Systemic sclerosis & Raynaud's

Elevated neutrophil extracellular traps in systemic sclerosis-associated vasculopathy and suppression by a synthetic prostacyclin analog

Arthritis Res TherPublished Mechanistic study

Authors' conclusion

Our study demonstrates an association between NETs and vascular complications in SSc.

Study context

Population
Patients with systemic sclerosis (SSc) at a single academic medical center; vascular complications such as digital ulcers, PAH and scleroderma renal crisis
Participants
125 patients
Comparison
SSc with vascular complications vs matched SSc without vascular complications; epoprostenol effect on NET release
  • Diffuse cutaneous SScn = 87
  • Limited cutaneous SScn = 38
Outcome
Association between circulating NETs and vascular complications
Methodological detailssingle academic medical center, in vitro and ex vivo assays
  • Single academic medical center
  • In vitro and ex vivo assays

Main finding

As reported in the abstract

  • Neutrophil activation and NET release elevated in SSc with vascular complications vs matched patients without
  • Neutrophil activation and NETs positively correlated with soluble E-selectin and VCAM-1 (circulating markers of vascular injury)
  • Synthetic prostacyclin analog in patients with digital ischemia boosted neutrophil cyclic AMP, associated with blunted NET release and reduced circulating NETs

Original publication

Elevated neutrophil extracellular traps in systemic sclerosis-associated vasculopathy and suppression by a synthetic prostacyclin analog. Arthritis Res Ther. Published 25 July 2024. doi:10.1186/s13075-024-03379-6

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