Reduced proportions of natural killer T cells are present in the relatives of lupus patients and are associated with autoimmunity
2008

Reduced Natural Killer T Cells in Relatives of Lupus Patients

Sample size: 367 publication 10 minutes Evidence: moderate

Author Information

Author(s): Joan Wither, Yong-chun Cai, Sooyeol Lim, Tamara McKenzie, Nicole Roslin, Jaime O Claudio, Glinda S Cooper, Thomas J Hudson, Andrew D Paterson, Celia M T Greenwood, Dafna Gladman, Janet Pope, Christian A Pineau, C Douglas Smith, John G Hanly, Christine Peschken, Gilles Boire, Paul R Fortin

Primary Institution: Arthritis Centre of Excellence, University Health Network, Toronto, Canada

Hypothesis

Do first-degree relatives of lupus patients exhibit similar immune abnormalities as lupus patients?

Conclusion

The study found that first-degree relatives of lupus patients have reduced proportions of natural killer T cells, which may predispose them to autoimmunity.

Supporting Evidence

  • First-degree relatives of lupus patients had significantly reduced proportions of NKT cells compared to controls.
  • 21.7% of family members were ANA positive, indicating a higher risk of autoimmunity.
  • The proportion of NKT cells was significantly correlated with positive ANA status.
  • Reduced NKT cell proportions were associated with self-reported autoimmune diseases in relatives.

Takeaway

This study shows that family members of lupus patients have fewer special immune cells called natural killer T cells, which might make them more likely to get autoimmune diseases.

Methodology

Flow cytometry was used to analyze peripheral blood mononuclear cells from first-degree relatives of lupus patients and control individuals.

Potential Biases

Potential bias due to the exclusion of control individuals with a family history of lupus.

Limitations

The study relied on self-reported autoimmune diseases, which were not always confirmed.

Participant Demographics

The study included 367 first-degree relatives of lupus patients and 102 control individuals, with a majority being female.

Statistical Information

P-Value

0.0009

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/ar2505

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