Evidence map›Paper›PMID 42810773›Full record

ArticleLupus science & medicine2026

Protein biomarkers of inflammation in women with SLE and their newborn children.

Christina Gerstner, Emma Kroon, Tilen Tršelič, Gudny Ella Thorlacius, Claudia Arasa, Sophia Björkander, Rui Da Silva Rodrigues, Eva Sverremark-Ekström, Marie Wahren-Herlenius, Malin Hedlund

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Article in Lupus science & medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Christina GerstnerDepartment of Medicine Solna, Division of Rheumathology, Karolinska Institutet, Stockholm, Sweden.
Emma KroonDepartment of Medicine Solna, Division of Rheumathology, Karolinska Institutet, Stockholm, Sweden.ORCID 0009-0002-1971-3417
Tilen TršeličDepartment of Medicine Solna, Division of Rheumathology, Karolinska Institutet, Stockholm, Sweden.ORCID 0009-0006-0316-8847
Gudny Ella ThorlaciusDepartment of Medicine Solna, Division of Rheumathology, Karolinska Institutet, Stockholm, Sweden.
Claudia ArasaDepartment of Molecular Biosciences, The Wenner-Gren Institute, Stockholm University, Stockholm, Sweden.
Sophia BjörkanderDepartment of Molecular Biosciences, The Wenner-Gren Institute, Stockholm University, Stockholm, Sweden.
Rui Da Silva RodriguesDepartment of Medicine Solna, Division of Rheumathology, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-7620-872X
Eva Sverremark-EkströmDepartment of Molecular Biosciences, The Wenner-Gren Institute, Stockholm University, Stockholm, Sweden.ORCID 0000-0001-6271-8681
Marie Wahren-HerleniusDepartment of Medicine Solna, Division of Rheumathology, Karolinska Institutet, Stockholm, Sweden.
Malin HedlundDepartment of Medicine Solna, Division of Rheumathology, Karolinska Institutet, Stockholm, Sweden malin.i.hedlund@regionstockholm.se.ORCID 0000-0003-2051-9099

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIn utero exposure to maternal anti-Ro/Sjögren's syndrome antigen A (SSA) and anti-La/Sjögren's syndrome antigen B (SSB) autoantibodies activates the fetal type I interferon (IFN) system. Women with SLE often carry a broader range of autoantibodies beyond anti-Ro/SSA and anti-La/SSB, like for example, anti-double stranded DNA (anti-dsDNA), anti-centromere and anti-nucleosome antibodies. We aimed to assess IFN activation and the expression of other immune-related proteins in pregnant women with SLE-with or without anti-SSA/SSB or anti-dsDNA autoantibodies-and in their newborns. We also aimed to investigate the impact of maternal immunomodulatory treatment on these responses.

methodsSerum samples from 22 women with SLE and 22 healthy pregnant women, along with their newborns, were analysed using proximity extension assay technology to quantify 92 immune-related proteins.

findingsWomen with SLE had differential expression of 39 out of 92 proteins compared with healthy controls. Several proinflammatory cytokines and proteins involved in SLE pathogenesis were significantly upregulated in both women and their newborns. A couple of IFN-regulated proteins were significantly increased in anti-SSA/SSB-positive and anti-dsDNA-positive mother-child pairs, respectively. Still, IFN scores were generally elevated in pregnant women with SLE regardless of their autoantibody status. However, neonatal IFN scores did not significantly differ based on maternal autoantibody status or treatment.

conclusionWomen with SLE and their newborn children had increased expression of a range of proinflammatory biomarkers irrespective of their anti-SSA/SSB or anti-dsDNA autoantibody status. Irrespective of the increased expression of several IFN-regulated proteins in anti-SSA/SSB-positive and anti-dsDNA-positive mother-child pairs, the presence of these autoantibodies alone did not significantly influence the level of IFN activation in neither the mothers nor the newborns exposed to these autoantibodies in utero.

Indexed as

InflammationLupus Erythematosus, SystemicPregnancy ComplicationsAdultAntibodies, AntinuclearAutoantibodiesBiomarkersCase-Control StudiesCytokinesFemaleHumansInfant, NewbornInterferon Type IPregnancySS-B AntigenAntibodies, AntinuclearAutoantibodiesBiomarkersCytokinesInterferon Type ISS-B antibodiesSS-B AntigenAutoantibodiesAutoimmune DiseasesInflammationInterferon Type ILupus Erythematosus, Systemic

Identifiers

PMID42810773
PMCPMC13629874

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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.