Lupus & antiphospholipid syndrome

Proteomic analysis reveals angiogenesis-related plasma proteins associated with pre-eclampsia in SLE

Lupus Sci MedPublished Prospective cohort study

Authors' conclusion

Our study did not validate the differentially abundant proteins as markers for SLE-SGA but suggested a link between the antiangiogenic and proangiogenic proteins, endostatin and angiogenin, respectively, and pre-eclampsia in SLE.

Study context

Population
Pregnant women with SLE and healthy controls in the prospective SLE-Placenta study; plasma sampled repeatedly during pregnancy, at delivery and from placental intervillous bloodSLE n=83
Participants
8 / 8 / 6
Exposure
SLE pregnancies complicated by small for gestational age (SGA) vs uncomplicated SLE pregnancies; SLE vs healthy controls
  • SLE-SGAn = 8
  • Uncomplicated SLEn = 8reference
  • Healthy controlsn = 6
Outcome
Proteins associated with SGA in SLE
Methodological detailsproteomic discovery (mass spectrometry) with ELISA validation in full cohort, nested in the prospective SLE-Placenta study
  • Proteomic discovery (mass spectrometry) with ELISA validation in full cohort
  • Nested in the prospective SLE-Placenta study

Main finding

As reported in the abstract

Proteins with increased abundance in SLE-SGA vs uncomplicated SLE (discovery proteomics)
  • ELISA in the full cohort did not confirm increased levels of these proteins in SLE-SGA
  • SLE-SGA vs Uncomplicated SLE: P adj =0.0003
  • SLE-SGA vs Uncomplicated SLE: P adj =0.03
  • SLE-SGA vs Uncomplicated SLE: P adj =0.03
  • SLE-SGA vs Uncomplicated SLE: P adj =0.004

Observational data: associations, not effects.

Further findings

OutcomeP value
Endostatin levels, SLE vs controls · all trimestersConsistently higher in SLEP ≤ 0.0001

Endostatin and angiogenin in women with SLE who later developed pre-eclampsia (ELISA)

Suggested elevated levels of endostatin and angiogenin

Enrichment in placental blood

Endostatin, but not angiogenin, enriched in placental blood

Original publication

Proteomic analysis reveals angiogenesis-related plasma proteins associated with pre-eclampsia in SLE. Lupus Sci Med. Published 7 December 2025. doi:10.1136/lupus-2025-001819

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