Spondyloarthritis & psoriatic arthritis

Decreased expression of NAT10 in peripheral blood mononuclear cells from new-onset ankylosing spondylitis and its clinical significance

Arthritis Res TherPublished Diagnostic accuracy study

Authors' conclusion

The present study suggested that the decreased mRNA NAT10 may play a role in AS pathogenesis and predictive model based on mRNA NAT10 and N% act as bioindicator for forecast and progression of diseases.

Study context

Population
Patients with new-onset ankylosing spondylitis (AS), healthy controls, and patients with rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE), The First Afliated Hospital of Nanchang University
Participants
56 / 52 / 20 / 16
Comparison
Peripheral blood mononuclear cell (PBMC) NAT10 mRNA expression in new-onset AS vs healthy controls (HC), RA and SLE
  • New-Onset ASn = 56
  • HCn = 52reference
  • RAn = 20
  • SLEn = 16
Outcome
NAT10 mRNA expression in PBMC and diagnostic performance
Methodological detailscase-control, single-centre
  • Case-control
  • Single-centre

Performance

As reported in the abstract

Predictive model (NAT10 mRNA + N%), AS vs HC: AUC

0.880

Predictive model, AS vs HC: sensitivity

84.62%

Predictive model, AS vs HC: specificity

76.92%

Further findings

Predictive model, new-onset AS vs RA and SLE

AUC
0.661
Sensitivity
90.38%
Specificity
47.22%

Predictive model + HLA-B27 vs HLA-B27 alone, AS vs HC

Model + HLA-B27 sensitivity (39/42)
92.86%
Model + HLA-B27 specificity (52/52)
100.00%
Model + HLA-B27 accuracy (91/94)
96.81%
HLA-B27 sensitivity (38/45)
84.44%
HLA-B27 specificity (52/52)
100.00%
HLA-B27 accuracy (90/97)
92.78%
  • Combination superior to HLA-B27

Original publication

Decreased expression of NAT10 in peripheral blood mononuclear cells from new-onset ankylosing spondylitis and its clinical significance. Arthritis Res Ther. Published 2 January 2024. doi:10.1186/s13075-023-03250-0

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