Lupus & antiphospholipid syndrome

Integrated immune profiling identifies a coordinated T-cell activation and inflammatory signature in SLE

Lupus Sci MedPublished Mechanistic study

Authors' conclusion

Patients with SLE with renal involvement show coordinated disturbances in T-cell and B-cell compartments linked to chronic immune activation, interferon-related responses and disease duration.

Study context

Population
Patients with SLE with renal involvement and healthy controls
Comparison
SLE with lupus nephritis vs healthy controls
Outcome
Peripheral blood immune cell subpopulations and molecular profiles
Methodological detailsflow cytometry, quantitative PCR, exploratory multivariate and treatment-sensitivity analyses
  • Flow cytometry
  • Quantitative PCR
  • Exploratory multivariate and treatment-sensitivity analyses

Main finding

As reported in the abstract

  • Decreased proportion of Th cells and increased percentage of Tc cells in SLE vs HC, with reduced CD4/CD8 ratio
  • Lower percentages of CD4+CD28+ and CD8+CD28+ T cells, correlated with disease duration
  • Increased proportions of activated HLA-DR+ Th and Tc cells
  • Elevated serum IL-6 and IL-10 in SLE
  • Increased expression in T and B cells of inflammatory and interferon-related genes, incl. TBX21, APOBEC3G, IRF8 and ISG15

Further findings

Exploratory multivariate profiling

Coordinated immune activation in SLE: enhanced T-cell activation, elevated inflammatory cytokines, plasmablast expansion, reduced CD28+ T-cell subsets
  • Exploratory

Treatment-sensitivity analyses

Selected immune parameters may be influenced by GC exposure and disease duration

Original publication

Integrated immune profiling identifies a coordinated T-cell activation and inflammatory signature in SLE. Lupus Sci Med. Published 15 July 2026. doi:10.1136/lupus-2026-002068

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