Lupus & antiphospholipid syndrome

Metabolic profiles of cutaneous lupus have abnormalities in the nicotinamide adenine dinucleotide pathway

Lupus Sci MedPublished Cross-sectional study

Authors' conclusion

Metabolites associated with the NAD+ pathway may be dysregulated in the skin of patients with CLE.

Study context

Population
Patients with cutaneous lupus erythematosus (CLE) and normal controls, outpatient dermatology clinics, University of Texas Southwestern and Parkland Health, Dallas, Texas, January 2019 to October 202017 serum and 11 skin samples
Exposure
CLE vs normal controls
Outcome
Metabolomic profiles (metabolite levels) in skin and sera, CLE vs controls, by LC-MS
Methodological detailspilot study, liquid chromatography-mass spectrometry (LC-MS) metabolomics, significance adjusted for multiple hypothesis testing
  • Pilot study
  • LC-MS metabolomics
  • Significance adjusted for multiple hypothesis testing

Main finding

As reported in the abstract

Metabolites of differential abundance, CLE skin vs control skin
Citrulline, increased
log2FC 1.15; P = 0.02
Uracil, increased
log2FC 1.79; P = 0.04
Cyclic ADP ribose (cADPr), downregulated
log2FC 0.83; P = 0.04
Nicotinamide mononucleotide (NMN), downregulated
log2FC 0.75; P = 0.016
NAD+, downregulated
log2FC 0.86; P = 0.016
Metabolites of differential abundance in CLE skin
11

Observational data: associations, not effects.

Further findings

Outcomelog2FCP value
Metabolites of differential abundance, CLE sera vs control seraCLE vs Control · arabinose, increased1.17P = 0.02
Metabolites of differential abundance, CLE sera vs control seraCLE vs Control · cystine, increased1.04P = 0.03
Metabolites of differential abundance, CLE sera vs control sera — Metabolites of differential abundance in CLE sera
2
  • Metabolites of differential abundance, CLE sera vs control sera: 17 serum samples (9 CLE, 8 control)

Original publication

Metabolic profiles of cutaneous lupus have abnormalities in the nicotinamide adenine dinucleotide pathway. Lupus Sci Med. Published 25 January 2025. doi:10.1136/lupus-2024-001401

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