Systemic sclerosis & Raynaud's

Detection of IgE-autoantibodies to nuclear antigens in patients with systemic sclerosis and analysis of their clinical relevance

Clin Exp RheumatolPublished Cross-sectional study

Authors' conclusion

IgE-autoantibodies against CENP-A/B and topo-I occur in SSc underlining the concept that SSc may be a T helper cell type 2 mediated disease. IgE-anti-CENP-A-antibodies correlated with disease activity

Study context

Population
Patients with systemic sclerosis (SSc), CREST syndrome, other connective tissue disorders (CTD) and FM
Participants
151 / 88 / 291 / 23
Exposure
SSc and CREST syndrome vs other CTD and FM controls
  • SScn = 151
  • CRESTn = 88
  • Other CTDn = 291
  • FMn = 23reference
Outcome
Prevalence and reactivity of IgE-autoantibodies to topoisomerase-I (topo-I) and CENP-A/B
Methodological detailsin-house ELISA with recombinant antigens
  • In-house ELISA with recombinant antigens

Main finding

As reported in the abstract

Prevalence of IgE autoantibodies
GroupValueIgE-anti-CENP-AIgE-anti-CENP-BIgE-anti-topo-I
CREST67%67%77%
SSc56%56%

Value

CREST67%
SSc56%

IgE-anti-CENP-A

CREST67%
SSc— not stated in the abstract

IgE-anti-CENP-B

CREST77%
SSc— not stated in the abstract

IgE-anti-topo-I

CREST— not stated in the abstract
SSc56%

Observational data: associations, not effects.

Further findings

Clinical correlations in CREST syndrome

IgE-anti-CENP-A (not CENP-B) significantly higher and more prevalent with skin ulcers, high median Rodnan skin score (mRSS) and >4 organ manifestations
No correlation with blood eosinophil counts

Original publication

Detection of IgE-autoantibodies to nuclear antigens in patients with systemic sclerosis and analysis of their clinical relevance. Clin Exp Rheumatol. Published 6 July 2023. doi:10.55563/clinexprheumatol/s3pvx0

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

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