Lupus & antiphospholipid syndrome

Differential expression of interferon (IFN)-α, IL-12 and BAFF on renal immune cells and its relevance to disease activity and treatment responsiveness in patients with proliferative lupus nephritis

Lupus Sci MedPublished Cross-sectional study

Authors' conclusion

The immunohistochemistry (IHC) of IFN-α, IL-12 and BAFF for proliferative LN enabled grouping. Especially, the IFN-α and IL-12 groups showed different clinicopathological features and renal prognoses.

Study context

Population
Patients with proliferative lupus nephritis (LN) (class III n=18, class IV n=32); renal tissue immunohistochemistry (IHC)
Participants
50 proliferative LN cases
Exposure
Proliferative LN subgroups by dominant renal expression of IFN-α, IL-12/p40 or BAFF
  • IFN-αn = 17
  • IL-12n = 16
  • BAFFn = 17
Outcome
Clinicopathological features by dominant cytokine subgroup
Methodological detailsimmunohistochemical analysis of renal biopsy tissue, comparison with controls
  • Immunohistochemical analysis of renal biopsy tissue
  • Comparison with controls

Main finding

As reported in the abstract

Hypocomplementaemia and glomerular endocapillary hypercellularity significantly increased in the IFN-α group
p<0.05
Chronic lesions significantly higher in the IL-12 group
p<0.05

Observational data: associations, not effects.

Further findings

Renal prognosis in treatment response · 52 weeks

IFN-α group had a poorer renal prognosis

Original publication

Differential expression of IFN-α, IL-12 and BAFF on renal immune cells and its relevance to disease activity and treatment responsiveness in patients with proliferative lupus nephritis. Lupus Sci Med. Published 17 July 2023. doi:10.1136/lupus-2023-000962

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