months and 65.0% were Mestizo. Patients with LN (n=653) were younger and had shorter disease duration than patients without LN. LN was negatively associated with older age at diagnosis (OR, 0.98) and discoid rash (OR, 0.53) and positively associated with male gender (OR, 1.91), Mestizo ethnicity (OR, 1.46), comorbidities (OR, 3.2), thrombocytopenia (OR, 3.44), anti–double-stranded DNA (anti-dsDNA) positivity (OR, 3.23) and low complement (OR, 1.54). SDI ≥1 was associated with older age at diagnosis, longer disease duration, cumulative prednisone dose and cyclophosphamide use. Conclusions: Male sex, Mestizo ethnicity, comorbidities, thrombocytopenia, anti-dsDNA positivity and low complement levels were associated with LN occurrence. Cumulative damage was associated with older age at diagnosis, longer disease duration, higher cumulative dose of prednisone and the use of cyclophosphamide. Trial registration number: NCT04534647. © Author(s) (or their employer(s)) 2026. Re-use permitted under CC BY. Published by BMJ Group. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.

Instituciones: Universidad Peruana Cayetano Heredia; Universidad Científica del Sur