Evidence map›Paper›PMID 42336467›Full record

ArticleLupus science & medicine2026

Genetic determinants of childhood onset systemic lupus erythematosus.

Meghan Nelson, Shanta Murthy, Sushma Maddipatla, Sreekala Shenoy, Lori Ponder, Shanmuganathan Chandrakasan, Subra Kugathasan, Dave Cutler, Sampath Prahalad

Abstract read
In one paragraph

Article in Lupus science & medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

9 authors.

Meghan Nelson *NIAMS, National Institutes of Health, Bethesda, Maryland, USA macorr07@gmail.com.ORCID 0000-0002-5320-4045
Shanta Murthy *Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Emory University School of Medicine, Atlanta, Georgia, USA.
Sushma Maddipatla *Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Emory University School of Medicine, Atlanta, Georgia, USA.
Sreekala ShenoyDepartment of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.
Lori PonderChildren's Healthcare of Atlanta Inc, Atlanta, Georgia, USA.
Shanmuganathan ChandrakasanDepartment of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.
Subra KugathasanDepartment of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Emory University School of Medicine, Atlanta, Georgia, USA.
Dave Cutler *Department of Human Genetics, Emory University, Atlanta, Georgia, USA.
Sampath Prahalad *Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChildhood-onset systemic lupus erythematosus (cSLE) is associated with significant morbidity and mortality. While numerous variants have been associated with adult-onset SLE, limited data exist on genetic variation within cSLE. We aimed to investigate genetic factors of early-onset cSLE, defined as onset of cSLE prior to age 10.

methodsEmploying a case-only design, we performed whole genome sequencing analysis on 37 subjects with early onset cSLE. We hypothesised that rare, functional variants with large effects in genes associated with SLE contribute to the risk of early-onset cSLE and that the polygenic risk score (PRS) would be inversely associated with age of onset and presence of nephritis. A total of 153 linkage disequilibrium-independent variants were analysed and compared with previously reported SLE single-nucleotide polymorphisms. Rare (minor allele frequency (MAF) ≤1%), damaging protein-altering (Combined Annotation Dependent Depletion; CADD≥20) variants, including variants isolated to previously reported monogenic SLE genes (n=49), were prioritised for secondary analysis.

results37.8% of our cSLE cohort carried at least one rare, pathogenic variant in monogenic SLE genes. We identified 31, 012 rare, damaging, pathogenic variants in our cSLE cohort, including two genes implicated in mitochondrial protein degradation (

conclusionThese results have the potential to enhance our understanding of cSLE. Further studies must be conducted to expand our findings.

Indexed as

Genetic Predisposition to DiseaseLupus Erythematosus, SystemicAdolescentAge of OnsetChildFemaleGene FrequencyGenetic Risk ScoreHumansLinkage DisequilibriumLupus NephritisMalePolymorphism, Single NucleotideWhole Genome SequencingAutoimmunityLupus Erythematosus, SystemicLupus Nephritis

Identifiers

PMID42336467
PMCPMC13295832

What Socratic holds

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LicenceCC BY-NC
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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 Socratic graph.