“…In future studies, it would be useful to investigate additional surface markers for Treg cells and Tresp cells to assess function and partition T cells into sublineages. A wider array of markers were used to this effect by Lambert and colleagues, 32 who revealed important features that vary with autoimmune disease states and by age. Finally, the patients with juvenile-onset SLE were clinically heterogeneous and were on different treatments, presenting possible confounding effects on the immune system, especially considering that dsDNA has previously been shown to correlate negatively with Treg cells in adults with SLE 33 and that immunosuppressive drugs, such as glucocorticoids, hydroxychloroquine, and methotrexate, could influence Treg-cell frequency and function.…”