Systemic sclerosis & Raynaud's

Diversity and Epitope Spreading of Anti–RNA Polymerase III Antibodies in Systemic Sclerosis: A Potential Biomarker for Skin and Lung Involvement

Arthritis RheumatolPublished Mechanistic study

Authors' conclusion

Our findings indicate a correlation between ES levels and the severity of skin sclerosis or the risk of other complications in SSc.

Study context

Population
Patients with systemic sclerosis (SSc) who were anti-RNAP III antibody (ARA)-positive
Outcome
Relationship between epitope spreading of anti-RNAP III antibodies and clinical manifestations of SSc
Methodological detailswheat germ cell-free translation system, longitudinal assessment, 17 full-length RNAP III subunit proteins and 5 truncated forms of RPC1 synthesised in vitro; autoantibodies measured in serum on antigen-binding plates
  • Wheat germ cell-free translation system
  • Longitudinal assessment
  • 17 full-length RNAP III subunit proteins and 5 truncated forms of RPC1 synthesised in vitro; autoantibodies measured in serum on antigen-binding plates

Main finding

As reported in the abstract

  • Autoantibodies against different RNAP III complex subunits found in ARA-positive patients with SSc
  • Intermolecular epitope spreading (ES) indicators significantly correlated with mRSS and surfactant protein-D (ILD biomarker)
  • Extent of disease on high-resolution CT or pulmonary function tests: no significant correlation
  • Intramolecular ES indicator against RPC1 significantly correlated with mRSS and renal crisis
  • Longitudinal ES in RNAP III complex subunits correlated with mRSS; potential disease activity biomarker

Original publication

Diversity and Epitope Spreading of Anti–RNA Polymerase III Antibodies in Systemic Sclerosis: A Potential Biomarker for Skin and Lung Involvement. Arthritis Rheumatol. Published 29 September 2024. doi:10.1002/art.42975

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