Vasculitis & polymyalgia rheumatica

Distinct molecular signature in relapsed patients with ANCA-associated vasculitis

RMD OpenPublished Mechanistic study

Authors' conclusion

In this well-defined MPA/GPA cohort, we report for the first time a distinct relapse-associated transcriptional signature consistent with enhanced neutrophil activity.

Study context

Population
Patients with microscopic polyangiitis (MPA) or granulomatosis with polyangiitis (GPA)21 patients · 12 controls
Participants
6 / 5 / 4 / 6 / 12
Comparison
Relapsed vs newly diagnosed, remission and healthy controls
  • Newly diagnosedn = 6
  • Relapsedn = 5
  • Remission on maintenance therapyn = 4
  • Remission off maintenance therapyn = 6
  • Healthy controlsn = 12reference
Outcome
Whole blood transcriptional profile
Methodological detailswhole blood RNA sequencing, differential gene expression and functional enrichment analysis, age-matched/sex-matched healthy controls
  • Whole blood RNA sequencing
  • Differential gene expression and functional enrichment analysis
  • Age-matched/sex-matched healthy controls

Main finding

As reported in the abstract

Major relapse: unique pattern of neutrophil degranulation-associated genes (granular proteins, adhesion and chemotaxis, myelopoiesis)
41

Original publication

Distinct molecular signature in relapsed patients with ANCA-associated vasculitis. RMD Open. Published 23 September 2026. doi:10.1136/rmdopen-2026-007063

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