Lupus & antiphospholipid syndrome

Anti-TFAM antibodies link mitochondrial damage with antiphospholipid syndrome and thrombosis in systemic lupus erythematosus (SLE)

Ann Rheum DisPublished Cross-sectional study

Authors' conclusion

Anti-TFAM antibodies identify a distinct clinical and transcriptional disease subset associated with mitochondrial damage, thrombosis, and APS in SLE.

Study context

Population
Patients with SLE and healthy controls; sera from dermatomyositis, RA and primary antiphospholipid syndrome (APS) (primary antiphospholipid syndrome (PAPS)) also testedexploratory sample 22 SLE, 9 controls
Participants
158 vs 98
Exposure
Anti-TFAM-positive vs anti-TFAM-negative SLE patients
  • SLEn = 158
  • Healthy controlsn = 98reference
Outcome
Prevalence and clinical significance of anti-TFAM antibodies, and associations with transcriptional profiles and IFN levels
Methodological detailsexploratory discovery sample, enzyme-linked immunosorbent assay (ELISA) validation cohort
  • Exploratory discovery sample
  • ELISA validation cohort

Main finding

As reported in the abstract

Anti-TFAM antibody positivity in SLE

SLE

One-third

48 of 158

Observational data: associations, not effects.

Further findings

Thrombosis associated with anti-TFAM antibodies

OR for thrombosis with anti-TFAM antibodies
2.9

APS associated with anti-TFAM antibodies

OR for APS with anti-TFAM antibodies
5.4

Thrombosis with anti-TFAM antibodies plus LA

OR for thrombosis with anti-TFAM antibodies when LA present
8.71
  • LA increased the risk of thrombosis associated with anti-TFAM antibodies

Disease activity and IFN signature

Anti-TFAM antibodies not associated with disease activity or the IFN signature

Original publication

Anti-TFAM antibodies link mitochondrial damage with antiphospholipid syndrome and thrombosis in SLE. Ann Rheum Dis. Published 10 May 2025. doi:10.1016/j.ard.2025.04.015

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