Lupus & antiphospholipid syndrome

Automated whole-blood detection of IFI27 and OAS1 mRNA for distinguishing active systemic lupus erythematosus

Rheumatology (Oxford)Published Diagnostic accuracy study

Authors' conclusion

This automated whole-blood assay offers a rapid and reliable method for ISGs detection. IFI27 and OAS1 combined with C3, serve as sensitive biomarkers for monitoring of active SLE in routine care.

Study context

Population
Patients with SLE
Participants
102 patients
Comparison
Active SLE vs inactive SLE
  • Activen = 38
  • Inactiven = 64reference
Outcome
Whole-blood mRNA levels of five interferon-stimulated genes (ISGs) (IFI27, OAS1, IFI44L, LY6E, IFIT1) and their performance in distinguishing active SLE
Methodological detailsautomated multiplex RT-qPCR, ROC analysis, backward stepwise logistic regression
  • Automated multiplex RT-qPCR
  • ROC analysis
  • Backward stepwise logistic regression

Performance

As reported in the abstract

ISG expression, active vs inactive SLE

ISG expression significantly elevated in active SLE (fold)

2.9-17.3

Further findings

IFI27 in clinically inactive patients

Elevated IFI27 associated with persistent leukopoenia

Original publication

Automated whole-blood detection of IFI27 and OAS1 mRNA for distinguishing active systemic lupus erythematosus. Rheumatology (Oxford). Published 4 April 2026. doi:10.1093/rheumatology/keag166

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