Rheumatoid arthritis

Anti-citrullinated procollagen C-endopeptidase enhancer antibody (anti-PCOLCE): a potential biomarker for seronegative rheumatoid arthritis

Rheumatology (Oxford)Published Diagnostic accuracy study

Authors' conclusion

Anti-PCOLCE could serve as a novel biomarker for RA, especially for seronegative RA.

Study context

Population
Serum samples from rheumatoid arthritis (RA) patients, healthy controls and patients with other rheumatic diseases
Participants
612 serum samples
Comparison
Anti-citrullinated PCOLCE271-284 antibody (anti-PCOLCE), alone and combined with anti-CCP, for RA diagnosis
Outcome
Diagnostic value of anti-PCOLCE in RA, especially seronegative RA (ROC curve, sensitivity, specificity)
Methodological detailsB-cell epitope prediction (Immune Epitope Database and molecular mimicry analyses), ROC curve analysis
  • B-cell epitope prediction (Immune Epitope Database and molecular mimicry analyses)
  • ROC curve analysis

Performance

As reported in the abstract

Diagnostic performance for RA
Test or modelSensitivitySpecificity
Anti-PCOLCE51.53%93.60%

Anti-PCOLCE

Sensitivity51.53%
Specificity93.60%

Further findings

OutcomeAnti-PCOLCE + anti-CCP
Diagnostic performance of anti-PCOLCE combined with anti-CCP for RA
Sensitivity82.14%
Specificity90.21%

Anti-PCOLCE positive rate in seronegative RA

Anti-CCP negative RA
40.00%
RF negative RA
38.76%
Anti-CCP and RF negative RA
36.46%

Anti-PCOLCE in RA with normal inflammatory factors and early RA

Good diagnostic value

Correlations of anti-PCOLCE with RA patient features

Positively correlated with CRP, anti-CCP and RF

Original publication

Anti-citrullinated procollagen C-endopeptidase enhancer antibody (anti-PCOLCE): a potential biomarker for seronegative rheumatoid arthritis. Rheumatology (Oxford). Published 5 February 2025. doi:10.1093/rheumatology/keaf058

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