Pediatric rheumatology

Autoantibody Response Toward Chromatin in Patients With Juvenile Idiopathic Arthritis

Arthritis RheumatolPublished Cross-sectional study

Authors' conclusion

Autoantibody reactivity in JIA primarily targets chromatin, but the epitopes targeted are likely either posttranslationally modified or multimolecule epitopes, such as dsDNA-nucleosome complexes, rather than epitopes on individual native proteins or purified dsDNA.

Study context

Population
Untreated children with active juvenile idiopathic arthritis (JIA), children with unspecified arthritis and age- and sex-matched healthy children
Participants
110 / 14 / 151
Exposure
Untreated active JIA vs age- and sex-matched healthy children
  • JIAn = 110
  • Unspecified arthritisn = 14
  • Healthy controlsn = 151reference
Outcome
Homogeneous nuclear ANA staining (reactivity toward chromatin)
Methodological detailsage- and sex-matched healthy controls, HuProt proteome microarray
  • Age- and sex-matched healthy controls
  • HuProt proteome microarray

Main finding

As reported in the abstract

P < 0.0001

Observational data: associations, not effects.

Further findings

OutcomeJIAP value
Antibodies against dsDNA-nucleosome complexesJIA vs Healthy controls20%P < 0.0001

Antibodies to specific nuclear antigens or other connective tissue disease autoantigens

No antibody reactivity detected

Proteome microarray (5 ANA-positive JIA, 4 ANA-negative healthy controls)

Core histone H2A variant H2AFY (part of the nucleosome) the most widely recognised human protein by JIA autoantibodies

Original publication

Autoantibody Response Toward Chromatin in Patients With Juvenile Idiopathic Arthritis. Arthritis Rheumatol. Published 21 September 2025. doi:10.1002/art.43315

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