Lupus & antiphospholipid syndrome

Molecular endotypes of type 1 and type 2 SLE

Lupus Sci MedPublished Mechanistic study

Authors' conclusion

Gene co-expression analysis successfully identified unique transcriptional patterns that segregate type 1 SLE from type 2 SLE and further identified type 2 molecular features in patients with inactive SLE or FM and with active SLE with severe fatigue.

Study context

Population
Subjects with SLE selected by the presence of manifestations typical of type 1 and type 2 SLE
Participants
18 subjects
Comparison
Type 1 SLE vs type 2 SLE
Outcome
Gene co-expression modules in peripheral blood
Methodological detailswhole-blood RNA sequencing, Multiscale Embedded Gene Co-expression Network Analysis
  • Whole-blood RNA sequencing
  • Multiscale Embedded Gene Co-expression Network Analysis

Main finding

As reported in the abstract

  • Specific gene co-expression modules correlated with individual features of type 1 and type 2 SLE and effectively segregated type 1 from type 2 SLE samples
  • Unique type 1 SLE enrichment: interferon, monocytes, T cells, cell cycle and neurotransmitter pathways
  • Unique type 2 SLE enrichment: B cells and metabolic and neuromuscular pathways

Further findings

Type 2 SLE modules in other cohorts

Type 2 SLE modules identified in subsets of previously reported patients with inactive SLE and idiopathic fibromyalgia (FM), and in subsets of patients with active SLE with a greater frequency of severe fatigue

Original publication

Molecular endotypes of type 1 and type 2 SLE. Lupus Sci Med. Published 30 January 2023. doi:10.1136/lupus-2022-000861

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