Lupus & antiphospholipid syndrome

T Cell Plasticity in Systemic Lupus Erythematosus Revealed by Large‐Scale T Cell Receptor Repertoire and Transcriptome Studies

Arthritis RheumatolPublished Mechanistic study

Authors' conclusion

Our study identifies a Treg-associated Th1 state in human SLE, consistent with Treg cell to Th1 cell plasticity.

Study context

Population
Patients with autoimmune disease in the large-scale ImmuNexUT database, including systemic lupus erythematosus (SLE); 13 fine-grained T cell types6,392 samples
Comparison
SLE vs healthy controls
  • SLEn = 117
Outcome
CD4+ T cell plasticity
Methodological detailsT cell receptor (TCR) repertoire and transcriptome profiling, replication in independent bulk and single-cell cohorts
  • TCR repertoire and transcriptome profiling
  • Replication in independent bulk and single-cell cohorts

Main finding

As reported in the abstract

  • Strongest plasticity signal between eTreg cells and Th1 cells, replicated in an independent cohort
  • SLE Th1 cells exhibited Treg-like TCR features and transcriptomic profiles
  • eTreg cells showed increased clonotype sharing with Th1 cells vs healthy controls
  • Th1 "Tregness" score positively correlated with SLE disease activity

Original publication

T Cell Plasticity in Systemic Lupus Erythematosus Revealed by Large‐Scale T Cell Receptor Repertoire and Transcriptome Studies. Arthritis Rheumatol. Published 2 June 2026. doi:10.1002/art.70218

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