Vasculitis & polymyalgia rheumatica

Circulating PD-1hi CXCR5– and CXCR5+ CD4 T cells are elevated in patients with newly diagnosed giant cell arteritis, and predict relapse

Rheumatology (Oxford)Published Prospective cohort study

Authors' conclusion

nGCA patients demonstrate increased baseline cTph and cTfh cell frequencies. Lower baseline proportions of cTph and cTfh cells associate with relapse.

Study context

Population
Consecutive patients with newly diagnosed GCA referred to a US GCA fast-track clinic over 24 months65 nGCA patients
Exposure
Newly diagnosed GCA vs age- and gender-matched healthy controls
  • nGCAn = 65
Outcome
Frequency of circulating Tph (cTph) and Tfh (cTfh) cells
Follow-up
Baseline
Methodological detailsnon-interventional, consecutive patients, age- and gender-matched healthy controls
  • Non-interventional
  • Consecutive patients
  • Age- and gender-matched healthy controls

Main finding

As reported in the abstract

Frequency of cTph and cTfh cells
  • Increased frequency of circulating Tph (cTph) and cTfh cells in nGCA vs healthy control (HC)

Observational data: associations, not effects.

Further findings

Relapse within 12 months

Patients followed up for 12 months
46
Patients who relapsed
19
Baseline cTph and cTfh frequency significantly lower in patients who relapsed vs those who did not

cTph cell frequency <1.0 predicting relapse · 12 months

Sensitivity
90%
Specificity
93%

Original publication

Circulating PD-1hi CXCR5– and CXCR5+ CD4 T cells are elevated in patients with newly diagnosed giant cell arteritis, and predict relapse. Rheumatology (Oxford). Published 3 January 2025. doi:10.1093/rheumatology/keaf001

Composed by AI from the published abstract and checked against it. How Briefs are made →

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