Pediatric rheumatology

Association of CTLA-4 exon 1(+49 A/G) polymorphism and susceptibility to SLE in Egyptian children and adolescents

LupusPublished Case-control study

Authors' conclusion

The CTLA-4 exon 1 + 49A/G polymorphism may confer susceptibility to Juvenile-onset SLE. Moreover, CTLA-4 G/G genotype and G allele at exon 1 + 49 may constitute independent risk factors for development of lupus nephritis in Egyptian children and adolescents.

Study context

Population
Egyptian children and adolescents with Juvenile-onset SLE and healthy controls
Participants
260 vs 260
Comparison
JSLE patients vs healthy controls
  • JSLEn = 260
  • Healthy controlsn = 260reference
Outcome
CTLA-4 exon 1 + 49A/G (rs231775) SNP as a genetic marker for susceptibility to JSLE
Methodological detailsprospective
  • Prospective

Main finding

As reported in the abstract

JSLE vs Healthy controlsOdds ratio (95% CI)P value
G/G genotype
4.2(2.4–7.3)
P < 0.01
G allele
1.7(1.3–2.2)
P < 0.01

Observational data: associations, not effects.

Further findings

Lupus nephritis risk by CTLA-4 G/G genotype and G allele

OR (95% CI)P value
G/G genotype5.09 (1.7–13.9)P = 0.0001
G-allele2.4 (1.5–3.78)P = 0.004

Original publication

Association of CTLA-4 exon 1(+49 A/G) polymorphism and susceptibility to SLE in Egyptian children and adolescents. Lupus. Published 5 January 2026. doi:10.1177/09612033251414929

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