Lupus & antiphospholipid syndrome

SLE stratification based on BAFF and IFN-I bioactivity for biologics and implications of BAFF produced by glomeruli in lupus nephritis

Rheumatology (Oxford)Published Mechanistic study

Authors' conclusion

Monitoring urinary BAFF-bioactivity may be valuable in diagnosing LN. Furthermore, stratification based on serum BAFF and IFN-I bioactivities may allow the identification of appropriate patients for biologics targeting BAFF and IFN-I.

Study context

Population
SLE patients and healthy controls
Comparison
SLE patients stratified by serum BAFF and IFN-I bioactivity; LN vs non-LN vs healthy controls
Methodological detailsreporter cell assay, publicly available scRNA-seq data, immunohistological analysis
  • Reporter cell assay
  • Publicly available scRNA-seq data
  • Immunohistological analysis

Main finding

As reported in the abstract

  • SLE patients, especially LN, had significantly higher serum BAFF-bioactivity than healthy controls (HC) and non-LN patients
  • BAFF expressed in glomerular macrophages and mesangial cells in LN kidney samples (scRNA-seq and immunohistology)
  • Urinary BAFF bioactivity elevated in LN vs non-LN; no IFN-I bioactivity detected in urine
  • Stratification by serum BAFF and IFN-I: high BAFF represented LN; high IFN-I represented blood and skin manifestations

Original publication

SLE stratification based on BAFF and IFN-I bioactivity for biologics and implications of BAFF produced by glomeruli in lupus nephritis. Rheumatology (Oxford). Published 12 September 2022. doi:10.1093/rheumatology/keac528

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