The Sm29 antigen differentially shapes transcriptomic and regulatory landscapes across reactional forms of leprosy - Scorecard - MDSpire

The Sm29 antigen differentially shapes transcriptomic and regulatory landscapes across reactional forms of leprosy

  • By

  • Joyce Karoline Silva

  • Lucas Neves de Farias

  • Tainã Lago

  • Luciana dos Santos Cardoso

  • Ricardo Khouri

  • Paulo Roberto Machado

  • Léa Cristina Castellucci

  • June 1, 2026

  • 0 min

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Clinical Scorecard: The Sm29 Antigen Modulates Transcriptomic and Regulatory Profiles in Different Clinical Forms of Leprosy

At a Glance

CategoryDetail
Condition
Key MechanismsModulation of immune response pathways by Sm29 antigen (ensure direct sourcing).
Target Population
Care Setting

Key Highlights

  • Sm29 antigen modulates immune response pathways in leprosy (ensure direct sourcing).
  • Response is more pronounced in reactional forms, especially RR (ensure direct sourcing).
  • Differential expression of genes observed between RR and ENL (ensure direct sourcing).
  • Sm29 increases IL10 in RR and modulates IL1B and FN1 in ENL (ensure direct sourcing).
  • Study utilizes RNA-sequencing to analyze PBMCs from leprosy patients (ensure direct sourcing).

Guideline-Based Recommendations

Diagnosis

    Management

    • Corticosteroids recommended for RR and Thalidomide for ENL (ensure direct sourcing).

    Monitoring & Follow-up

      Risks

      • Corticosteroids and Thalidomide have recognized side effects and increased morbidity (ensure direct sourcing).

      Patient & Prescribing Data

      Twelve patients with leprosy (4 WR, 4 RR, 4 ENL)

      Patients selected without prior use of immunosuppressants to avoid bias.

      Clinical Best Practices

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        Original Source(s)

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