Lupus & antiphospholipid syndrome

Different Immunologic Profiles Are Associated With Distinct Clinical Phenotypes in Longitudinally Observed Patients With Systemic Lupus Erythematosus

Arthritis RheumatolPublished Prospective cohort study

Authors' conclusion

Cellular phenotyping of patients with SLE reveals several distinct immunologic profiles that may help to stratify patients with regard to prognosis and treatment.

Study context

Population
Patients with systemic lupus erythematosus (SLE) (flaring or clinically quiescent) and healthy controls; peripheral blood at baseline and 6- and 12-month follow-up
Participants
16 / 25 / 46
Exposure
Immune profiles in SLE flare vs quiescent SLE vs healthy controls
  • Healthy controlsn = 16reference
  • Quiescent SLEn = 25
  • SLE flaren = 46
Outcome
Immunologic profile (47 peripheral blood immune populations) associated with disease flares in SLE
Methodological detailslongitudinal, multiparameter flow cytometry, unsupervised clustering
  • Longitudinal
  • Multiparameter flow cytometry
  • Unsupervised clustering

Main finding

As reported in the abstract

Five clusters of patients identified, variably containing active and quiescent SLE, with distinct clinical phenotypes
5

Observational data: associations, not effects.

Original publication

Different Immunologic Profiles Are Associated With Distinct Clinical Phenotypes in Longitudinally Observed Patients With Systemic Lupus Erythematosus. Arthritis Rheumatol. Published 27 February 2024. doi:10.1002/art.42776

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