Vasculitis & polymyalgia rheumatica

Dysregulation of neutrophil oxidant production and interleukin-1–related cytokines in granulomatosis with polyangiitis

Rheumatology (Oxford)Published Prospective cohort study

Authors' conclusion

Our data suggests that ROS production and regulation of inflammasomes in neutrophils from patients with GPA are disturbed

Study context

Population
Granulomatosis with polyangiitis (GPA) patients with disease flare, NEUTROVASC cohortGPA patients with flare
Participants
72 patients
Exposure
Active GPA vs same patients in remission or healthy controls
  • Active GPAn = 72
Outcome
ROS production by neutrophils in whole blood

Main finding

As reported in the abstract

Neutrophil ROS production
  • Robust defect in reactive oxygen species (ROS) production by neutrophils in active GPA vs healthy controls, independent of GC treatment

Observational data: associations, not effects.

Further findings

Serum IL-1-related cytokines

Significantly increased in GPA, particularly with kidney involvement; returned to normal after remission

Inflammasome-related proteins

Significantly dysregulated in neutrophil cytosol and serum from GPA patients

Original publication

Dysregulation of neutrophil oxidant production and interleukin-1–related cytokines in granulomatosis with polyangiitis. Rheumatology (Oxford). Published 8 November 2023. doi:10.1093/rheumatology/kead578

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