Lupus & antiphospholipid syndrome

Ferroptosis in peripheral blood mononuclear cells of systemic lupus erythematosus

Clin Exp RheumatolPublished Mechanistic study

Authors' conclusion

Ferroptosis occurred more frequently in PBMCs of SLE patients than healthy controls, including CD14+ monocytes, CD19+B cells, CD56+ NK cells, and so on, with negative association with SLE disease activity

Study context

Population
Untreated patients with systemic lupus erythematosus (SLE) and healthy controls; Peripheral blood mononuclear cells (PBMCs)
Participants
30 vs 10
Comparison
SLE vs healthy controls
  • SLEn = 30
  • Healthy controlsn = 10reference
Outcome
Evidence of ferroptosis in PBMCs (intracellular Fe2+, ROS, LPO; GPX4 expression; mitochondrial morphology)

Main finding

As reported in the abstract

Ferroptosis markers in PBMCs
  • Fe2+, reactive oxygen species (ROS) and lipid peroxidation (LPO) significantly higher in SLE than healthy controls in CD14+ monocytes, CD19+ B cells and CD56+ NK cells
  • More prominent differences in SLE with renal involvement, liver injury and higher disease activity score
  • No significant difference in GPX4 mRNA expression between SLE and healthy controls
  • GPX4 protein expression significantly lower in SLE than healthy controls, negatively correlated with SLE disease activity index
  • Transmission electron microscopy: typical ferroptosis features (decreased mitochondrial volume, increased mitochondrial membrane density, disappearance of mitochondrial cristae)
  • SLE vs Healthy controls: P < 0.05

Original publication

Ferroptosis in peripheral blood mononuclear cells of systemic lupus erythematosus. Clin Exp Rheumatol. Published 26 April 2023. doi:10.55563/clinexprheumatol/kylvva

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