Lupus & antiphospholipid syndrome

Genetic and epigenetic dysregulation of CR1 is associated with catastrophic antiphospholipid syndrome

Ann Rheum DisPublished Mechanistic study

Authors' conclusion

Genetic or epigenetic-mediated CR1 deficiency is a potential hallmark of CAPS and predicts response to C5 inhibition.

Study context

Population
Patients with catastrophic antiphospholipid syndrome (CAPS) and healthy controls
Participants
9 vs 35
Comparison
CAPS vs healthy controls
  • CAPSn = 9
  • Healthy controls (HCs)n = 35reference
Outcome
CR1 expression on erythrocytes
Methodological detailsCRISPR/Cas9 genome editing, multiomics analysis
  • CRISPR/Cas9 genome editing
  • Multiomics analysis

Main finding

As reported in the abstract

Further findings

Circulating immune complexes (acute CAPS, n = 3 vs HCs, n = 3) · acute CAPS

C5 inhibition

Five patients treated with C5 inhibition, which mitigated thrombosis
5

Original publication

Genetic and epigenetic dysregulation of CR1 is associated with catastrophic antiphospholipid syndrome. Ann Rheum Dis. Published 21 August 2025. doi:10.1016/j.ard.2025.07.016

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