Pediatric rheumatology

CCL24, CXCL9 and CXCL10 are increased in synovial fluid in patients with juvenile idiopathic arthritis requiring advanced treatment

Rheumatology (Oxford)Published Retrospective cohort study

An erratum to this article was published (Rheumatology (Oxford), 1 Mar 2025 ↗)

Authors' conclusion

In patients with oligoarticular JIA, regardless of disease onset and progression, the consistent elevation of any or all three markers, the CCL24, CXCL9 and CXCL10 in SFs was associated with the future use of advanced therapy, which could be reflective of disease severity.

Study context

Population
Patients with persistent and extended oligoarticular JIA
Exposure
Patients who eventually received advanced medications vs those who did not
Outcome
SF CCL24, CXCL9 and CXCL10 expression
Methodological detailsserial synovial fluid samples, protein antibody arrays and Luminex assays
  • Serial synovial fluid samples
  • Protein antibody arrays and Luminex assays

Main finding

As reported in the abstract

  • CCL24, CXCL9 and CXCL10 expression significantly higher in patients who eventually required advanced treatment than in those who did not
  • CCL24 and CXCL9 consistently elevated in paired samples of those who later received advanced medications

Observational data: associations, not effects.

Further findings

Persistent oligoarticular JIA: change over time

CXCL10 remained elevated over time in those requiring advanced treatment
CCL24 decreased in those not requiring advanced treatment

Extended oligoarticular JIA: change over time

CCL24 and CXCL10 increased significantly over time in those who ultimately required advanced treatment

Original publication

CCL24, CXCL9 and CXCL10 are increased in synovial fluid in patients with juvenile idiopathic arthritis requiring advanced treatment. Rheumatology (Oxford). Published 7 November 2022. doi:10.1093/rheumatology/keac617

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