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24.04.2019 | Original Article

Autoantibodies, elevated cytokines, and neurocognitive abnormalities in offspring of women with systemic lupus erythematosus: comparison with healthy controls

verfasst von: Maria Gariup, Sara Lera-Miguel, Ferrán Torres, Eva Varela, Carles Serra-Pagès, Azucena González-Navarro, Gerard Espinosa, Luisa Lázaro, Ricard Cervera, Astrid Morer

Erschienen in: Clinical Rheumatology | Ausgabe 9/2019

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Abstract

Introduction

Research describes higher incidence of neurodevelopmental disorders and learning disabilities in offspring of women affected by lupus. Factors implied are pregnancy and delivery adversities and exposure to maternal antibodies and cytokines. Little is known about the offspring immunological condition or the relation between offspring and maternal condition.

Objectives

This study was conducted in order to analyze immunological configuration, psychopathology, and neuropsychological performance of young offspring of women with lupus, in comparison with healthy controls and in relation to maternal psychophysical condition.

Methods

Twenty-one offspring aged 8–17 of 17 women with lupus and 34 controls were recruited. Pregnancy conditions, stress factors, and immunological, psychopathological, and neuropsychological characteristics were compared. Immunological tests included standard lupus screening, lupus-related autoantibodies, antibodies against GluN2 subunit of the N-methyl-D-aspartate receptor (NMDAR) (anti-DWEYS Ab), and levels of ten cytokines (IL-1β, IL-2, IL-4, IL-5, IL-6, IL-8, IL-10, GMCSF, IFN-γ, TNF-α).

Results

Offspring had lower leukocyte count (p = 0.001) and higher levels of anti-dsDNA Ab (p = 0.022), anti-DWEYS-GluN2 Ab (p < 0.001), and eight cytokines (IL-1β, IL-2, IL-4, IL-5, IL-6, IL-10, TNF-α—all p < 0.001—and IFN-γ, p = 0.026) than controls. Their cytokine levels did not differ from their mothers’; 23.9% of offspring met the criteria for a clinical psychiatric diagnosis. No differences were found in intelligence measures. Various neuropsychological scores correlated inversely with maternal psychophysical health.

Conclusions

Offspring’s profile suggests proinflammatory and autoimmune activation. Their rate of psychiatric diagnosis appears higher than in the general population, and their cognitive performance is related to maternal psychophysical health. Longitudinal research might investigate whether immunological and psychosocial conditions influence psychopathology and cognition.

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Titel: Autoantibodies, elevated cytokines, and neurocognitive abnormalities in offspring of women with systemic lupus erythematosus: comparison with healthy controls
verfasst von: Maria Gariup
Sara Lera-Miguel
Ferrán Torres
Eva Varela
Carles Serra-Pagès
Azucena González-Navarro
Gerard Espinosa
Luisa Lázaro
Ricard Cervera
Astrid Morer
Publikationsdatum: 24.04.2019
Verlag: Springer London
Erschienen in: Clinical Rheumatology / Ausgabe 9/2019
Print ISSN: 0770-3198
Elektronische ISSN: 1434-9949
DOI: https://doi.org/10.1007/s10067-019-04495-4

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Autoantibodies, elevated cytokines, and neurocognitive abnormalities in offspring of women with systemic lupus erythematosus: comparison with healthy controls

Abstract

Introduction

Objectives

Methods

Results

Conclusions

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Abstract

Introduction

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Methods

Results

Conclusions

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