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Open AccessDOI: 10.3724/abbs.2025047Original Research

Increased neutrophil senescence is associated with impaired immunosuppressive activity in systemic lupus erythematosus

Shanghai East Hospital, Tongji University School of Medicine; Shanghai Institute of Nutrition and Health, Chinese Academy of Sciences

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Increased neutrophil senescence is associated with impaired immunosuppressive activity in systemic lupus erythematosus
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Acta Biochimica et Biophysica Sinica
Published:January 15, 2025Edition:Vol 57, Issue 11 • pp. 100-112Citation:HAN Lei et al. (2025), Acta Biochimica et Biophysica Sinica
Impact FactorPremier Chinese Biomedical Journal indexed in SinoBioData: Acta Biochimica et Biophysica Sinica (生物化学与生物物理学报).

Key Takeaways & Executive Findings

  • • • Senescence-like neutrophils (CXCR4hiCD62Llo) are significantly elevated in SLE peripheral blood compared to healthy donors, with proportions positively correlating with disease activity and autoantibody titers; this establishes a candidate biomarker for monitoring SLE severity, potentially enabling earlier intervention. • • Despite excessive ROS expression in lupus mice, senescence-like neutrophils exhibit significantly lower ROS production capacity than controls, leading to compromised suppression of NK and CD4+ T cell proinflammatory activity; this functional impairment may drive the proinflammatory state in SLE, highlighting a therapeutic target to restore immunosuppression. • • The study did not compare NET release between senescence-like and non-senescent neutrophils from SLE patients due to proinflammatory effects of NETs; future work will confirm NET release, which is critical because NETs contain autoantigens and could confound the suppressive phenotype. • • Sample size was relatively small and patients were on diverse treatments, introducing potential confounding; validation in larger, treatment-naïve cohorts is required to establish robustness and clinical utility of senescence-like neutrophils as biomarkers.
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Abstract

Systemic lupus erythematosus (SLE) is a prototypic autoimmune disease with complex pathogenesis historically attributed to adaptive immunity. Emerging data implicate neutrophils in immune dysregulation and organ damage. This study investigates neutrophil senescence dynamics in SLE. We identified a significantly elevated proportion of CXCR4hiCD62Llo senescence-like neutrophils in peripheral blood of SLE patients versus healthy donors. Increased senescence-like neutrophil numbers positively correlated with SLE disease activity and autoantibody production. Functionally, senescence-like neutrophils from SLE patients exhibited impaired suppression of proinflammatory activity in natural killer (NK) cells and CD4+ T cells. Mechanistically, these cells may exert immunosuppressive effects via reactive oxygen species (ROS) production under physiological conditions. Our results position senescence-like neutrophils as candidate biomarkers for SLE disease activity. The compromised immunosuppressive function of these cells offers a new perspective on SLE pathophysiology and may inform development of novel therapies. Limitations include small sample size and heterogeneous treatment backgrounds, necessitating further validation. Future studies will address NET release and potential subset markers.

1. Introduction

Systemic lupus erythematosus (SLE) is a prototypic autoimmune disorder with complex pathogenesis involving multiple organ systems. Historically, research has focused on adaptive immunity, but emerging evidence implicates neutrophils in shaping immune dysregulation and inducing organ damage. Neutrophils from lupus patients exhibit abnormal functions, including diminished clearance of apoptotic cells and enhanced formation of neutrophil extracellular traps (NETs) that contain autoantigens. These findings suggest a facilitating role for neutrophils in lupus pathogenesis. However, the dynamics of neutrophil senescence and its relationship with lupus remain poorly understood.

This study addresses the bottleneck by investigating senescence-like neutrophils in SLE. We identified a significantly elevated proportion of CXCR4hiCD62Llo senescence-like neutrophils in SLE patients, positively correlated with disease activity and autoantibody production. Functionally, these cells show impaired suppression of NK and CD4+ T cell proinflammatory activity, potentially due to altered ROS production. These results position senescence-like neutrophils as candidate biomarkers and offer new insights into SLE pathophysiology, potentially guiding development of targeted therapies.

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Cite This Research Paper
HAN Lei, HUANG Fengling, ZHU Qingchen, WANG Huan, LU Tianlin, XIAO Chunyuan, XU Jing, ZHANG Xiaoyan, XIAO Yichuan, HUANG Xinfang (2025). Increased neutrophil senescence is associated with impaired immunosuppressive activity in systemic lupus erythematosus. Acta Biochimica et Biophysica Sinica. https://doi.org/10.3724/abbs.2025047
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Frequently Asked Questions

What is the functional impact of senescence-like neutrophils on NK and CD4+ T cells in SLE?

Senescence-like neutrophils from SLE patients exhibit an impaired ability to suppress the proinflammatory activity of NK cells and CD4+ T cells. This compromised immunosuppressive function may contribute to the proinflammatory disease state in SLE.

How does ROS production in senescence-like neutrophils from lupus mice compare to controls?

Despite excessive ROS expression in lupus mice, senescence-like neutrophils produce significantly lower levels of ROS compared to control mice, resulting in compromised suppressive functions.

Why did the study not compare NET release between senescence-like and non-senescent neutrophils?

The study did not compare NET release because NETs are associated with pro-inflammatory effects, and the focus was on elucidating suppressive mechanisms. Future studies will confirm NET release in senescence-like neutrophils.

What are the limitations of this study regarding sample size and treatment heterogeneity?

The sample size was relatively small, and not all patients were newly diagnosed; some were receiving different lines of treatment. This heterogeneity could influence results due to disease progression and immunological alterations, necessitating larger validation studies.

What is the potential clinical utility of senescence-like neutrophils as biomarkers in SLE?

Senescence-like neutrophils could serve as biomarkers for assessing SLE disease activity, as their increased numbers positively correlate with disease activity and autoantibody production. This may facilitate monitoring and personalized treatment strategies.

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