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Case-Control Study Finds No Association Between G6PD Deficiency and Systemic Lupus Erythematosus Risk in Females

Case-Control Study Finds No Association Between G6PD Deficiency and Systemic Lupus Erythematosus Ris…
Photo by Peter Burdon / Unsplash
Key Takeaway
Note G6PD deficiency does not correlate with SLE risk in female patients per this case-control study.

This case-control study evaluated the association between G6PD deficiency and systemic lupus erythematosus. The study population consisted of 516 female systemic lupus erythematosus patients and 491 age-matched healthy females enrolled between August 2023 and August 2024. The primary objective was to assess G6PD deficiency rates, gene mutation rates, and mutation types to determine risk correlation specifically.

Analysis of G6PD enzymatic deficiency rates revealed 9.69% (50/516) in the systemic lupus erythematosus group and 10.79% (53/491) in the control group respectively. Gene mutation rates in enzymatic deficiency subgroups were 84.00% in the systemic lupus erythematosus group versus 88.68% in the control group. In normal enzymatic subgroups, rates were 8.37% in the systemic lupus erythematosus group versus 10.05% in the control group. All comparisons yielded P > 0.05, indicating no significant difference overall. Most common mutations, c.1376G > T and c.1388G > A, showed similar frequencies in both groups. No novel variants were identified by whole-exome sequencing.

Safety data regarding adverse events, serious adverse events, and discontinuations were not reported. The study was funded by the Yangjiang High-level Key Medical and Health Research Project (2023001). Limitations were not explicitly detailed in the provided data. Clinicians should interpret these findings cautiously, as observational designs cannot establish causality. The current data suggests G6PD deficiency does not correlate with the risk of developing systemic lupus erythematosus in this female population, but further investigation is warranted.

Study Details

Study typeCase control
EvidenceLevel 4
PublishedApr 2026
View Original Abstract ↓
ObjectiveTo explore the relationship between glucose-6-phosphate dehydrogenase (G6PD) deficiency and the risk of developing systemic lupus erythematosus (SLE).MethodsA case-control study was conducted including 516 female SLE patients (SLE group) and 491 age-matched healthy females (control group) from August 2023 to August 2024. G6PD enzymatic activity was detected via the G6PD/6PGD ratio method, and G6PD gene mutations were identified by PCR combined with flow hybridization; 21 G6PD-deficient samples underwent whole-exome sequencing (WES) for genotype verification. The two groups were stratified by enzymatic status, and differences in enzymatic ratios, gene mutation rates and mutation types were compared using rank-sum test and Pearson's chi-square test with SPSS 25.0.ResultsThe G6PD enzymatic deficiency rates were 9.69% (50/516) in the SLE group and 10.79% (53/491) in the control group (P > 0.05), with no significant differences in age or enzymatic ratios between groups (P > 0.05). Gene mutation rates showed no intergroup differences in either enzymatic deficiency (84.00% vs. 88.68%) or normal subgroups (8.37% vs. 10.05%, all P > 0.05). WES identified no novel variants, with c.1376G > T and c.1388G > A as the most common mutations and similar frequencies in both groups (P > 0.05).ConclusionG6PD deficiency does not correlate with the risk of developing systemic lupus erythematosus.Funding projectYangjiang High-level Key Medical and Health Research Project (2023001).
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