Lupus & antiphospholipid syndrome

Serum BAFF levels in pregnant patients with systemic lupus erythematosus

LupusPublished Prospective cohort study

Authors' conclusion

This study found elevated BAFF levels in the first trimester of pregnancy were associated with subsequent development of preeclampsia.

Study context

Population
Pregnant women with systemic lupus erythematosus (SLE) and other rheumatic diseases enrolled before 30 weeks gestation with known pregnancy outcome408 samples
Participants
230 women
Exposure
SLE pregnancies with vs without preeclampsia; BAFF levels across trimesters
Outcome
Association of BAFF levels with preeclampsia
Follow-up
First trimester
Methodological detailsPreeclampsia determined by chart review and consensus among 6 providers
  • Preeclampsia determined by chart review and consensus among 6 providers

Main finding

As reported in the abstract

First-trimester BAFF level, SLE

P = 0.007

Preeclampsia per 100-unit increase in first-trimester BAFF, SLE (AOR, adjusted for age, obesity, maternal race)
1.19 (95% CI 1.05, 1.36)

Observational data: associations, not effects.

Further findings

BAFF level by trimester

Median BAFF significantly higher in 1st trimester vs 2nd and 3rd
P = 0.002

Elevated BAFF in SLE: dsDNA and LN

More likely elevated dsDNA; not more likely LN during pregnancy

Original publication

Serum BAFF levels in pregnant patients with systemic lupus erythematosus. Lupus. Published 22 January 2026. doi:10.1177/09612033261419984

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