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Samples were tested using a preexisting 40\u2010plex <jats:styled-content style=\"fixed-case\">ECL<\/jats:styled-content> panel. A custom 5\u2010plex <jats:styled-content style=\"fixed-case\">ECL<\/jats:styled-content> panel was then developed for further validation studies and used to test 140 urine samples (from 44 patients with active LN, 41 patients with inactive SLE, 28 healthy controls, and 27 patients with other kidney diseases).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Levels of 17 urinary proteins were elevated (<jats:italic>P<\/jats:italic> &lt; 0.05 by 2\u2010tailed Mann\u2010Whitney U test) in samples from patients with active <jats:styled-content style=\"fixed-case\">LN<\/jats:styled-content> compared to samples from patients with inactive <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content> and healthy controls in cohort 1, while 9 were similarly elevated in cohort 2. Of these, interleukin\u20107 (<jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\u20107), <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\u201012p40, <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\u201015, interferon\u2010\u03b3\u2013inducible protein 10 (<jats:styled-content style=\"fixed-case\">IP<\/jats:styled-content>\u201010), and thymus and activation\u2013regulated chemokine (<jats:styled-content style=\"fixed-case\">TARC<\/jats:styled-content>) were chosen for further validation. These 5 proteins were undetectable by enzyme\u2010linked immunosorbent assay (<jats:styled-content style=\"fixed-case\">ELISA<\/jats:styled-content>). Hence, a custom 5\u2010plex <jats:styled-content style=\"fixed-case\">ECL<\/jats:styled-content> panel was developed and used to validate the results from the initial 40\u2010plex screening panel. Urinary <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\u20107, <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\u201012p40, <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\u201015, <jats:styled-content style=\"fixed-case\">IP<\/jats:styled-content>\u201010, and <jats:styled-content style=\"fixed-case\">TARC<\/jats:styled-content> levels were again significantly elevated in patients with active <jats:styled-content style=\"fixed-case\">LN<\/jats:styled-content> compared to those with inactive <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content> and healthy controls, and correlated well with the renal <jats:styled-content style=\"fixed-case\">SLEDAI<\/jats:styled-content> and physician's global assessment of disease activity (R &gt; 0.67, <jats:italic>P<\/jats:italic> &lt; 0.05). All 5 urinary proteins were more frequently elevated in <jats:styled-content style=\"fixed-case\">LN<\/jats:styled-content> compared to controls with other chronic kidney diseases, although overall group differences attained significance only for urinary <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\u20107 and <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\u201015.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Urinary levels of <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\u20107, <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\u201012p40, <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\u201015, <jats:styled-content style=\"fixed-case\">IP<\/jats:styled-content>\u201010, and <jats:styled-content style=\"fixed-case\">TARC<\/jats:styled-content> are potentially useful diagnostic tools in <jats:styled-content style=\"fixed-case\">LN<\/jats:styled-content>. The use of <jats:styled-content style=\"fixed-case\">ECL<\/jats:styled-content> assays may allow detection of urinary biomarkers that are below <jats:styled-content style=\"fixed-case\">ELISA<\/jats:styled-content> detection limits.<\/jats:p><\/jats:sec>","DOI":"10.1002\/art.40813","type":"journal-article","created":{"date-parts":[[2019,1,8]],"date-time":"2019-01-08T22:53:30Z","timestamp":1546988010000},"page":"744-755","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["Identification of Low\u2010Abundance Urinary Biomarkers in Lupus Nephritis Using Electrochemiluminescence Immunoassays"],"prefix":"10.1002","volume":"71","author":[{"given":"Samantha","family":"Stanley","sequence":"first","affiliation":[{"name":"University of Houston  Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chi Chiu","family":"Mok","sequence":"additional","affiliation":[{"name":"Tuen Mun Hospital  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamala","family":"Vanarsa","sequence":"additional","affiliation":[{"name":"University of Houston  Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deena","family":"Habazi","sequence":"additional","affiliation":[{"name":"University of Houston  Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Li","sequence":"additional","affiliation":[{"name":"University of Houston  Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Pedroza","sequence":"additional","affiliation":[{"name":"University of Texas Health Science Center  Houston"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramesh","family":"Saxena","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center  Dallas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandra","family":"Mohan","sequence":"additional","affiliation":[{"name":"University of Houston  Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,4,3]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1136\/annrheumdis-2017-eular.5526","article-title":"Lupus nephritis is associated with increased rates of hospitalization and in\u2010hospital mortality compared with non\u2010renal lupus and matched controls: an analysis of insurance claims data","volume":"76","author":"Belendiuk KA","year":"2017","journal-title":"Ann Rheum Dis"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.V102413"},{"key":"e_1_2_6_4_1","first-page":"2046","article-title":"The benefit of early treatment with immunosuppressive agents in lupus nephritis","volume":"21","author":"Esdaile JM","year":"1994","journal-title":"J Rheumatol"},{"key":"e_1_2_6_5_1","unstructured":"SomaLogic.SOMAscan proteomic assay technical white paper.2015. p.1\u201314."},{"key":"e_1_2_6_6_1","unstructured":"JonesVS TangH HuangRP.Exploring protein phosphorylation with RayBio antibody arrays and ELISAs. 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