Lupus & antiphospholipid syndrome

Belimumab modulates type I interferon signalling in the treatment of systemic lupus erythematosus

Clin Exp RheumatolPublished Mechanistic study

Authors' conclusion

These results revealed a novel mechanism of belimumab action, advancing our understanding of the immune atlas in SLE patients before and after belimumab-targeting treatment.

Study context

Population
Patients with active systemic lupus erythematosus (SLE); PBMC profiled before and after treatment initiation
Participants
6 patients
Comparison
Belimumab plus conventional therapy vs conventional therapy alone
  • Belimumabn = 3
  • Conventional therapyn = 3reference
Methodological detailssingle-cell RNA-seq, before and after treatment initiation
  • Single-cell RNA-seq
  • Before and after treatment initiation

Main finding

As reported in the abstract

  • Belimumab significantly decreased the number of CD16+ monocytes after 8 weeks; the opposite in the control group
  • Belimumab vs conventional therapy: significant reduction in IFN-stimulated gene (ISG) activity in monocytes and low-density granulocytes (LDGs)
  • Expansion of unique ISG-enriched subpopulations inhibited with belimumab
  • Transcription and expression of BAFF-R and B-cell maturation antigen increased in plasmacytoid dendritic cells (pDCs), B cells and plasma cells
  • BAFF-R expression inhibited in monocytes and T cells

Original publication

Belimumab modulates type I interferon signalling in the treatment of systemic lupus erythematosus. Clin Exp Rheumatol. Published 21 June 2025. doi:10.55563/clinexprheumatol/03t59o

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