Lupus & antiphospholipid syndrome

Immunoglobulin G/immunoglobulin M autoantibody ratios in incomplete systemic lupus erythematosus

Scand J RheumatolPublished Prospective cohort study

Authors' conclusion

IgG anti-dsDNA, anti-Ro52, anti-Ro60, and IgM anti-dsDNA were elevated in iSLE and SLE patients, which was not apparent from the respective IgG/IgM ratios only. IgG/IgM autoantibody ratios remained relatively stable over up to 5 years in iSLE non-progressors and six patients who progressed to SLE.

Study context

Population
Patients with incomplete systemic lupus erythematosus (iSLE), patients with systemic lupus erythematosus (SLE), and healthy controls
Participants
34 / 41 / 11
Exposure
iSLE vs SLE vs healthy controls
  • iSLEn = 34
  • SLEn = 41
  • Healthy controls (HCs)n = 11reference
Outcome
IgG/IgM autoantibody ratios (anti-dsDNA, anti-Ro52, anti-Ro60) between groups, and their relation to progression from iSLE to SLE

Main finding

As reported in the abstract

IgG/IgM autoantibody ratios at baseline
  • Immunoglobulin G (IgG)/immunoglobulin M (IgM) anti-dsDNA and anti-Ro52 ratios similar between groups
  • IgG/IgM anti-Ro60 ratios significantly elevated in iSLE and SLE vs HCs
  • IgG anti-dsDNA, anti-Ro52, anti-Ro60, and IgM anti-dsDNA elevated in iSLE and SLE

Observational data: associations, not effects.

Further findings

Correlation of IgG/IgM ratios with interferon signature and clinical parameters

Not correlated with interferon signature or clinical parameters

IgG/IgM ratios over follow-up in iSLE non-progressors vs progressors to SLE · median follow-up of 18 months

Similar at baseline and relatively stable in non-progressors and six iSLE patients who progressed to SLE

Original publication

Immunoglobulin G/immunoglobulin M autoantibody ratios in incomplete systemic lupus erythematosus. Scand J Rheumatol. Published 20 March 2024. doi:10.1080/03009742.2024.2321700

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