Pediatric rheumatology

Blood brain barrier permeability and astrocyte-derived extracellular vesicles in children with juvenile idiopathic arthritis: a cross-sectional study

Pediatr Rheumatol Online JPublished Cross-sectional study

Authors' conclusion

The elevated levels of astrocyte-derived EVs and the presence of S100B in children with JIA provide evidence of BBB disruption and CNS involvement, particularly in those with higher disease activity.

Study context

Population
Children with juvenile idiopathic arthritis (JIA) and age- and gender-matched healthy controls
Participants
90 vs 10
Exposure
Children with JIA vs healthy controls
  • JIAn = 90
  • Healthy controlsn = 10reference
Outcome
Plasma astrocyte-derived EVs (AQP-4, glial fibrillary acidic protein (GFAP); flow cytometry) and S100B protein (ELISA)
Methodological detailscontrols matched by age and gender
  • Controls matched by age and gender

Main finding

As reported in the abstract

Plasma astrocyte-derived EVs
  • Significantly higher concentration of astrocyte-derived extracellular vesicles (EVs) in children with JIA vs healthy controls
  • S100B detectable exclusively in the JIA group

Observational data: associations, not effects.

Further findings

Astrocyte-derived EVs by disease activity (Juvenile Arthritis Disease Activity Score (JADAS27))

Notably higher levels of these EVs with JADAS27 scores of 1 or higher

Original publication

Blood brain barrier permeability and astrocyte-derived extracellular vesicles in children with juvenile idiopathic arthritis: a cross-sectional study. Pediatr Rheumatol Online J. Published 26 April 2024. doi:10.1186/s12969-024-00984-2

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