Journal: Cell Reports Medicine
Article Title: Uncoupling interferons and the interferon signature explains clinical and transcriptional subsets in SLE
doi: 10.1016/j.xcrm.2024.101569
Figure Lengend Snippet: Longitudinal patterns of IFN type and their association with markers of disease activity and treatment in SLE (A) Intraclass correlation coefficient (ICC) of increased IFN activity levels in patients with SLE ( n = 77) with more than 1 longitudinal sample. (B) Sankey diagram showing the flow of normal and increased IFN levels in patients with SLE ( n = 42) with three longitudinal samples. Normal = normal IFN; I = high IFN-I; I+ = high IFN-I plus high IFN-II or IFN-III; II = high IFN-II; III = high IFN-III; II + III = high IFN-II + IFN-III; I + II + III = elevation of the three IFN types. Node height represents the proportion of patients with SLE with the indicated elevation of IFNs at the time of visit. Visit 1: normal, 17% ( n = 7); I, 10% ( n = 4); I+, 5% ( n = 2); II, 12% ( n = 5); II + III, 31% ( n = 13); and I + II + III, 26% ( n = 11). Visit 2: normal, 18% ( n = 8); I, 7% ( n = 3); I+, 2% ( n = 1); II, 21% ( n = 9); II + III, 19% ( n = 8); I + II + III, 26% ( n = 11); and III, 5% ( n = 2). Visit 3: normal, 14% ( n = 6); I, 7% ( n = 3); I+, 3% ( n = 7); II, 7% ( n = 17); II + III, 31% ( n = 13); I + II + III, 21% ( n = 9); and III, 2% ( n = 1). Each flow or link between the nodes represents a single patient. (C) Trajectory of elevated IFN types along with SLEDAI, C3, C4, and anti-dsDNA in patients with SLE. To represent grouped trajectories, Z scores of elevated IFN type and disease activity markers (SLEDAI, C3, and dsDNA) were projected over disease duration using loess-fitted curves. (D) Correlation between disease activity markers and elevated IFN type obtained by a Bayesian mixed-effects model in patients with SLE adjusted by disease duration. (E) Mixed-effects multinomial regression model examining the association between treatment and elevated IFN groups at the time of visit. (F) Mixed-effects multinomial regression model analyzing the relationship between normal and elevated IFN groups with SLE disease activity. Mild (SLEDAI = 1–2), moderate (SLEDAI = 2–9), severe (SLEDAI ≥10). In (C) and (D), the data are from 322 visits from 184 patients. In (E) and (F), the data are from the visits of 177 patients. Other elevated IFN groups (i.e., IFN-I + IFN-II, IFN-I + III, and IFN-III alone) were excluded in (E) and (F) due to the small number of patients in each group. MMF, mofetil mycophenolate; AZA, azathioprine; MTX, methotrexate; HCQ, hydroxychloroquine; PDN, prednisone.
Article Snippet: IFN-λ3 (IL-28B) , Gibco , Cat# PHC0894.
Techniques: Activity Assay