Inflammatory myopathies

CD44 is associated with muscle inflammation in polymyositis and skin damage in idiopathic inflammatory myopathy

Clin Exp RheumatolPublished Mechanistic study

Authors' conclusion

This study suggests that macrophages expressing CD44 may be involved in the pathogenesis of PM, and sCD44 could serve as a potential marker for skin damage and activity in IIM.

Study context

Population
Patients with idiopathic inflammatory myopathy (IIM) (polymyositis (PM), DM) and experimental autoimmune myositis (EAM) model mice
Outcome
CD44 expression and associations in PM and IIM
Methodological detailsbioinformatic analysis of GSE128470, GSE3112 and GSE39454 datasets, EAM mouse model, serum soluble CD44 (sCD44) by ELISA
  • Bioinformatic analysis of GSE128470, GSE3112 and GSE39454 datasets
  • EAM mouse model
  • Serum sCD44 by ELISA

Main finding

As reported in the abstract

CD44 correlation with M1 macrophages in PM
r=0.57, p<0.0001
CD44 correlation with M2 macrophages in PM
r=0.57, p<0.0001
CD44+F4/80+ macrophages in skeletal muscle increased in EAM mice; stronger association with M1 markers
p<0.0001
Serum sCD44 elevated in IIM
p=0.0024
Serum sCD44 elevated in PM
p=0.0332
Serum sCD44 elevated in DM
p=0.0001
Serum sCD44 elevated in anti-MDA5 antibody positive subtype
p=0.0007
sCD44 correlation with VAS in IIM
r=0.4424, p=0.0013
sCD44 correlation with myositis intention to treat activity index in IIM
r=0.3938, p=0.0047
sCD44 correlation with skin damage score in IIM
r=0.3796, p=0.0101
sCD44 correlation with skin activity score in IIM
r=0.4625, p=0.0014

Original publication

CD44 is associated with muscle inflammation in polymyositis and skin damage in idiopathic inflammatory myopathy. Clin Exp Rheumatol. Published 22 February 2024. doi:10.55563/clinexprheumatol/hlk85n

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