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Research ArticleSystemic Lupus Erythematosus

Hydroxychloroquine Suppresses Interferon-inducible Genes and B Cell Activating Factor in Patients With Incomplete and New-onset Systemic Lupus Erythematosus

Wietske M. Lambers, Johanna Westra, Hendrika Bootsma and Karina de Leeuw
The Journal of Rheumatology June 2021, 48 (6) 847-851; DOI: https://doi.org/10.3899/jrheum.200726
Wietske M. Lambers
1W.M. Lambers, MD, PhD candidate, J. Westra, PhD, H. Bootsma, MD, PhD, K. de Leeuw, MD, PhD, Department of Rheumatology and Clinical Immunology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
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  • ORCID record for Wietske M. Lambers
  • For correspondence: w.m.lambers@umcg.nl
Johanna Westra
1W.M. Lambers, MD, PhD candidate, J. Westra, PhD, H. Bootsma, MD, PhD, K. de Leeuw, MD, PhD, Department of Rheumatology and Clinical Immunology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
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Hendrika Bootsma
1W.M. Lambers, MD, PhD candidate, J. Westra, PhD, H. Bootsma, MD, PhD, K. de Leeuw, MD, PhD, Department of Rheumatology and Clinical Immunology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
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Karina de Leeuw
1W.M. Lambers, MD, PhD candidate, J. Westra, PhD, H. Bootsma, MD, PhD, K. de Leeuw, MD, PhD, Department of Rheumatology and Clinical Immunology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
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    Figure 1.

    Expression of IFN-inducible gene expression upon treatment with hydroxychloroquine. Relative expression (RE) of IFN-inducible genes (A) LY6E, (B) MX1, (C) IFI44L, and (D) IFN-3 score, before and after treatment with HCQ. The level of significance (P value) is depicted. All patients are labeled by their subject numbers (see Table 1.) The dotted line represents the mean ± SD of the healthy controls. HCQ: hydroxychloroquine; IFN: interferon.

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    Figure 2.

    Change of IFN-related mediators and SLEDAI after treatment with HCQ. Levels of (A) B cell activating factor (BAFF), (B) IFN-γ–induced protein 10 (IP-10), and (C) SLEDAI, before and after treatment with HCQ. The level of significance (P value) is depicted. All patients are labelled by their subject numbers (see Table 1.) HCQ: hydroxychloroquine; IFN: interferon; SLEDAI: Systemic Lupus Erythematosus Disease Activity Index.

Tables

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    Table 1.

    Patient characteristics.

    123456789
    Reason for HCQ startTendinitisArthritisArthritisArthritisArthritisArthritisArthritisCLEArthritis
    SexFFMFMMFMF
    Age, yrs292668555641303759
    Disease duration, mos2396213241312
    Simultaneous start of NSAIDNoYesYesNoNoYesYesNoYes
    No. ACR criteria333242333
    No. SLICC criteria233243433
    Sum score, EULAR/ACR criteria17131261689108
    Clinical criteria
        Skin–x––––xx–
        Ulcers–––––––––
        Synovitis––xxxxx–x
        Hematologicx––––––––
        Serositis––––x––––
        Renal–––––––––
        Neurologic–––––––––
    Immunologic criteria
        ANAxxxxxxxxx
        Anti-dsDNAx–x––––x–
        Anti-SSAx––x–––x–
        Anti-Sm–x–––––––
        Anti-RNP1–x–––––––
        Low complement––––––x––
        Antiphospholipids––––xx––x
    HCQ serum level, μg/L628147342564315233258129496
    Resolution of symptomsNoNoNoNoYesYesNoYesYes
    SLEDAI before HCQspecified04a6a,b4a6a,c4a6a,c2d4a
    SLEDAI after HCQspecified01e2b4a002c2d0
    • Specification of SLEDAI score:

    • ↵aarthritis (4 points);

    • ↵banti-dsDNA (2 points);

    • ↵clow complement 3 or 4 (2 points);

    • ↵dskin rash (2 points);

    • ↵eleukopenia (1 point). ACR: American College of Rheumatology; ANA: antinuclear antibody; CLE: cutaneous lupus erythematosus; EULAR; European League Against Rheumatism; HCQ: hydroxychloroquine; NSAID: nonsteroidal antiinflammatory drug; SLICC: SLE International Collaborating Clinics; SLEDAI: Systemic Lupus Erythematosus Disease Activity Index.

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The Journal of Rheumatology
Vol. 48, Issue 6
1 Jun 2021
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Hydroxychloroquine Suppresses Interferon-inducible Genes and B Cell Activating Factor in Patients With Incomplete and New-onset Systemic Lupus Erythematosus
Wietske M. Lambers, Johanna Westra, Hendrika Bootsma, Karina de Leeuw
The Journal of Rheumatology Jun 2021, 48 (6) 847-851; DOI: 10.3899/jrheum.200726

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Hydroxychloroquine Suppresses Interferon-inducible Genes and B Cell Activating Factor in Patients With Incomplete and New-onset Systemic Lupus Erythematosus
Wietske M. Lambers, Johanna Westra, Hendrika Bootsma, Karina de Leeuw
The Journal of Rheumatology Jun 2021, 48 (6) 847-851; DOI: 10.3899/jrheum.200726
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Keywords

BAFF
HYDROXYCHLOROQUINE
INTERFERON
IP10
LUPUS
SLE

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Keywords

  • BAFF
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