Systemic sclerosis & Raynaud's

Fibroblast activities are associated with prolonged QTc and pulmonary arterial hypertension in patients with systemic sclerosis

Clin Exp RheumatolPublished Cross-sectional study

Authors' conclusion

Patients with SSc and prolonged QTc, presence of PAH and high NYHA class presented an altered tissue turnover, particularly associated with increased fibroblast activation.

Study context

Population
Well-characterised patients with SSc
Participants
102 patients
Exposure
SSc patients with vs without electrocardiographic (ECG) alterations, PAH and by NYHA class
Outcome
Association of serum ECM turnover biomarkers with subclinical heart involvement determined by ECG alterations
Methodological detailsserum biomarker panel measured by competitive ELISAs
  • Serum biomarker panel measured by competitive ELISAs

Main finding

As reported in the abstract

ECM biomarkers in patients with prolonged QTc (>450ms)
PRO-C3 significantly increased in prolonged QTc
p=0.043
PRO-C6 significantly increased in prolonged QTc
p=0.027

Observational data: associations, not effects.

Further findings

Extracellular matrix (ECM) biomarkers in patients with PAH

PRO-C3 significantly increased in PAH
P = 0.041
PRO-C6 significantly increased in PAH
P = 0.019

ECM biomarkers by NYHA class

PRO-C3 increased with NYHA class
P = 0.024
PRO-C6 increased with NYHA class
P = 0.045
C6M significantly increased with NYHA class
P = 0.021

Original publication

Fibroblast activities are associated with prolonged QTc and pulmonary arterial hypertension in patients with systemic sclerosis. Clin Exp Rheumatol. Published 8 August 2024. doi:10.55563/clinexprheumatol/7didmb

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