Lupus & antiphospholipid syndrome

Association between early immunophenotypic changes and therapeutic response of belimumab in patients with systemic lupus erythematosus

LupusPublished Mechanistic study

Authors' conclusion

Thus, early B cell changes could be used to predict treatment response, and their changes could be predicted from baseline T cell phenotypes, indicating the importance of B and T cell interactions.

Study context

Population
Patients with systemic lupus erythematosus (SLE) treated with belimumab
Participants
19 patients
Comparison
Immunophenotypic changes before and 3 months after belimumab, and their association with treatment response at 6 months
Outcome
Association of early B cell changes (PC1, PC2) with treatment response
Follow-up
6 months

Main finding

As reported in the abstract

Therapeutic response at 6 months by lower PC2 (increased BAFF receptor (BAFF-R) expression, decreased % naïve B cells)

Lower PC2 associated with subsequent therapeutic response, OR

5.3

95% CI 1.2–24p = .031

Further findings

Baseline effector memory CD3+CD4+ T cells

Higher % at baseline associated with lower PC2 and therapeutic response

PC1 increase (increased B-cell maturation antigen (BCMA) and TACI expression, increased % class-switched memory B cells)

Associated with both T and B cell activation

Original publication

Association between early immunophenotypic changes and therapeutic response of belimumab in patients with systemic lupus erythematosus. Lupus. Published 31 October 2022. doi:10.1177/09612033221137249

Composed by AI from the published abstract and checked against it. How Briefs are made →

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