A distinct population of Low-Density Granulocytes with unique features associated with subclinical vascular alterations in Systemic Lupus Erythematosus
By
Tobío-Parada, Uxía
Rodríguez-Carrio, Javier
Martínez-Zapico, Aleida
Pérez-Álvarez, Angel I.
Suárez-Díaz, Silvia
Suárez, Ana
López, Patricia
May 5, 2026
Clinical Scorecard: A Unique Subset of Low-Density Granulocytes Linked to Subclinical Vascular Changes in Systemic Lupus Erythematosus
At a Glance
Category Detail
Condition Systemic Lupus Erythematosus (SLE)
Key Mechanisms Low-density granulocytes (LDGs) and their activation contribute to immune dysregulation and vascular inflammation.
Target Population Patients with Systemic Lupus Erythematosus and non-autoimmune atherosclerotic individuals.
Care Setting Clinical and research settings involving flow cytometry and ultrasonography.
Key Highlights
Identification of a distinct CD14⁺CD15⁺CD16⁺ myeloid subset in SLE patients. Correlation of nAPC-like granulocytes with Th1, Th17, and Treg cells. Increased nAPC-like granulocytes in patients with cardiovascular risk factors. Association of nAPC-like with SLEDAI and anti-dsDNA titers. Expansion of an immature CD16dim_nAPC-like subset in SLE correlating with serum IL-6 and BLyS.
Guideline-Based Recommendations
Diagnosis
Utilize flow cytometry to quantify myeloid cell populations in SLE patients.
Management
Monitor levels of nAPC-like granulocytes in relation to cardiovascular health.
Monitoring & Follow-up
Assess subclinical carotid arteriopathy using ultrasonography.
Risks
Consider traditional cardiovascular risk factors in SLE patients.
Patient & Prescribing Data
SLE patients and non-autoimmune atherosclerotic individuals.
Targeting immune dysregulation may mitigate vascular complications.
Clinical Best Practices
Incorporate assessment of LDG subsets in routine SLE evaluations. Evaluate cardiovascular health in SLE patients regularly.
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