Across rheumatic diseases

Integrated transcriptomic and epigenomic profiling reveals conserved molecular subtypes across systemic autoimmune diseases

Ann Rheum DisPublished Cross-sectional study

Authors' conclusion

Integrative multiomics profiling defines 2 conserved molecular subtypes across RA, SLE, and pSS with distinct cellular and regulatory programmes.

Study context

Population
Treatment-naïve Chinese Han patients with rheumatoid arthritis (RA), systemic lupus erythematosus (SLE) or primary Sjögren's syndrome (pSS), predominantly female (83.2%)83.2% female
Participants
262 patients
Exposure
Megakaryocyte-enriched vs B-cell-enriched molecular subtypes across RA, SLE and pSS
  • RAn = 109
  • SLEn = 69
  • pSSn = 84
  • Discoveryn = 119
  • Validationn = 143
Outcome
Conserved molecular subtypes across SADs (bulk RNA sequencing) and their transcriptional and epigenetic underpinnings
Methodological detailsmultiomics profiling, discovery and validation cohorts, treatment-naïve patients
  • Multiomics profiling
  • Discovery and validation cohorts
  • Treatment-naïve patients

Main finding

As reported in the abstract

Molecular subtypes
  • 2 robust, reproducible molecular subtypes (megakaryocyte-enriched and B-cell-enriched), consistent across all 3 systemic autoimmune diseases (SADs) and both cohorts
  • Megakaryocyte-enriched subtype associated with higher platelet counts, greater disease activity and broader organ involvement
  • Distinct chromatin accessibility and regulatory architectures: megakaryocyte-associated genes (eg, ZFP36L1, RAD51B) linked to active superenhancers in megakaryocyte-enriched subtype; B-cell-associated genes (eg, MAF, PRDM1) in B-cell-enriched subtype
  • Single-cell RNA sequencing (scRNA-seq) confirmed expansion of platelet-producing megakaryocytes and enhanced B-cell-activation signatures in their respective subtypes

Observational data: associations, not effects.

Original publication

Integrated transcriptomic and epigenomic profiling reveals conserved molecular subtypes across systemic autoimmune diseases. Ann Rheum Dis. Published 31 May 2026. doi:10.1016/j.ard.2026.05.008

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