Vasculitis & polymyalgia rheumatica

Pentraxin-3 – a potential biomarker in anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis

Scand J RheumatolPublished Prospective longitudinal cohort study

Authors' conclusion

Plasma and urinary PTX3 seem to reflect disease activity in AAV better than the commonly used CRP.

Study context

Population
Newly diagnosed or relapsing AAV patients, with healthy controlsurinary PTX3 in 34 patients
Participants
79 vs 23
Exposure
Plasma PTX3 at baseline vs 6-month follow-up in AAV; healthy controls
  • AAVn = 79
  • Healthy controlsn = 23reference
Outcome
PTX3 as a potential biomarker of inflammatory activity in AAV (plasma PTX3 levels)
Follow-up
Baseline and 6 month
Methodological detailshealthy controls
  • Healthy controls

Main finding

As reported in the abstract

Plasma PTX3 levels, baseline vs 6 months

P < 0.001

Observational data: associations, not effects.

Further findings

Correlation of PTX3 with Birmingham Vasculitis Activity Score (BVAS) at baseline

Plasma PTX3 vs BVAS, ρ (p < 0.001)
0.45
Urinary PTX3 vs BVAS, ρ (p = 0.008)
0.49

Other correlations and kidney involvement · baseline

Plasma and urinary PTX3 significantly correlated with eGFR and albuminuria
No correlation between plasma and urinary PTX3
Plasma and urinary PTX3 significantly higher in patients with kidney involvement
PTX3 did not correlate with C-reactive protein (CRP); no correlation between CRP and BVAS at baseline

Original publication

Pentraxin-3 – a potential biomarker in ANCA-associated vasculitis. Scand J Rheumatol. Published 6 April 2022. doi:10.1080/03009742.2022.2045790

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