Lupus & antiphospholipid syndrome

Histone‐Specific CD4+ T Cell Plasticity in Active and Quiescent Systemic Lupus Erythematosus

Arthritis RheumatolPublished Mechanistic study

Authors' conclusion

Histone-specific T cells are selectively detected in patients with SLE, and their concentration in the blood varies with disease activity

Study context

Population
Patients with systemic lupus erythematosus (SLE) (autoantibody seroprevalence and HLA-DRB1 profile assessed), patients with TAK and healthy controls carrying HLA-DRB1*03:01 and/or HLA-DRB1*11:01patients with SLE
Participants
185 patients
Comparison
Patients with SLE vs patients with Takayasu arteritis and healthy controls; active vs quiescent SLE
Outcome
Histone-specific CD4+ T cells
Methodological detailsflow cytometry, ex vivo detection of antigen-specific T cells, Disease activity and remission estimated with SLEDAI-2K and LLDAS
  • Flow cytometry
  • Ex vivo detection of antigen-specific T cells
  • Disease activity and remission estimated with SLEDAI-2K and LLDAS

Main finding

As reported in the abstract

Patients with history of anti-DNA antibodies with detectable histone-specific T cells

77%

Patients with history of anti-DNA antibodies with lymphocytes releasing cytokines or upregulating activation markers after in vitro histone peptide challenge

50%

Further findings

Immunosuppressants and histone-specific T cell subsets

Immunosuppressants associated with expanded CD4+ histone-specific naive and terminally differentiated T cells

Original publication

Histone‐Specific CD4+ T Cell Plasticity in Active and Quiescent Systemic Lupus Erythematosus. Arthritis Rheumatol. Published 7 February 2024. doi:10.1002/art.42778

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