Rheumatoid arthritis

Citrullinated and carbamylated proteins in extracellular microvesicles from plasma of patients with rheumatoid arthritis

Rheumatology (Oxford)Published Mechanistic study

Authors' conclusion

The results of this study suggest an involvement of EMVs in the pathogenesis of RA by inducing autoimmunity.

Study context

Population
RA patients naïve for biological therapy and age- and sex-matched healthy donors
Participants
24 vs 20
Comparison
RA vs healthy donors (HD)
  • RAn = 24
  • HDn = 20reference
Outcome
Expression of citrullinated and carbamylated proteins in plasma EMVs
Methodological detailscase-control, age- and sex-matched
  • Case-control
  • Age- and sex-matched

Main finding

As reported in the abstract

  • Significant increase of extracellular microvesicles (EMVs) in RA vs HD (NanoSight)
  • Significantly higher expression of citrullinated antigens on EMV surface in RA vs donors (flow cytometry)
  • No substantial difference in expression of carbamylated antigens
  • Western blot: vimentin, alpha-enolase 1 and collagen type II the main citrullinated and carbamylated proteins carried by EMVs
  • Relevant correlation between citrullinated antigen expression and disease activity

Original publication

Citrullinated and carbamylated proteins in extracellular microvesicles from plasma of patients with rheumatoid arthritis. Rheumatology (Oxford). Published 18 October 2022. doi:10.1093/rheumatology/keac598

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