Rheumatoid arthritis

Identification and functional characterization of urinary protein biomarkers for RA

Rheumatology (Oxford)Published Mechanistic study

Authors' conclusion

IGLV3-1 is a novel urinary protein biomarker that reflects RA disease activity and predicts clinical outcomes.

Study context

Population
RA patients and healthy controls (HCs); two RA cohorts (cross-sectional and longitudinal) for population-based analysescohorts n = 301 and n = 214
Comparison
RA patients vs HCs; IGLV3-1 levels vs disease activity
Outcome
Urinary protein biomarkers of RA disease activity
Methodological detailsmulti-phase, proteomic discovery, ELISA validation in two independent cohorts, cross-sectional and longitudinal cohorts
  • Multi-phase
  • Proteomic discovery
  • ELISA validation in two independent cohorts
  • Cross-sectional and longitudinal cohorts

Main finding

As reported in the abstract

Differentially expressed proteins (DEPs) identified between RA and HCs, enriched in immune-related pathways
209
IGLV3-1 diagnostic potential (AUC), validated in two independent cohorts
AUC = 0.99
IGLV3-1 association with VAS (β, 95% CI 0.264-1.875)
β = 1.070
IGLV3-1 association with DAS28 (β, 95% CI 0.029-1.315)
β = 0.672
IGLV3-1 and likelihood of VAS pain improvement (OR, 95% CI 0.047-0.746)
OR = 0.188

Original publication

Identification and functional characterization of urinary protein biomarkers for RA. Rheumatology (Oxford). Published 20 April 2026. doi:10.1093/rheumatology/keag213

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