Tryptophan (μM)* | Kynurenine (nM)* | Quinolinic acid (nM)* | Kynurenine/tryptophan* | Quinolinic acid/kynurenine* | |
SLE cohort (n=132) | 56.55±23 | 965.9±530 | 545.8±480 | 0.019±0.015 | 0.57±0.30 |
Controls (n=30) | 61.83±14 | 712.0±230 | 379.5±150 | 0.012±0.0048 | 0.54±0.15 |
SLE versus controls | P=0.10 | P=0.0001 | P=0.001 | P<0.0001 | P=0.44 |
SLEDAI <6 (n=82) | 58.34±25 | 977.8±590 | 511.6±450 | 0.019±0.016 | 0.54±0.27 |
SLEDAI ≥6 (n=50) | 53.60±19 | 946.3±440 | 602.0±540 | 0.020±0.012 | 0.63±0.35 |
Active SLEDAI† versus control | P=0.03 | P=0.003 | P=0.007 | P=0.0002 | P=0.14 |
Inactive SLEDAI versus control | P=0.35 | P=0.0008 | P=0.02 | P=0.0002 | P=0.93 |
Active versus inactive SLEDAI | P=0.22 | P=0.72 | P=0.32 | P=0.97 | P=0.14 |
SLAM <7 (n=54) | 58.86±28 | 909.9±570 | 498.4±490 | 0.018±0.015 | 0.54±0.26 |
SLAM ≥7 (n=78) | 54.95±19 | 1005±510 | 578.6±480 | 0.020±0.014 | 0.60±0.33 |
Active SLAM‡ versus control | P=0.04 | P<0.0001 | P=0.001 | P<0.0001 | P=0.28 |
Inactive SLAM versus control | P=0.51 | P=0.03 | P=0.10 | P=0.006 | P=0.98 |
Active versus inactive SLAM | P=0.37 | P=0.33 | P=0.35 | P=0.36 | P=0.32 |
Severe fatigue (n=100)§ | 54.17±20 | 958.7±510 | 538.6±440 | 0.020±0.014 | 0.59±0.33 |
No/limited fatigue (n=29) | 64.17±31 | 939.1±630 | 527.9±610 | 0.017±0.016 | 0.52±0.22 |
Severe fatigue versus control | P=0.02 | P=0.0003 | P=0.002 | P<0.0001 | P=0.32 |
No/limited fatigue versus control | P=0.71 | P=0.07 | P=0.20 | P=0.12 | P=0.62 |
Severe versus no/limited fatigue | P=0.11 | P=0.88 | P=0.93 | P=0.34 | P=0.21 |
*Mean±SD. P values obtained using Mann-Whitney U test.
†Active disease=SLEDAI ≥6.
‡Active disease=SLAM ≥7.
§No/limited fatigue were defined as FSS <4 and severe fatigue as FSS 4–7.
FSS, Fatigue Severity Scale; SLAM, Systemic Lupus Activity Measures; SLEDAI, Systemic Lupus Erythematosus Disease Activity Index.