Lupus & antiphospholipid syndrome

Progenitor cells and circulating endothelial cells are associated with disease activity and damage in systemic lupus erythematosus patients

LupusPublished Case-control study

Authors' conclusion

Our findings reveal that CD34+CD45low/- progenitor cells, CD34+CD45low/-CD133+ progenitor cells, EPC, and CEC are significantly reduced in SLE patients and are associated with disease activity and organ damage.

Study context

Population
Patients with Systemic Lupus Erythematosus (SLE) and matched controls
Participants
32 vs 28
Comparison
SLE patients vs matched controls
  • SLEn = 32
  • Controlsn = 28reference
Outcome
Peripheral blood levels of CD34+CD45low/- progenitor cells, CD34+CD45low/-CD133+ progenitor cells, Endothelial Progenitor Cells (EPC) and Circulating Endothelial Cells (CEC) (flow cytometry)
Methodological detailsmatched controls, flow cytometry
  • Matched controls
  • Flow cytometry

Main finding

As reported in the abstract

  • SLE vs Controls: P = 0.001
  • SLE vs Controls: P = 0.016
  • SLE vs Controls: P = 0.018
  • SLE vs Controls: P < 0.001

Observational data: associations, not effects.

Further findings

OutcomeP value
Cell levels by organ damage (SDI ≥1 vs no organ damage), SLE patients (subgroup)SDI ≥1 vs No organ damageP = 0.0073
Cell levels by organ damage (SDI ≥1 vs no organ damage), SLE patients (subgroup)SDI ≥1 vs No organ damageP = 0.018
Cell levels by organ damage (SDI ≥1 vs no organ damage), SLE patients (subgroup)SDI ≥1 vs No organ damage · EPC significantly higher with SDI ≥1P = 0.018
Cell levels by organ damage (SDI ≥1 vs no organ damage), SLE patients (subgroup)SDI ≥1 vs No organ damage · CEC significantly higher with SDI ≥1P = 0.020
  • Cell levels by organ damage (SDI ≥1 vs no organ damage), SLE patients (subgroup): CD34+CD45low/- progenitor cells significantly higher with SDI ≥1
  • Cell levels by organ damage (SDI ≥1 vs no organ damage), SLE patients (subgroup): CD34+CD45low/- CD133+ progenitor cells significantly higher with SDI ≥1

Correlation with SLE activity biomarkers

Cell subpopulations correlated with SLE activity biomarkers; CD34+CD45low/- progenitor cells showed a moderate negative correlation with C3 and C4 levels

Original publication

Progenitor cells and circulating endothelial cells are associated with disease activity and damage in systemic lupus erythematosus patients. Lupus. Published 25 March 2025. doi:10.1177/09612033251330124

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