Lupus & antiphospholipid syndrome

Interaction of 5-HTTLPR and systemic lupus erythematosus (SLE) disease status on resting-state brain function

Arthritis Res TherPublished Case-control imaging genetics study

Authors' conclusion

Brain function in the right parietal and inferior angular gyrus and the right paracentral lobule is affected by the interaction effect of SLE disease status and 5-HTTLPR genotype.

Study context

Population
SLE patients without obvious neuropsychiatric manifestations and healthy volunteers
Participants
51 vs 44
Comparison
SLE patients vs healthy controls, by 5-HTTLPR genotype
  • SLEn = 51
  • HCn = 44reference
Outcome
Interaction effect of SLE disease status and 5-HTTLPR genotype on resting-state brain function (mean ReHo, ALFF, fALFF in 116 regions)
Methodological detailsresting-state fMRI, two-way analysis of covariance
  • Resting-state fMRI
  • Two-way analysis of covariance

Main finding

As reported in the abstract

Interaction of SLE status and 5-HTTLPR genotype on brain function
  • S/S genotype: SLE lower mean regional homogeneity (ReHo), amplitude of low-frequency fluctuations (ALFF) and fractional amplitude of low-frequency fluctuations (fALFF) in right parietal, inferior angular gyrus and right paracentral lobule vs HC; not evident among L allele carriers

Observational data: associations, not effects.

Further findings

Other regions, S/S genotype

SLE: decreased mean ReHo in left posterior cingulate gyrus, reduced mean fALFF in left caudate nucleus, diminished mean ALFF in left temporal pole: superior temporal gyrus vs HC; no such differences among L allele carriers

Other regions, L allele carriers

SLE: higher mean ReHo in right hippocampus and lower mean ALFF in left medial and paracingulate gyrus vs HC; not apparent among S/S homozygotes

Original publication

Interaction of 5-HTTLPR and SLE disease status on resting-state brain function. Arthritis Res Ther. Published 31 January 2024. doi:10.1186/s13075-024-03276-y

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