Lupus & antiphospholipid syndrome

Interleukin 4-driven reversal of self-reactive B cell anergy contributes to the pathogenesis of systemic lupus erythematosus

Ann Rheum DisPublished Mechanistic study

Authors' conclusion

We demonstrated the significance of IL-4 in reversing B cell anergy and established the scientific rationale to treat SLE via blocking IL-4 signalling, also providing diagnostic and prognostic biomarkers to identify patients who are most likely going to benefit from such treatments.

Study context

Population
Healthy donors and patients with systemic lupus erythematosus (SLE); isolated naïve B cells from human peripheral blood
Comparison
Patients with SLE vs healthy donors
Methodological detailstranscriptome and B cell receptor (BCR) repertoire profiling, single-cell, in vitro
  • Transcriptome and BCR repertoire profiling
  • Single-cell
  • In vitro

Main finding

As reported in the abstract

  • Decrease and disruption of BND cells in SLE patients
  • IL-4 an important cytokine driving these pathological changes
  • IL-4 reversed B cell anergy by promoting BCR recycling to the cell surface via STAT6 signalling

Original publication

Interleukin 4-driven reversal of self-reactive B cell anergy contributes to the pathogenesis of systemic lupus erythematosus. Ann Rheum Dis. Published 11 August 2023. doi:10.1136/ard-2023-224453

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