Lupus & antiphospholipid syndrome

Quantitative mapping of prefrontal oxygenation dysfunction and neuropsychiatric symptoms in patients with systemic lupus erythematosus: a multichannel functional near-infrared spectroscopy study

Lupus Sci MedPublished Cross-sectional study

Authors' conclusion

Prefrontal HbO oscillation disorder is associated with depressive and anxiety symptoms in SLE patients, and its spatial gradient quantitatively maps the severity of these emotional symptoms during cognitive task engagement

Study context

Population
Patients with systemic lupus erythematosus (SLE) and healthy controls
Exposure
SLE vs healthy controls; SLE subgroups with and without depression or anxiety
Outcome
Prefrontal HbO and deoxyhaemoglobin concentrations (activation per channel) during a verbal fluency task
Methodological details37-channel functional near-infrared spectroscopy (fNIRS), verbal fluency task
  • 37-channel fNIRS
  • Verbal fluency task

Main finding

As reported in the abstract

Prefrontal HbO concentration
  • SLE vs healthy controls (HCs): P < 0.05

Observational data: associations, not effects.

Further findings

OutcomeP value
HbO by anxiety subgroupSLE with anxiety vs HCsP < 0.05
HbO by anxiety subgroupSLE with anxiety vs SLE without anxiety · more severe HbO decrease on 8 channelsP < 0.05
  • HbO by anxiety subgroup: more severe HbO decrease on 8 channels (CH6, 10, 13, 17, 18, 24, 25, 26), dorsolateral prefrontal cortex and bilateral frontal pole

HbO by depression subgroup

SLE with and without depression both showed significantly altered HbO vs HCs across 14 channels (CH6, 9, 10, 13-15, 18, 24-28, 34, 36)
No significant difference between the two SLE depression subgroups

Original publication

Quantitative mapping of prefrontal oxygenation dysfunction and neuropsychiatric symptoms in patients with systemic lupus erythematosus: a multichannel functional near-infrared spectroscopy study. Lupus Sci Med. Published 1 July 2026. doi:10.1136/lupus-2026-002009

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