Lupus & antiphospholipid syndrome

Metabolomic analysis suggests thiamine monophosphate as a potential marker for mesenchymal stem cell transplantation outcomes in patients with SLE

Lupus Sci MedPublished Mechanistic study

Authors' conclusion

This study concludes that TMP is a potential biomarker that can predict the efficacy of MSCT in treating SLE

Study context

Population
Patients with SLE treated with mesenchymal stem cell transplantation (MSCT)
Participants
20 patients
Comparison
Plasma metabolic profiles before vs after MSCT
Outcome
Metabolic markers associated with successful treatment by MSCT
Methodological detailsmetabolomic analysis, before-and-after comparison
  • Metabolomic analysis
  • Before-and-after comparison

Main finding

As reported in the abstract

Metabolite changes after MSCT

Metabolites detected

18 121

Metabolites with significant changes post-treatment, clearly distinguished pre vs post by principal component analysis (PCA)

1152

ROC: Thiamine monophosphate (TMP) level change most predictive of treatment success; increase indicating good response

35%

Further findings

Clinical outcomes after MSCT · median follow-up 180 days

Decreased SLE Disease Activity Index scores, urine protein/creatinine ratios and ESR; increased complement C3 and C4, haemoglobin and platelets

Original publication

Metabolomic analysis suggests thiamine monophosphate as a potential marker for mesenchymal stem cell transplantation outcomes in patients with SLE. Lupus Sci Med. Published 12 March 2025. doi:10.1136/lupus-2024-001197

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