Lupus & antiphospholipid syndrome

Type I interferon and neutrophil transcripts in lupus nephritis renal biopsies: clinical and histopathological associations

Rheumatology (Oxford)Published Mechanistic study

Main findingResult — go to the resultRelative IFNα2 expression (mean ± SD as printed) 23.0 ± 16.2 vs 12.0 ± 14.8

Authors' conclusion

IFN-I transcripts are expressed locally in kidneys from patients with proliferative LN and are associated with impaired renal function. Elevated defensin-α3 transcripts, a neutrophil product associated with neutrophil extracellular traps, may identify a driver of local IFN-I expression.

Study context

Population
Patients with various classes of LN undergoing kidney biopsy, and control kidney samples24 LN patients and 3 control samples
Participants
6 / 14 / 4 / 3
Comparison
Proliferative LN vs membranous LN vs control kidneys
  • Class IIIn = 6
  • Class IVn = 14
  • Class Vn = 4
  • Controln = 3reference
Outcome
Expression of IFN-I and neutrophil transcripts (defensin-α3, FPRL-1) in kidney tissue and association with clinical and histopathological features

Main finding

As reported in the abstract

Relative IFNα2 expression (mean ± SD as printed)

23.0 ± 16.2 vs 12.0 ± 14.8

P = 0.04

Defensin-α3 correlation with renal pathological activity indices
r = 0.61, P = 0.02
Defensin-α3 correlation with urinary protein levels
r = 0.44, P = 0.048
Defensin-α3 correlation with IFNα2 expression
r = 0.50, P = 0.01

Original publication

Type I interferon and neutrophil transcripts in lupus nephritis renal biopsies: clinical and histopathological associations. Rheumatology (Oxford). Published 10 November 2022. doi:10.1093/rheumatology/keac641

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