Lupus & antiphospholipid syndrome

Sirtuin 1 overexpression contributes to the expansion of follicular helper T cells in systemic lupus erythematosus and may serve as an accessible therapeutic target

Rheumatology (Oxford)Published Mechanistic study

Authors' conclusion

SIRT1 overexpression contributed to the expansion of Tfh cells in SLE and may serve as a potential target for treatment.

Study context

Population
SLE patients (peripheral blood Tfh cells); MRL/lpr and pristane-induced lupus mice
Comparison
SIRT1 overexpression, knockdown or inhibition (EX527, nicotinamide) in Tfh cell differentiation; nicotinamide vs controls in lupus mice
Outcome
Role of SIRT1 in Tfh cell expansion in SLE
Methodological detailshuman cells and mouse models, in vitro and in vivo
  • Human cells and mouse models
  • In vitro and in vivo

Main finding

As reported in the abstract

  • SIRT1 expression elevated in Tfh cells from SLE patients, positively correlated with Tfh cell frequencies
  • SIRT1 expression gradually increased during Tfh cell differentiation
  • SIRT1 overexpression by lentiviral vectors significantly promoted Tfh cell differentiation/proliferation
  • SIRT1 suppression by small interfering RNA (siRNA) and SIRT1 inhibition by EX-527 or nicotinamide hindered Tfh cell expansion
  • Continuous daily nicotinamide alleviated lupus-like phenotypes and decreased serum CXCL13 in both mouse models

Original publication

Sirtuin 1 overexpression contributes to the expansion of follicular helper T cells in systemic lupus erythematosus and may serve as an accessible therapeutic target. Rheumatology (Oxford). Published 4 September 2023. doi:10.1093/rheumatology/kead453

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