Lupus & antiphospholipid syndrome

Unveiling the dynamics of B lymphocytes in systemic lupus erythematosus patients treated with belimumab through longitudinal single-cell RNA sequencing

Rheumatology (Oxford)Published Mechanistic study

An erratum to this article was published (Rheumatology (Oxford), 1 Apr 2025 ↗)

Authors' conclusion

The observed B cell dynamics provided insights into the immunological mechanisms underlying the therapeutic effects of anti-BAFF in SLE patients.

Study context

Population
Korean systemic lupus erythematosus (SLE) patients treated with belimumab; validation cohort of Japanese SLE patients (bulk transcriptome)plus 22 Japanese SLE patients (bulk)
Participants
4 patients
Comparison
Before vs after belimumab treatment
Outcome
B lymphocyte dynamics in peripheral blood mononuclear cells (PBMCs) during anti-BAFF (belimumab) treatment
Follow-up
2 weeks, 1, 3, 6 and 12 months
Methodological detailslongitudinal single-cell RNA sequencing, flow cytometry validation, comparison with bulk transcriptome data
  • Longitudinal single-cell RNA sequencing
  • Flow cytometry validation
  • Comparison with bulk transcriptome data

Main finding

As reported in the abstract

  • Naïve and transitional B cells: initial decline, then increase at 3 months
  • Memory B cells: initial increase, then decrease by the third month
  • Plasmablasts: consistent decline throughout treatment
  • B cell activation pathways in naïve and memory B cells downregulated at 3 and 6 months
  • Findings validated at protein level by flow cytometry over first 4 weeks

Further findings

NR4A1 expression (bulk transcriptome, 22 Japanese SLE patients) · 6 months

Increased NR4A1 expression post-belimumab

Original publication

Unveiling the dynamics of B lymphocytes in systemic lupus erythematosus patients treated with belimumab through longitudinal single-cell RNA sequencing. Rheumatology (Oxford). Published 22 July 2024. doi:10.1093/rheumatology/keae364

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