Identification of a Distinct Monocyte‐Driven Signature in Systemic Sclerosis Using Biophysical Phenotyping of Circulating Immune Cells

Arthritis RheumatolPublished Cross-sectional study

Authors' conclusion

Changes in the biophysical properties of circulating immune cells reflect their pathologic activation in SSc patients and are associated with clinical outcomes.

Study context

Population
Patients with systemic sclerosis (SSc), rheumatoid arthritis (RA) or antibody-associated vasculitis (AAV) and age- and sex-matched healthy donors
Participants
63 / 59 / 28 / 22
Exposure
SSc vs RA, AAV and healthy donors
  • SScn = 63
  • RAn = 59
  • AAVn = 28
  • Healthy donorsn = 22reference
Outcome
Biophysical properties (cell mechanics and morphology) of circulating immune cells by RT-FDC
Methodological detailsage- and sex-matched healthy donors, real-time fluorescence and deformability cytometry (RT-FDC) biophysical phenotyping
  • Age- and sex-matched healthy donors
  • RT-FDC biophysical phenotyping

Main finding

As reported in the abstract

Biophysical signature of circulating immune cells
  • Specific signature of biophysical properties of circulating immune cells in SSc, mainly driven by monocytes
  • Signature absent in RA and AAV, reflecting SSc-specific monocyte activation rather than general inflammation
  • Monocyte biophysical properties indicate current disease activity, extent of skin or lung fibrosis, severity of microvascular damage and risk of disease progression in SSc

Observational data: associations, not effects.

Original publication

Identification of a Distinct Monocyte‐Driven Signature in Systemic Sclerosis Using Biophysical Phenotyping of Circulating Immune Cells. Arthritis Rheumatol. Published 20 March 2023. doi:10.1002/art.42394

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