Pediatric rheumatology

Serum IFNα2 levels are associated with disease activity and outperform IFN-I gene signature in a longitudinal childhood-onset SLE cohort

Rheumatology (Oxford)Published Longitudinal cohort study

Authors' conclusion

Serum IFNα2 levels measured by Simoa technology are associated with disease activity scores and characterize disease activity states in cSLE.

Study context

Population
Longitudinal cohort of childhood-onset SLE patients and healthy controls338 samples
Participants
48 vs 67
Exposure
Serum IFNα2 levels (single-molecule array (Simoa)) vs IFN-I gene signature (IGS) as markers of disease activity
  • cSLEn = 48
  • Healthy controlsn = 67reference
Outcome
Association of serum IFNα2 levels and IGS with disease activity (SELENA-SLEDAI, BILAG-2004)
Methodological detailslinear mixed models, ROC analysis
  • Linear mixed models
  • ROC analysis

Main finding

As reported in the abstract

Association with disease activity
  • Serum IFNα2 levels significantly associated with both cSELENA-SLEDAI and BILAG-2004 in the linear mixed model
  • IGS did not show this association
  • Both IFN-I assays characterised Low Lupus Disease Activity State (LLDAS) and disease flare in ROC analysis

Observational data: associations, not effects.

Further findings

Correlation between serum IFNα2 levels and IGS

R
0.78
P
P < 0.0001

Change in mean baseline serum IFNα2 levels in cSLE · first 3 years after diagnosis

Decrease
55.1%
Δ
201 fg/ml
P
P < 0.001
Mean value at 3 years
164 fg/ml
Threshold discriminating patients from healthy controls
219.4 fg/ml
  • IGS showed the same significant negative trend

Original publication

Serum IFNα2 levels are associated with disease activity and outperform IFN-I gene signature in a longitudinal childhood-onset SLE cohort. Rheumatology (Oxford). Published 14 December 2022. doi:10.1093/rheumatology/keac698

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