Inflammatory myopathies

Evaluating the value of superoxide dismutase in anti-MDA5-positive dermatomyositis associated with interstitial lung disease

Rheumatology (Oxford)Published Retrospective study

Authors' conclusion

In patients with anti-MDA5-positive DM, the low SOD level before treatment indicated the presence of oxidative stress in the disease; the serum SOD level was affected by anti-Ro-52 antibodies and ferritin; there is a close relationship between serum SOD level and ILD among patients with anti-MDA5-positive DM

Study context

Population
Hospitalized patients with anti-MDA5-positive DM with interstitial lung disease (ILD) and health check-up controls, single hospital
Participants
94 vs 90
Exposure
Anti-MDA5-positive DM with ILD vs health check-up controls
  • Anti-MDA5-positive DMn = 94
  • Controln = 90reference
Outcome
Relationship between serum SOD and ILD

Main finding

As reported in the abstract

Serum SOD level
  • Serum superoxide dismutase (SOD) significantly lower in anti-MDA5-positive DM than controls
  • SOD significantly lower with both anti-MDA5 and anti-Ro-52 antibodies than with anti-MDA5 only, before treatment
  • SOD significantly lower in higher vs lower serum ferritin group, before treatment
  • After treatment, SOD decreased with ILD exacerbation and increased with alleviated ILD
  • SOD significantly lower in death than survival group, before treatment

Observational data: associations, not effects.

Original publication

Evaluating the value of superoxide dismutase in anti-MDA5-positive dermatomyositis associated with interstitial lung disease. Rheumatology (Oxford). Published 22 July 2022. doi:10.1093/rheumatology/keac429

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