Lupus & antiphospholipid syndrome

Activation of circulating TFH17 cells associated with activated naive and double negative 2 B cell expansion, and disease activity in systemic lupus erythematosus patients

Arthritis Res TherPublished Cross-sectional study

Authors' conclusion

SLE cTFH cells were found to be polarized toward cTFH1 and cTFH17 cells; activation of these cTFH subsets was significantly associated with disease activity score, aNAV, DN2 B cell expansion, and anti-dsDNA antibody level.

Study context

Population
Systemic lupus erythematosus (SLE) patients with inactive or active disease; peripheral blood mononuclear cells studied for cTFH, memory cTFH and B cell subsets
Exposure
Active vs inactive SLE
Outcome
Frequencies and phenotypes of cTFH cells, memory cTFH and B cell subsets, and their correlations with anti-dsDNA and clinical parameters
Methodological detailsmechanistic, flow cytometric phenotyping of peripheral blood mononuclear cells, correlation analysis
  • Mechanistic
  • Flow cytometric phenotyping of peripheral blood mononuclear cells
  • Correlation analysis

Main finding

As reported in the abstract

  • cTFH1 and cTFH17 cells significantly expanded and activated in active SLE
  • Expanded cTFH1 cells predominantly central memory (CM); cTFH17 cells largely effector memory (EM)
  • Increased frequencies of aNAV and DN2 B cells
  • ICOS+ cTFH1, ICOS+ cTFH17 cells and SLEDAI-2K scores correlated
  • Positive correlations among ICOS+ cTFH1 cells, aNAV B cells and anti-dsDNA antibodies
  • Activation of ICOS+ cTFH17 cells significantly related to expansion of aNAV and DN2 B cells
  • CM cells in cTFH1 and cTFH17 subsets correlated with aNAV and DN2 B cell frequencies

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Activation of circulating TFH17 cells associated with activated naive and double negative 2 B cell expansion, and disease activity in systemic lupus erythematosus patients. Arthritis Res Ther. Published 11 September 2024. doi:10.1186/s13075-024-03394-7

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