Vasculitis & polymyalgia rheumatica

NMR-based metabolomics in giant cell arteritis and polymyalgia rheumatica sequential sera differentiates active and inactive disease

Rheumatology (Oxford)Published Mechanistic study

Authors' conclusion

The NMR profile of serum metabolome could identify and propose sensitive biomarkers of inflammation.

Study context

Population
Patients with GCA and PMR sampled at 0 (active disease), 1 and 6 months (remission) of GC treatment110 serum samples
Participants
50 patients
Comparison
Active disease vs remission during GC treatment
  • GCAn = 33
  • PMRn = 17
Outcome
Serum metabolome in active and inactive disease states
Follow-up
0, 1 and 6 months
Methodological detailsNMR-based metabolomic analysis, sequential sera at three time points, multi- and univariate statistical analyses
  • NMR-based metabolomic analysis
  • Sequential sera at three time points
  • Multi- and univariate statistical analyses

Main finding

As reported in the abstract

Serum metabolome, active vs remission

Altered levels of small molecules in active disease: increased phenylalanine; decreased glutamine, alanine and creatinine

4 of the 21

Original publication

NMR-based metabolomics in giant cell arteritis and polymyalgia rheumatica sequential sera differentiates active and inactive disease. Rheumatology (Oxford). Published 3 November 2023. doi:10.1093/rheumatology/kead590

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