Pediatric rheumatology

Potential involvement of circulating exosomal miRNA-146a in disease activity and TRAF6 gene expression in juvenile proliferative lupus nephritis

Lupus Sci MedPublished Prospective cohort study

Authors' conclusion

This suggests that miRNA-146a might serve as a non-invasive biomarker to evaluate the response to treatment in patients with juvenile lupus nephritis.

Study context

Population
Children and adolescents with juvenile proliferative LN (Juvenile SLE (JSLE))
Participants
12 children
Exposure
Circulating exosomal miRNA-146a over time (12 months vs diagnosis) and its correlation with TRAF6 mRNA and disease activity
Outcome
Circulating exosomal miRNA-146a: change over 12 months and correlation with TRAF6 mRNA
Follow-up
12 months
Methodological detailslongitudinal sampling every 3 months for 1 year, Blood samples every 3 months until 1 year; quantitative real-time PCR for exosomal miRNA-146a and IRAK1/TRAF6 expression; mean age 12.60±0.43 years at diagnosis
  • Longitudinal sampling every 3 months for 1 year
  • Blood samples every 3 months until 1 year; quantitative real-time PCR for exosomal miRNA-146a and IRAK1/TRAF6 expression; mean age 12.60±0.43 years at diagnosis

Main finding

As reported in the abstract

Circulating exosomal miRNA-146a significantly higher at 12 months than at diagnosis
p<0.001
Negative correlation between circulating exosomal miRNA-146a and TRAF6 mRNA
r=−0.30, p=0.049

Observational data: associations, not effects.

Further findings

All patients had a complete response at 12 months

Original publication

Potential involvement of circulating exosomal miRNA-146a in disease activity and TRAF6 gene expression in juvenile proliferative lupus nephritis. Lupus Sci Med. Published 14 February 2024. doi:10.1136/lupus-2023-001078

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