Lupus & antiphospholipid syndrome

Ras/mitogen-activated protein kinase (Ras-MAPK) pathway in patients with lupus nephritis

Lupus Sci MedPublished Case series

Authors' conclusion

Kidney involvement may be the main feature of the clinical spectrum of RASopathy.

Study context

Population
Five unrelated patients with SLE carrying mutations associated with RASopathy
Participants
5 unrelated patients
Outcome
Clinical and laboratory features of SLE patients with RASopathy-associated variants
Methodological detailswhole-exome/whole-genome sequencing, RNA sequencing, nephroseq database
  • Whole-exome/whole-genome sequencing
  • RNA sequencing
  • Nephroseq database

Main finding

As reported in the abstract

(Likely) pathogenic variants in four Ras-MAPK genes (NRAS p.G13D, ARAF p.R479C, KRAS p.V114A, PTPN11 p.R152H, NRAS p.G12S)
5
Nephrotic syndrome
2/5
Proteinuria and haematuria
2/5
Acute kidney injury
1
Rapidly progressive nephritic syndrome
1
Mucocutaneous lesions
5/5
Cardiac involvement
4/5
Arthralgia
3/5
Hypocomplementaemia
5/5
aPL present
4/5
Decreased regulatory T cells
3/3
Pancytopenia
3/5
Persistent monocytosis
2/5

Observational data: associations, not effects.

Further findings

Response to standard therapy

Most patients responded well to standard therapy; the patient with NRAS p.G13D died

Original publication

Ras-MAPK pathway in patients with lupus nephritis. Lupus Sci Med. Published 18 March 2025. doi:10.1136/lupus-2024-001345

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