Abstract
Lupus nephritis (LN) is a severe manifestation of systemic lupus erythematosus and a major cause of renal dysfunction, while reliable non-invasive biomarkers remain limited. Transcriptomic data from three LN cohorts were analyzed to identify differentially expressed genes (DEGs). Immune-associated DEGs were selected using WGCNA and prioritized via multiple machine learning algorithms. Diagnostic performance was evaluated with ROC curves and nomogram modeling, accompanied by functional enrichment and immune infiltration analyses. Independent validation was performed by qRT-PCR in peripheral blood samples from 13 LN patients and 10 healthy controls. A total of 320 DEGs were identified, including 53 linked to immune processes. In the transcriptomic datasets, four candidate hub genes (CD40LG, RETN, TRIM22, STAT1) were initially identified. Furthermore, immune infiltration analysis suggested gene-specific immune interaction patterns, particularly associating TRIM22 with CD4⁺ T-cell–related signatures. qRT-PCR confirmed upregulation of STAT1 and TRIM22, while RETN and CD40LG showed no significant elevation. Accordingly, a refined two-gene signature was constructed, showing consistent discriminatory trends in the training dataset and the clinical validation cohort (AUCs > 0.9). STAT1 and TRIM22 were consistently upregulated in the peripheral blood of patients with lupus nephritis and may represent potential immune-related biomarkers.
Data availability
The datasets analyzed during the current study are publicly available in the Gene Expression Omnibus (GEO) database:- GSE72326: https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi? acc=GSE72326- GSE99967: https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi? acc=GSE99967- GSE81622: https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi? acc=GSE81622A total of 2,483 IRGs were retrieved from the ImmPort database (https://www.immport.org/home) and are listed in Supplementary Table (1) The list of 320 DEGs identified between LN and normal samples is available in Supplementary Table (2) The original qRT-PCR data used to validate the expression of selected hub genes are provided in Supplementary Table 3.Results of the univariable linear regression analysis evaluating the associations between clinical parameters and *STAT1* and *TRIM22* expression levels in LN patients are shown in Supplementary Table 4. Detailed clinical characteristics of the LN patients, including demographic and disease-related information, are summarized in Supplementary Table 5. The baseline clinical and pathological characteristics of the integrated LN cohorts are provided in Supplementary Table 6.All other relevant data generated or analyzed during this study are included in the main manuscript and the supplementary material.
Abbreviations
- STAT1:
-
Signal transducer and activator of transcription 1
- TRIM22:
-
Tripartite motif containing 22
- CD40LG:
-
CD40 ligand
- RETN:
-
Resistin
- SLE:
-
Systemic lupus erythematosus
- LN:
-
Lupus nephritis
- DEGs:
-
Differentially expressed genes
- IRGs:
-
Immune-related genes
- WGCNA:
-
Weighted gene co-expression network analysis
- IR-DEGs:
-
Immune-related differentially expressed genes
- LASSO:
-
Least Absolute Shrinkage and Selection Operator
- SVM:
-
Support Vector Machine
- XGBoost:
-
Extreme Gradient Boosting
- ROC:
-
Receiver operating characteristic
- GSEA:
-
Gene Set Enrichment Analysis
- PCA:
-
Principal Component Analysis
- ssGSEA:
-
Single-sample Gene Set Enrichment Analysis
- TFs:
-
Transcription factors
- qRT-PCR:
-
Quantitative real-time PCR
- HCs:
-
Healthy controls
- eGFR:
-
Estimated glomerular filtration rate
- SLEDAI:
-
Systemic Lupus Erythematosus Disease Activity Index
- AUC:
-
Area Under the Curve
- PCA:
-
Principal component analysis
- NK cells:
-
Natural killer cells
- ISGs:
-
Interferon-stimulated genes
- IFN:
-
Interferon
References
Rahman, A. & Isenberg, D. A. Systemic lupus erythematosus. N. Engl. J. Med. 358, 929–939. https://doi.org/10.1056/NEJMra071297 (2008).
Tsokos, G. C. Systemic lupus erythematosus. N. Engl. J. Med. 365, 2110–2121. https://doi.org/10.1056/NEJMra1100359 (2011).
Almaani, S., Meara, A. & Rovin, B. H. Update on lupus nephritis. Clin. J. Am. Soc. Nephrol. 12, 825–835. https://doi.org/10.2215/cjn.05780616 (2017).
Davidson, A. What is damaging the kidney in lupus nephritis? Nat. Rev. Rheumatol. 12, 143–153. https://doi.org/10.1038/nrrheum.2015.159 (2016).
Hocaoǧlu, M. et al. Incidence, prevalence, and mortality of lupus nephritis: A population-based study over four decades using the Lupus Midwest Network. Arthritis Rheumatol. 75, 567–573. https://doi.org/10.1002/art.42375 (2023).
Furie, R. et al. Two-year, randomized, controlled trial of Belimumab in lupus nephritis. N. Engl. J. Med. 383, 1117–1128. https://doi.org/10.1056/NEJMoa2001180 (2020).
Lech, M. & Anders, H. J. The pathogenesis of lupus nephritis. J. Am. Soc. Nephrol. 24, 1357–1366. https://doi.org/10.1681/asn.2013010026 (2013).
Banchereau, R. et al. Personalized immunomonitoring uncovers molecular networks that stratify lupus patients. Cell 165, 551–565. https://doi.org/10.1016/j.cell.2016.03.008 (2016).
Chang, A. et al. In situ B cell-mediated immune responses and tubulointerstitial inflammation in human lupus nephritis. J. Immunol. 186, 1849–1860. https://doi.org/10.4049/jimmunol.1001983 (2011).
Kopetschke, K. et al. The cellular signature of urinary immune cells in Lupus nephritis: New insights into potential biomarkers. Arthritis Res. Ther. 17, 94. https://doi.org/10.1186/s13075-015-0600-y (2015).
Sandersfeld, M. et al. Macrophage subpopulations in pediatric patients with lupus nephritis and other inflammatory diseases affecting the kidney. Arthritis Res. Ther. 26, 46. https://doi.org/10.1186/s13075-024-03281-1 (2024).
Weening, J. J. et al. The classification of glomerulonephritis in systemic lupus erythematosus revisited. Kidney Int. 65, 521–530. https://doi.org/10.1111/j.1523-1755.2004.00443.x (2004).
Parikh, S. V., Almaani, S., Brodsky, S. & Rovin, B. H. Update on lupus nephritis: Core curriculum 2020. Am. J. Kidney Dis. 76, 265–281. https://doi.org/10.1053/j.ajkd.2019.10.017 (2020).
Radin, M. et al. Prognostic and diagnostic values of novel serum and urine biomarkers in lupus nephritis: A systematic review. Am. J. Nephrol. 52, 559–571. https://doi.org/10.1159/000517852 (2021).
Morell, M., Pérez-Cózar, F. & Marañón, C. Immune-related urine biomarkers for the diagnosis of Lupus nephritis. Int. J. Mol. Sci. https://doi.org/10.3390/ijms22137143 (2021).
Ha, E., Bae, S. C. & Kim, K. Recent advances in understanding the genetic basis of systemic lupus erythematosus. Semin. Immunopathol. 44, 29–46. https://doi.org/10.1007/s00281-021-00900-w (2022).
Toro-Domínguez, D., Carmona-Sáez, P. & Alarcón-Riquelme, M. E. Shared signatures between rheumatoid arthritis, systemic lupus erythematosus and Sjögren’s syndrome uncovered through gene expression meta-analysis. Arthritis Res. Ther. 16, 489. https://doi.org/10.1186/s13075-014-0489-x (2014).
Deng, Y. & Tsao, B. P. Advances in lupus genetics and epigenetics. Curr. Opin. Rheumatol. 26, 482–492. https://doi.org/10.1097/bor.0000000000000086 (2014).
Wither, J. E. et al. Identification of a neutrophil-related gene expression signature that is enriched in adult systemic lupus erythematosus patients with active nephritis: Clinical/pathologic associations and etiologic mechanisms. PLoS One 13, e0196117. https://doi.org/10.1371/journal.pone.0196117 (2018).
Leek, J. T., Johnson, W. E., Parker, H. S., Jaffe, A. E. & Storey, J. D. The sva package for removing batch effects and other unwanted variation in high-throughput experiments. Bioinformatics 28, 882–883. https://doi.org/10.1093/bioinformatics/bts034 (2012).
Zhu, H. et al. Whole-genome transcription and DNA methylation analysis of peripheral blood mononuclear cells identified aberrant gene regulation pathways in systemic lupus erythematosus. Arthritis Res. Ther. 18, 162. https://doi.org/10.1186/s13075-016-1050-x (2016).
Bhattacharya, S. et al. ImmPort, toward repurposing of open access immunological assay data for translational and clinical research. Sci. Data 5, 180015. https://doi.org/10.1038/sdata.2018.15 (2018).
Langfelder, P. & Horvath, S. WGCNA: An R package for weighted correlation network analysis. BMC Bioinformatics 9, 559. https://doi.org/10.1186/1471-2105-9-559 (2008).
Tibshirani, R. Regression shrinkage and selection via the Lasso. J. R. Stat. Soc. Ser. B. (Methodol.) 58, 267–288 (1996).
Rigatti, S. J. Random forest. J. Insur. Med. 47, 31–39. https://doi.org/10.17849/insm-47-01-31-39.1 (2017).
Noble, W. S. What is a support vector machine?. Nat. Biotechnol. 24, 1565–1567. https://doi.org/10.1038/nbt1206-1565 (2006).
Chen, T. & Guestrin, C. in Proceedings of the 22nd ACM SIGKDD International Conference on Knowledge Discovery and Data Mining 785–794Association for Computing Machinery, San Francisco, California, USA, (2016).
Kursa, M. B. & Rudnicki, W. R. Feature selection with the Boruta package. J. Stat. Softw. 36, 1–13. https://doi.org/10.18637/jss.v036.i11 (2010).
Robin, X. et al. pROC: An open-source package for R and S + to analyze and compare ROC curves. BMC Bioinformatics 12, 77. https://doi.org/10.1186/1471-2105-12-77 (2011).
Iasonos, A., Schrag, D., Raj, G. V. & Panageas, K. S. How to build and interpret a nomogram for cancer prognosis. J. Clin. Oncol. 26, 1364–1370. https://doi.org/10.1200/jco.2007.12.9791 (2008).
Landolt-Marticorena, C. et al. <article-title update=“added”>Lack of association between the interferon-α signature and longitudinal changes in disease activity in systemic lupus erythematosus. Ann. Rheum. Dis. 68, 1440–1446. https://doi.org/10.1136/ard.2008.093146 (2009).
Decker, T., Stockinger, S., Karaghiosoff, M., Müller, M. & Kovarik, P. IFNs and STATs in innate immunity to microorganisms. J. Clin. Invest. 109, 1271–1277. https://doi.org/10.1172/jci15770 (2002).
Cui, Y. et al. Exploring the shared molecular mechanisms between systemic lupus erythematosus and primary Sjögren’s syndrome based on integrated bioinformatics and single-cell RNA-seq analysis. Front. Immunol. 14, 1212330. https://doi.org/10.3389/fimmu.2023.1212330 (2023).
Splawski, J. B., Nishioka, J., Nishioka, Y. & Lipsky, P. E. CD40 ligand is expressed and functional on activated neonatal T cells. J. Immunol. 156, 119–127 (1996).
Ramanujam, M. et al. Phoenix from the flames: Rediscovering the role of the CD40-CD40L pathway in systemic lupus erythematosus and lupus nephritis. Autoimmun. Rev. 19, 102668. https://doi.org/10.1016/j.autrev.2020.102668 (2020).
Koshy, M., Berger, D. & Crow, M. K. Increased expression of CD40 ligand on systemic lupus erythematosus lymphocytes. J. Clin. Invest. 98, 826–837. https://doi.org/10.1172/jci118855 (1996).
Hutcheson, J. et al. Resistin as a potential marker of renal disease in lupus nephritis. Clin. Exp. Immunol. 179, 435–443. https://doi.org/10.1111/cei.12473 (2015).
Shi, D. et al. Transcriptional expression of CXCL10 and STAT1 in lupus nephritis and the intervention effect of triptolide. Clin. Rheumatol. 42, 539–548. https://doi.org/10.1007/s10067-022-06400-y (2023).
Dong, J., Wang, Q. X., Zhou, C. Y., Ma, X. F. & Zhang, Y. C. Activation of the STAT1 signalling pathway in lupus nephritis in MRL/lpr mice. Lupus 16, 101–109. https://doi.org/10.1177/0961203306075383 (2007).
Zhang, L. H. et al. MiR-146b-5p targets IFI35 to inhibit inflammatory response and apoptosis via JAK1/STAT1 signalling in lipopolysaccharide-induced glomerular cells. Autoimmunity 54, 430–438. https://doi.org/10.1080/08916934.2020.1864730 (2021).
Wang, X. et al. Reduced renal CSE/CBS/H2S contributes to the progress of Lupus nephritis. Biology https://doi.org/10.3390/biology12020318 (2023).
Burke, S. J. et al. NF-κB and STAT1 control CXCL1 and CXCL2 gene transcription. Am. J. Physiol. Endocrinol. Metab. 306, E131-149. https://doi.org/10.1152/ajpendo.00347.2013 (2014).
Lee, E. Y., Lee, Z. H. & Song, Y. W. The interaction between CXCL10 and cytokines in chronic inflammatory arthritis. Autoimmun. Rev. 12, 554–557. https://doi.org/10.1016/j.autrev.2012.10.001 (2013).
Rahmat-Zaie, R. et al. TNF-α/STAT1/CXCL10 mutual inflammatory axis that contributes to the pathogenesis of experimental models of multiple sclerosis: A promising signaling pathway for targeted therapies. Cytokine 168, 156235. https://doi.org/10.1016/j.cyto.2023.156235 (2023).
Heo, H. et al. TRIM22 facilitates autophagosome-lysosome fusion by mediating the association of GABARAPs and PLEKHM1. Autophagy 20, 1098–1113. https://doi.org/10.1080/15548627.2023.2287925 (2024).
Chen, J. et al. Knockdown of TRIM22 regulates the expression of NF-κB/NLRP3 and alleviates inflammation and renal injury in mice with lupus nephritis. Allergol. Immunopathol. (Madr.) 53, 98–105. https://doi.org/10.15586/aei.v53i3.1313 (2025).
Barnabei, L., Laplantine, E., Mbongo, W., Rieux-Laucat, F. & Weil, R. NF-κB: At the borders of autoimmunity and inflammation. Front. Immunol. 12, 716469. https://doi.org/10.3389/fimmu.2021.716469 (2021).
Thaker, Y. R., Schneider, H. & Rudd, C. E. TCR and CD28 activate the transcription factor NF-κB in T-cells via distinct adaptor signaling complexes. Immunol. Lett. 163, 113–119. https://doi.org/10.1016/j.imlet.2014.10.020 (2015).
Salek-Ardakani, S. & Croft, M. T cells need Nod too? Nat. Immunol. 10, 1231–1233. https://doi.org/10.1038/ni1209-1231 (2009).
Liu, T., Zhang, L., Joo, D. & Sun, S. C. NF-κB signaling in inflammation. Signal Transduct. Target. Ther. 2, 17023-. https://doi.org/10.1038/sigtrans.2017.23 (2017).
Lawrence, T. The nuclear factor NF-kappaB pathway in inflammation. Cold Spring Harb. Perspect. Biol. 1, a001651. https://doi.org/10.1101/cshperspect.a001651 (2009).
Shao, M. et al. [A multicenter study on the tolerance of intravenous low-dose cyclophosphamide in systemic lupus erythematosus]. Beijing Da Xue Xue Bao Yi Xue Ban. 54, 1112–1116. https://doi.org/10.19723/j.issn.1671-167X.2022.06.009 (2022).
Wang, X. et al. Advances in therapeutic targets-related study on systemic lupus erythematosus. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 46, 1267–1275. https://doi.org/10.11817/j.issn.1672-7347.2021.200056 (2021).
Vrabie, A., Obrișcă, B., Sorohan, B. M. & Ismail, G. Biomarkers in Lupus nephritis: An evidence-based comprehensive review. Life https://doi.org/10.3390/life15101497 (2025).
Ricchiuti, V. et al. Comparison of five assays for the detection of anti-dsDNA antibodies and their correlation with complement consumption. Diagnostics https://doi.org/10.3390/diagnostics15192430 (2025).
Acknowledgements
The authors thank all participants of the study. ChatGPT (OpenAI) was used solely to assist with language refinement and formatting during manuscript preparation. All intellectual content, data analysis, and interpretation were conducted independently by the authors.
Funding
This work was supported by the Fujian Provincial Natural Science Foundation Program [grant number 2023J011894], the Longyan Municipal Science and Technology Planning Project [grant number 2022LYF17110], and the Fujian Provincial Health Technology Project [grant number 2022QNA102].
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JYD, ZMZ, and ZKG conceptualized and designed the study, with LTC and XMQ serving as guarantors. YYL and JPC conducted sample collection, while CL and WHW coordinated all data acquisition. YHH and HRQ performed systematic analysis and interpretation of the data. JPC, CL, and YHL designed and plotted the figures and tables. JYD, ZMZ, XHSG, and XHL wrote the original manuscript draft. LTC, XMM, CJC, and WHW critically reviewed and edited the final version. This work was funded by LTC, XMM, and CJC. All authors (JYD, ZMZ, YYL, JPC, ZKG, CL, XHL, WHW, XMM, CJC, XHSG, YHH, HRQ, XMQ, LTC) read and approved the final manuscript.
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This study was approved by the Ethics Committee of Longyan First Hospital (Approval No. LYREC2024-k172-01). Whole blood samples from 13 lupus nephritis patients (diagnosed according to ISN/RPS criteria) and 10 healthy controls were collected after obtaining written informed consent from all participants. All procedures were conducted in accordance with the Declaration of Helsinki.
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Deng, J., Zhang, Z., Lai, Y. et al. Machine learning-driven discovery of STAT1 and TRIM22 as immune biomarkers for lupus nephritis: translational insights into diagnosis and pathogenesis. Sci Rep (2026). https://doi.org/10.1038/s41598-026-41028-x
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DOI: https://doi.org/10.1038/s41598-026-41028-x