Lupus & antiphospholipid syndrome

Downregulation of circETS1 disrupts Th17/Treg homeostasis by inhibiting FOXP3 transcription: A new potential biomarker in systemic lupus erythematosus

LupusPublished Mechanistic study

Authors' conclusion

The imbalance in Th17/Treg cells in SLE may be attributed, in part, to the circETS1/miR-1205/FOXP3 pathway.

Study context

Population
Patients with systemic lupus erythematosus (SLE) and healthy controls; Peripheral blood mononuclear cells (PBMCs) and CD4+ T cells
Participants
28 vs 20
Comparison
Patients with SLE vs healthy controls
  • SLEn = 28
  • Healthy controlsn = 20reference
Outcome
circETS1 and FOXP3 expression in PBMCs and CD4+ T cells
Methodological detailscase-control, dual-luciferase reporter, gain-/loss-of-function and rescue assays, ROC analysis
  • Case-control
  • Dual-luciferase reporter, gain-/loss-of-function and rescue assays
  • ROC analysis

Main finding

As reported in the abstract

  • circETS1 and FOXP3 expression downregulated in PBMCs and CD4+ T cells of SLE vs healthy controls
  • circETS1 binds miR-1205 directly, acting as a sponge to upregulate FOXP3 transcription, maintaining Th17/Treg balance

Further findings

Diagnostic value of PBMC circETS1 for SLE (ROC)
0.873 (95% CI 0.771-0.976; p < .001) · AUC · sensitivity 80.00% · specificity 89.29%

Correlation of PBMC circETS1 with disease activity (SLEDAI) in SLE

Negative correlation, r
−0.7712 (95% CI −0.8910 to −0.5509; p < .001)

Original publication

Downregulation of circETS1 disrupts Th17/Treg homeostasis by inhibiting FOXP3 transcription: A new potential biomarker in systemic lupus erythematosus. Lupus. Published 18 October 2023. doi:10.1177/09612033231207545

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