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. 2025 Jun 25;17(804):eadt5550.
doi: 10.1126/scitranslmed.adt5550. Epub 2025 Jun 25.

Epigenetic attenuation of interferon signaling is associated with aging-related improvements in systemic lupus erythematosus

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Epigenetic attenuation of interferon signaling is associated with aging-related improvements in systemic lupus erythematosus

Rithwik Narendra et al. Sci Transl Med. .

Abstract

In the general population, aging is associated with an increase in systemic inflammation and chronic disease burden. However, in systemic lupus erythematosus (SLE), older age is uniquely associated with a decrease in disease activity, suggesting a distinct relationship between aging and inflammation. Using a multiomic approach, we compared aging-related changes in the peripheral blood immune profiles of 287 patients with SLE and 928 healthy controls. In patients with SLE, aging correlated with lower expression of interferon (IFN)-stimulated genes (ISGs) across multiple cell types, decreased plasma IFN-α2, and differential genome methylation. Both patients with SLE and controls demonstrated age-related declines in naïve T cells, but only patients with SLE exhibited increases in CD56dim natural killer cells with older age. Of the genes both down-regulated and hypermethylated with older age, ISGs were disproportionately represented, suggesting a role for epigenetic silencing. Altogether, we found that patients with SLE exhibit unique aging-related decreases in IFN signaling that correlate with improved disease activity.

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