Evidence map›Paper›PMID 39975549›Full record

ArticleFrontiers in immunology2025

Memory B cells and their transcriptomic profiles associated with belimumab resistance in systemic lupus erythematosus in the maintenance phase.

Takeshi Iwasaki, Hajime Yoshifuji, Koji Kitagori, Shuji Sumitomo, Shuji Akizuki, Ran Nakashima, Hideaki Tsuji, Ryosuke Hiwa, Mirei Shirakashi, Kosaku Murakami and 6 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Takeshi IwasakiGraduate School of Medicine, Kyoto University, Department of Rheumatology and Clinical Immunology, Kyoto, Japan.
Hajime YoshifujiGraduate School of Medicine, Kyoto University, Department of Rheumatology and Clinical Immunology, Kyoto, Japan.
Koji KitagoriGraduate School of Medicine, Kyoto University, Department of Rheumatology and Clinical Immunology, Kyoto, Japan.
Shuji SumitomoKobe City Medical Center General Hospital, Department of Rheumatology, Kobe, Japan.
Shuji AkizukiGraduate School of Medicine, Kyoto University, Department of Rheumatology and Clinical Immunology, Kyoto, Japan.
Ran NakashimaGraduate School of Medicine, Kyoto University, Department of Rheumatology and Clinical Immunology, Kyoto, Japan.
Hideaki TsujiGraduate School of Medicine, Kyoto University, Department of Rheumatology and Clinical Immunology, Kyoto, Japan.
Ryosuke HiwaGraduate School of Medicine, Kyoto University, Department of Rheumatology and Clinical Immunology, Kyoto, Japan.
Mirei ShirakashiGraduate School of Medicine, Kyoto University, Department of Rheumatology and Clinical Immunology, Kyoto, Japan.
Kosaku MurakamiDivision of Clinical Immunology and Cancer Immunotherapy, Center for Cancer Immunotherapy and Immunobiology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Akira OnishiDepartment of Advanced Medicine for Rheumatic Diseases, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Hideo OnizawaDepartment of Advanced Medicine for Rheumatic Diseases, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Masao TanakaDepartment of Advanced Medicine for Rheumatic Diseases, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Fumihiko MatsudaGraduate School of Medicine, Kyoto University, Center for Genomic Medicine, Kyoto, Japan.
Akio MorinobuGraduate School of Medicine, Kyoto University, Department of Rheumatology and Clinical Immunology, Kyoto, Japan.
Koichiro OhmuraGraduate School of Medicine, Kyoto University, Department of Rheumatology and Clinical Immunology, Kyoto, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The factors contributing to the treatment efficacy of belimumab in patients with systemic lupus erythematosus (SLE) in the maintenance phase are unknown. Here, we collected blood samples from patients with SLE (n=44) treated with belimumab before and three and six months after treatment. RNA-Seq of whole blood was performed, and gene expression was quantified. Immune cell type enrichment analysis estimated immune cell subtype proportions and gene expression in each subtype. The Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) < 4 at six months was set as the primary efficacy criterion. Non-responders exhibited upregulated B cell proliferation signals before treatment, associated with an increased number of memory B cells. A higher proportion of memory B cells before treatment predicted poor response (

Indexed as

Antibodies, Monoclonal, HumanizedB-LymphocytesDrug ResistanceImmunologic MemoryImmunosuppressive AgentsLupus Erythematosus, SystemicAdultCell ProliferationFemaleGene Expression ProfilingHumansMaleMiddle AgedTranscriptomeAntibodies, Monoclonal, HumanizedbelimumabImmunosuppressive Agentsbelimumabmaintenance phasememory B cellomicsRNA-Seqsystemic lupus erythematosus

Identifiers

PMID39975549
PMCPMC11835923

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.