Lupus & antiphospholipid syndrome

Low-density granulocytes and neutrophil extracellular trap formation are increased in incomplete systemic lupus erythematosus

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

These results show that neutrophil dysfunction, including higher proportions of LDGs, and increased NET formation, already occur in iSLE, similar to SLE, despite differences in disease manifestations.

Study context

Population
Patients with incomplete SLE (iSLE) and SLE, and healthy controlsLow-density granulocytes (LDGs): 18 iSLE, 11 SLE, 14 healthy controls (HCs)
Exposure
iSLE vs SLE vs healthy controls
Outcome
Proportion of LDGs (CD14lowCD15+), circulating plasma NETs and serum-induced NET formation
Methodological detailsflow cytometry, ELISA, fluorescence microscopy
  • Flow cytometry
  • ELISA
  • Fluorescence microscopy

Main finding

As reported in the abstract

LDGs, circulating plasma NETs and serum-induced NET formation
  • Proportions of LDGs and circulating plasma neutrophil extracellular traps (NETs) similarly elevated in iSLE and SLE vs HCs
  • Serum from iSLE and SLE similarly induced NET formation in healthy neutrophils

Observational data: associations, not effects.

Further findings

LDGs by HCQ treatment

Patients under HCQ had lower proportions of LDGs than those without

Correlations in iSLE

Myeloperoxidase-DNA complexes correlated with age-associated B-cells, memory B-cells and negatively with naïve B-cells
No associations between NET measures or serum-induced NET formation and interferon score or clinical parameters

Original publication

Low-density granulocytes and neutrophil extracellular trap formation are increased in incomplete systemic lupus erythematosus. Rheumatology (Oxford). Published 22 May 2024. doi:10.1093/rheumatology/keae300

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