Lupus & antiphospholipid syndrome

Type I interferon dysregulation drives distinct pathogenic pathways in early- and late-onset lupus nephritis

Rheumatology (Oxford)Published Mechanistic study

Authors' conclusion

Early-onset LN is characterized by elevated type I IFN activity and neutrophil-driven inflammation, reflecting a more aggressive phenotype.

Study context

Population
Patients with biopsy-confirmed lupus nephritis (LN)
Participants
21 patients
Comparison
Early-onset vs late-onset LN
  • Early-onsetn = 10
  • Late-onsetn = 11reference
Outcome
Differential expression of type I IFN gene signatures in renal tissue
Methodological detailsRNA sequencing of renal biopsies, gene set enrichment analysis (GSEA)
  • RNA sequencing of renal biopsies
  • GSEA

Main finding

As reported in the abstract

Genes differentiating the groups on hierarchical clustering (50 upregulated, 50 downregulated)
100

Further findings

Anti-dsDNA titres · significantly higher in early-onset

P = 0.024

Urinary N-acetyl-β-D-glucosaminidase · significantly higher in early-onset

P = 0.005

Original publication

Type I interferon dysregulation drives distinct pathogenic pathways in early- and late-onset lupus nephritis. Rheumatology (Oxford). Published 24 April 2025. doi:10.1093/rheumatology/keaf211

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