Rheumatoid arthritis

Monocyte-derived transcriptomes explain the ineffectiveness of abatacept in rheumatoid arthritis

Arthritis Res TherPublished Mechanistic study

Authors' conclusion

Monocyte-derived transcriptomic features before treatment underlie the differences in abatacept efficacy in patients with RA.

Study context

Population
Rheumatoid arthritis (RA) patients treated with abatacept; blood samples at baseline and after 3 monthsreplication: 27 responders, 50 non-responders
Participants
22 patients
Comparison
Abatacept responders vs non-responders
  • Respondersn = 7reference
Outcome
Cellular, transcriptomic and proteomic features predicting resistance to abatacept
Methodological detailsreplication in three gene expression data sets
  • Replication in three gene expression data sets

Main finding

As reported in the abstract

  • Number of monocytes significantly higher in non-responders before treatment
  • Differentially expressed genes (DEGs) between responders and non-responders enriched in monocytes
  • TLR5 and IL17RA pathway in monocytes upregulated in non-responders
  • Hepatocyte growth factor (HGF), correlated with this signature, higher in non-responders before treatment

Further findings

Replication set (three gene expression data sets)

DEGs enriched for monocyte-expressed genes, not for TLR5 and IL17RA pathway but for oxidative phosphorylation (OXPHOS) pathway

Original publication

Monocyte-derived transcriptomes explain the ineffectiveness of abatacept in rheumatoid arthritis. Arthritis Res Ther. Published 2 January 2024. doi:10.1186/s13075-023-03236-y

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