Vasculitis & polymyalgia rheumatica

Neutrophil extracellular traps (NETs) in the spotlight: exploring NETosis markers for tracking disease activity in IgA vasculitis

Rheumatology (Oxford)Published Longitudinal study

Authors' conclusion

Elevated serum cf-DNA and urine cit-H3 suggest a potential role for NETosis in IgAV activity, highlighting these markers as potential indicators for disease monitoring.

Study context

Population
Paediatric IgA vasculitis (IgAV) patients and healthy controls33 patients · 26 controls
Exposure
Paediatric IgAV patients in active and inactive disease phases vs healthy controls
  • Healthy controlsn = 26reference
Outcome
NETosis markers (cell-free DNA (cf-DNA), neutrophil elastase, MPO, cit-H3) in blood and urine across IgAV disease phases

Main finding

As reported in the abstract

NETosis markers
  • Active vs Controls: P = 0.04
  • Active vs Inactive: P = 0.04
  • Active vs Controls: P = 0.009
  • Active vs Controls: P = 0.01
  • Inactive vs Controls: P = 0.03

Observational data: associations, not effects.

Further findings

OutcomeValues
Serum cf-DNA threshold 935 ng/ml for active diseasecf-DNA 935 ng/ml sensitivity 93% · specificity 72%

Gender and age, patients vs controls

No significant difference

Original publication

NETs in the spotlight: exploring NETosis markers for tracking disease activity in IgA vasculitis. Rheumatology (Oxford). Published 21 May 2025. doi:10.1093/rheumatology/keaf272

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