Pediatric rheumatology

Elevated serum interferon-α2 associates with activity and flare risk in juvenile-onset systemic lupus erythematosus

Rheumatology (Oxford)Published Cross-sectional and longitudinal biomarker study

Authors' conclusion

Serum IFN-α2 levels associate with disease activity and can predict ongoing and future flares in jSLE.

Study context

Population
Patients with juvenile-onset SLE, juvenile idiopathic arthritis (JIA) patients and healthy controls
Participants
222 serum samples
Exposure
Serum IFN-α2 levels across juvenile systemic lupus erythematosus (jSLE) disease activity states, JIA and healthy controls
  • JSLEn = 88
  • JIAn = 35reference
  • Healthy controls (HCs)n = 28reference
Outcome
Serum IFN-α2 as marker of disease activity and predictor of flares in jSLE
Methodological detailssingle-molecule array (Simoa), generalised linear mixed model
  • Single-molecule array (Simoa)
  • Generalised linear mixed model

Main finding

As reported in the abstract

Serum IFN-α2 by jSLE disease activity state

Active/intermediate vs LDAS: P = 0.04 · Active/intermediate vs Remission: P < 0.001

Observational data: associations, not effects.

Further findings

Serum IFN-α2, jSLE vs JIA and HCs — JSLE vs JIA

P = 0.0017

OutcomeP value
Serum IFN-α2, jSLE vs JIA and HCsJSLE vs HCsP = 0.017
Time to flare in remission/LDAS, abnormal vs normal IFN-α2 · six months · shorter time to flare with abnormal IFN-α2
P = 0.022

Predictor of ongoing flare (longitudinal multivariable)

High IFN-α2 the only predictor of an ongoing flare
P = 0.028

Original publication

Elevated serum interferon-α2 associates with activity and flare risk in juvenile-onset systemic lupus erythematosus. Rheumatology (Oxford). Published 26 November 2024. doi:10.1093/rheumatology/keae643

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