Lupus & antiphospholipid syndrome

Single‐Cell Profiling of Bone Marrow B Cells and Early B Cell Developmental Disorders Associated With Systemic Lupus Erythematosus

Arthritis RheumatolPublished Mechanistic study

Authors' conclusion

In summary, this study suggests that early B cell loss in BM defines a unique pathological state in a subset of patients with SLE that may play an active role in the dysregulated autoimmune responses.

Study context

Population
Patients with systemic lupus erythematosus (SLE); Bone marrow (BM) B cells
Comparison
SLE with defective/low early B cells vs SLE with normal early B cells
Methodological detailssingle-cell RNA/BCR sequencing, immune profiling
  • Single-cell RNA/BCR sequencing
  • Immune profiling

Main finding

As reported in the abstract

  • SLE-EBlo vs SLE-EBnor: more severe disease activity and proinflammatory status
  • SLE-EBlo vs SLE-EBnor: overaction of type I interferon signaling and metabolic pathways within the B cell compartment
  • SLE-EBlo vs SLE-EBnor: aberrant BCR repertoires

Further findings

Repeat BM sample at remission in one SLE-EBlo patient · remission phase

Early B cell deficiency and associated abnormalities largely rectified

Original publication

Single‐Cell Profiling of Bone Marrow B Cells and Early B Cell Developmental Disorders Associated With Systemic Lupus Erythematosus. Arthritis Rheumatol. Published 30 January 2024. doi:10.1002/art.42750

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