Expression of the p21ras protooncogene is reported to be increased in anima
l models and in patients with SLE. However, the expression of p21ras regula
tory elements has not been determined. We determined the expression of p21r
as, and its regulatory elements p120-ras-GAP and hSOS, in PBMC of 10 patien
ts with inactive SLE (mean SLEDAI score 1.8+/-0.53) and 10 age- and sex mat
ched healthy controls. No difference was found between the two groups in th
e levels of p21ras (3760+/-513 and 3367+/-335, P = 0.25) and ras-GAP (1048/-261 and 1534+/-247, P = 0.11) in patients and controls, respectively. In
contrast, levels of hSOS were significantly decreased in patients as compar
ed to controls: 955+/-218 and 2306+/-327, P = 0.002, respectively. The mito
gen-induced proliferative response was comparable in the two groups: SI 20.
8+/-4.2 and 15.03+/-4.9, P = 0.135 in patients and controls, respectively.
Taken together, our data demonstrate that nonactive SLE patients are charac
terized by reduced hSOS expression and underscore the need for a comprehens
ive evaluation of p21ras pathway in these patients.