Lupus & antiphospholipid syndrome

Genetics of Neonatal Lupus Erythematosus Risk and Specific Manifestations

J RheumatolPublished Genetic association cohort study

Authors' conclusion

In a multiethnic cohort of infants and anti-Ro antibody-positive mothers, we did not identify a significant association between SLE genetics and risk of NLE outcomes.

Study context

Population
Infants and anti-Ro antibody-positive mothers from a tertiary care clinic
Participants
332 infants253 mother-infant pairs
Exposure
Association of systemic lupus erythematosus (SLE) polygenic risk scores with neonatal lupus erythematosus (NLE) outcomes
Outcome
Any NLE manifestations, cardiac NLE and cutaneous NLE
Methodological detailstertiary care clinic, multiethnic cohort, polygenic risk scores, HLA-wide analyses
  • Tertiary care clinic
  • Multiethnic cohort
  • Polygenic risk scores
  • HLA-wide analyses

Main finding

As reported in the abstract

Association of SLE-PRS with NLE outcomes
  • No significant associations between infant polygenic risk scores (PRS), maternal PRS, or maternal-infant PRS difference and any NLE outcomes
  • HLA-wide analyses did not identify NLE risk alleles

Observational data: associations, not effects.

Further findings

NLE prevalence among infants

Any NLE
53%
Cardiac NLE
7.2%
Cutaneous NLE
11.7%

Original publication

Genetics of Neonatal Lupus Erythematosus Risk and Specific Manifestations. J Rheumatol. Published 1 June 2024. doi:10.3899/jrheum.2023-1036

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