Systemic sclerosis & Raynaud's

Increased oxidative stress response in circulating blood of systemic sclerosis patients – relation to disease characteristics and inflammatory blood biomarkers

Semin Arthritis RheumPublished Case-control study

Authors' conclusion

Our data indicate a pro-oxidant imbalance in SSc, likely related to systemic inflammation and endothelial injury.

Study context

Population
Patients with systemic sclerosis (SSc) and well-matched controls
Participants
55 vs 44
Comparison
SSc vs matched controls
  • SScn = 55
  • Controlsn = 44reference
Outcome
Oxidative stress response in peripheral blood: real-time protein hydroperoxide (HP) formation by the coumarin boronic acid (CBA) assay
Methodological detailswell-matched controls
  • Well-matched controls

Main finding

As reported in the abstract

HP formation in the CBA assay

Fold faster fluorescent product generation

2-fold

P < 0.001

SSc

Fold higher cumulative hydroperoxide (HP) formation

3-fold

P < 0.001

SSc

Observational data: associations, not effects.

Further findings

Associations of HP generation with disease characteristics

Not associated with disease form (diffuse vs limited SSc), current immunosuppressive therapy, abnormal nailfold capillaries or autoantibody profile
Enhanced with more severe illness, pulmonary hypertension, digital ulcers, CYC treatment and in smokers (current or past)
Higher serum CRP, blood eosinophil count and cellular fibronectin with lower hemoglobin were independent determinants of increased HP formation

Original publication

Increased oxidative stress response in circulating blood of systemic sclerosis patients – relation to disease characteristics and inflammatory blood biomarkers. Semin Arthritis Rheum. Published 9 June 2023. doi:10.1016/j.semarthrit.2023.152228

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