Pediatric rheumatology

Trio Whole Exome Sequencing in Chinese Childhood‐Onset Lupus Reveals Novel Candidate Genes

Arthritis RheumatolPublished Genetic sequencing study

Authors' conclusion

This study highlights the abundance of lupus-relevant rare gene variants in cSLE, supports frequent contribution of de novo variants to disease, and identifies genes that may constitute novel therapeutic targets of relevance to Chinese patients.

Study context

Population
Chinese trios with childhood-onset systemic lupus erythematosus (SLE) (cSLE)
Participants
50 trios
Outcome
Rare variants in SLE-associated genes and de novo rare coding variants per proband (WES of cSLE trios)
Methodological detailstrio whole-exome sequencing, gene pathway and expression analysis, IFNβ luciferase assays
  • Trio whole-exome sequencing
  • Gene pathway and expression analysis
  • IFNβ luciferase assays

Main finding

As reported in the abstract

Each proband carried at least one rare variant in an SLE-associated gene; median per child
6
Probands with monogenic disease (at least)
2
Probands carrying novel or rare variants in genes accepted to cause monogenic SLE (ACP5, C3, C4A, C4B, DNASE1, IFIH1, NRAS, RNASEH2B, RNASEH2C, SAMHD1)
one-third
De novo rare coding variants per proband, median
1
De novo variants in genes previously associated with SLE
2
De novo variant genes enriched in top 20 SLE-related pathways and highly expressed in age-associated and plasma B cells
12 of the 50
De novo variants in genes not previously linked to SLE or autoimmunity (DHX8, ACTR5) enhanced type I IFN signaling
2

Original publication

Trio Whole Exome Sequencing in Chinese Childhood‐Onset Lupus Reveals Novel Candidate Genes. Arthritis Rheumatol. Published 21 July 2025. doi:10.1002/art.43243

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