Susceptibility for Lupus Nephritis by Low Copy Number of theFCGR3BGene Is Linked to Increased Levels of Pathogenic Autoantibodies
Low copy number (CN) of theFCGR3Bgene reducesFCGR3Bmembrane expression on neutrophils and results in clearance of a smaller amount of immune complex. We investigatedFCGR3BCN in relation to the clinical phenotype in a Caucasian SLE cohort ().FCGR3BCN was determined by three different qPCR parameter estimations (Ct−, Cy0, and cpD1) and confirmed by the FCGR2C/FCGR2A paralog ratio test. Clinical and serological data were then analyzed for their association withFCGR3BCN. LowFCGR3BCN (<2) was more frequent in SLE patients than in healthy controls () (20% versus 6%, OR 4.15, ) and associated with higher disease activity scores (SLEDAI 10.4 versus 6.1, ), lupus nephritis (LN) (25 versus 5%, ), and increased levels of antibodies against dsDNA (81 versus 37 IU, ), C1q (22 versus 6 IU, ), and ribosomal P (10 versus 5 IU, ). No such associations were seen with antibodies against extractable nuclear antigens or highFCGR3BCN (>2). In multivariate analyses, LN was independently associated with anti-C1q-Ab levels () and lowFCGR3BCN (). We conclude that the susceptibility for LN in patients with lowFCGR3BCN is linked to increased levels of pathogenic autoantibodies.