Evidence map›Paper›PMID 40465409›Full record

ArticleRheumatology (Oxford, England)2025

Single-centre comparison of non-familial, familial and monogenic lupus.

Jalila Alshekaili, Batool S H Al Lawati, Zahran Althuhli, Warda Al-Azri, Almundher Al-Maawali, Samiya Al-Rashdi, Farida Al-Mamari, Mahmood Al-Kindi, Hamad Al Balushi, Mohammed Al-Rawahi and 2 more

Abstract readComparative Study
In one paragraph

Article in Rheumatology (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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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

3 citing papers in PubMed.

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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

12 authors.

Jalila AlshekailiDepartment of Microbiology and Immunology, Sultan Qaboos University Hospital, University Medical City, Muscat, Oman.ORCID 0000-0002-2576-4766
Batool S H Al LawatiRheumatology Unit, Department of Medicine, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Zahran AlthuhliCollege of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Warda Al-AzriRheumatology Unit, Department of Medicine, Sultan Qaboos University Hospital, University Medical City, Muscat, Oman.
Almundher Al-MaawaliDepartment of Genetics, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Samiya Al-RashdiDepartment of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat, Oman.
Farida Al-MamariDepartment of Genetics, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Mahmood Al-KindiDepartment of Microbiology and Immunology, Sultan Qaboos University Hospital, University Medical City, Muscat, Oman.
Hamad Al BalushiDepartment of Microbiology and Immunology, Sultan Qaboos University Hospital, University Medical City, Muscat, Oman.
Mohammed Al-RawahiDepartment of Hematology, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Murtadha Al-KhaboriDepartment of Hematology, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Matthew C CookDepartment of Immunology and Infectious Disease, John Curtin School of Medical Research, Australian National University, Canberra, NSW, Australia.

Funding

Royal Society Wolfson Fellowship RSWF\R2\222004Sultan Qaboos University IG/MED/MICR/19/01
6 · The paper itself

Abstract

objectivesThere is a significant genetic contribution to systemic lupus erythematosus (SLE). Monogenic SLE is a distinct form of SLE. We investigated whether familial or known monogenic lupus cases are distinguishable from non-familial lupus by clinical or laboratory phenotype in a population with high rates of consanguinity. PATIENTS AND

methodsWe performed a retrospective case-control study on 24 multiplex families, comprising 62 cases, and 95 non-familial lupus controls. Demographic and Systemic Lupus International Collaborating Clinics criteria were compared between the two groups. Familial cases were also evaluated by whole exome sequencing and cellular phenotyping. Statistical analysis was performed using R Studio.

resultsFamilial and non-familial lupus cases were similar although familial cases were younger at presentation (18 y vs 26 y, OR = 0.91, P = 1.61 × 10-5), a higher prevalence of synovitis (OR = 2.7, P = 0.013) and lower prevalence of high level of dsDNA antibodies (OR = 0.25, P = 1.9 × 10-3). Exome sequencing of a subset yielded a diagnostic rate of 36%. Monogenic lupus were distinguished from other familial cases by an even younger age at presentation (6 y vs 19 y, OR = 0.82, P = 2.13 × 10-3), non-biased male-to-female ratio (P = 0.077) and expansion of exhausted CD4+ T cells (CD4+CD45RA+PD-1+) (P = 1.7 × 10-4).

conclusionOverall, clinical phenotype is a poor indicator of familial or monogenic lupus. Familial lupus and monogenic familial lupus (MoFL) tend to present at a younger age than the Non-MoFL, exhibit less female bias and in some cases are distinguished by a lymphocyte signature. Consanguinity increases the rate of monogenic familial lupus and these cases can present in adulthood.

Indexed as

Lupus Erythematosus, SystemicAdolescentAdultAntibodies, AntinuclearCase-Control StudiesChildConsanguinityExome SequencingFemaleGenetic Predisposition to DiseaseHumansMaleMiddle AgedPhenotypeRetrospective StudiesYoung AdultAntibodies, AntinuclearCOPADNASE1L3IKZF2monogenic lupussystemic lupus erythematosus (SLE)

Identifiers

PMID40465409
PMCPMC12494222

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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.