Systemic sclerosis & Raynaud's

Disease activity and anti-topoisomerase I antibody positivity are associated with elevated serum B cell activating factor levels and a B cell subset-wide reduction of BAFF-receptor expression in SSc

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

Our study indicates that elevated BAFF levels, coupled with a reduction in BAFF-R expression, are significant characteristics in ATA+ SSc and of clinically active patients regardless of autoantibody status.

Study context

Population
Patients with SSc (ACA+ or ATA+) and age- and sex-matched controls69 SSc patients · 10 controls
Participants
37 / 32 / 10
Exposure
SSc patients vs age- and sex-matched controls
  • ACA+n = 37
  • ATA+n = 32
  • Controlsn = 10reference
Outcome
Serum BAFF levels and BAFF-R expression on B cell subsets, in relation to autoantibody subtype and disease activity
Methodological detailsage- and sex-matched controls, flow cytometry, ELISA
  • Age- and sex-matched controls
  • Flow cytometry
  • ELISA

Main finding

As reported in the abstract

  • BAFF levels significantly elevated in SSc patients vs controls
  • More pronounced in clinically active than clinically stable patients
  • More pronounced in ATA+ vs controls and ACA+ SSc patients
  • BAFF-receptor (BAFF-R) expression reduced on total and several B cell subsets
  • BAFF-R expression correlated inversely with serum BAFF levels

Observational data: associations, not effects.

Further findings

Correlation of BAFF with inflammatory markers and autoantibody levels

BAFF correlated with ESR and CRP in ATA+ SSc patients
Moderate correlation between BAFF and ATA-IgG, but not between BAFF and ACA-IgG

Original publication

Disease activity and anti-topoisomerase I antibody positivity are associated with elevated serum B cell activating factor levels and a B cell subset-wide reduction of BAFF-receptor expression in SSc. Rheumatology (Oxford). Published 1 July 2026. doi:10.1093/rheumatology/keag354

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

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