Evidence map›Paper›PMID 40498506›Full record

ArticleJAMA dermatology2025

Nonlesional Skin and Blood Interferon Scores Among Patients With a History of Cutaneous Lupus.

Svenja Henning, Lam C Tsoi, Benjamin Klein, Craig Dobry, Celine C Berthier, Amber N Young, Mitra P Maz, Amy Hurst, Rachael Bogle, Johann E Gudjonsson and 1 more

Abstract read
In one paragraph

Article in JAMA dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. [Lupus erythematosus].Dermatologie (Heidelberg, Germany) · 2025
    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

11 authors.

Svenja HenningDivision of Rheumatology, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor.
Lam C TsoiDepartment of Dermatology, University of Michigan Medical School, Ann Arbor.
Benjamin KleinDivision of Rheumatology, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor.
Craig DobryDepartment of Dermatology, University of Michigan Medical School, Ann Arbor.
Celine C BerthierDivision of Nephrology, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor.
Amber N YoungDivision of Rheumatology, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor.
Mitra P MazDivision of Rheumatology, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor.
Amy HurstDivision of Rheumatology, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor.
Rachael BogleDepartment of Dermatology, University of Michigan Medical School, Ann Arbor.
Johann E GudjonssonDivision of Rheumatology, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor.
J Michelle KahlenbergDivision of Rheumatology, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor.

Funding

University of Michigan Skin Biology and Diseases Resource-based CenterP30AR075043 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Johann Eli Gudjonsson · 2019 to 2026
$6.6M
Stromal-Immune Interactions in Priming for and Maintaining Inflammation in Lupus Skin (Project 1)P01AI179251 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Joanne Michelle Kahlenberg · 2025 to 2026
$4.6M
Characterization of Interferon Kappa as a Novel Target in Cutaneous LupusR01AR071384 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Joanne Michelle Kahlenberg · 2017 to 2026
$3.6M
Linking Disease Mechanisms and Outcomes in Rheumatic DiseasesK24AR076975 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Joanne Michelle Kahlenberg · 2020 to 2026
$910k
NIAID NIH HHS P01 AI179251NIAMS NIH HHS K24 AR076975NIAMS NIH HHS P30 AR075043NIAMS NIH HHS R01 AR071384
6 · The paper itself

Abstract

Importance: Interferons (IFNs) play a crucial role in systemic lupus erythematosus (SLE) pathophysiology and are increased in cutaneous lupus erythematosus (CLE) lesions and blood. Recently, IFN-stimulated genes (ISGs) have been shown to be expressed in nonlesional skin of patients with SLE, suggesting that the nonlesional skin functions as an immune-activated site. Whether this is the case in all patients with SLE remains to be understood. Objective: To compare nonlesional skin and peripheral blood mononuclear cell (PBMC) ISG expression in patients with lupus with and without a history of cutaneous lupus erythematosus. Design, Setting, and Participants: This cross-sectional study at a single-center at a tertiary referral center included patients with a history of cutaneous lupus without SLE (CLEwoSLE), patients with SLE with CLE (SLEwCLE), patients with SLE without CLE (SLEwoCLE), and healthy controls (HCs). All SLE patients met the European League Against Rheumatism (EULAR) and the American College of Rheumatology (ACR) classification criteria and cutaneous lupus was diagnosed by a dermatologist. Data analysis occurred from January 2024 to May 2025. Main outcomes and measures: ISG expression in PBMCs and nonlesional skin was assessed via calculation of IFN score. Results: Overall, 74 of 101 participants were female individuals (73%), and the median (IQR) age varied between 44 (41-50) and 64 (53-68) years between groups. IFN scores in PBMCs were higher in SLEwCLE compared with patients with SLEwoCLE. Similarly, SLEwCLE patients showed highest levels of IFN scores in nonlesional skin. IFN scores in PBMCs and nonlesional skin were strongly correlated (r = 0.83, P < .001). Conclusion and relevance: This cross-sectional study found that ISGs, as represented by IFN scores, in nonlesional skin and PBMCs were elevated in patients with lupus with a history of CLE compared with patients without CLE, suggesting that patients with lupus with and without CLE comprise 2 endotypes, with stronger IFN dysregulation occurring in patients with CLE.

Indexed as

InterferonsLupus Erythematosus, CutaneousSkinAdultCase-Control StudiesCross-Sectional StudiesFemaleHumansLeukocytes, MononuclearLupus Erythematosus, SystemicMaleMiddle AgedInterferons

Identifiers

PMID40498506
PMCPMC12159849

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

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.