Vasculitis & polymyalgia rheumatica

Plasma proteome differences between giant cell arteritis and polymyalgia rheumatica: a pilot study

Arthritis Res TherPublished Mechanistic study

Authors' conclusion

Active PMR and active GCA patients share an unexpectedly small plasma proteome signature related to immune activation (8.9%: 13 proteins). Instead, active PMR is characterized by distinct erythrocyte and muscle contraction proteome changes, whereas active GCA appears driven by mitochondrial and clotting cascade alterations.

Study context

Population
Patients with polymyalgia rheumatica (PMR) and giant cell arteritis (GCA)
Participants
15 vs 13
Comparison
Plasma proteome of active PMR vs active GCA
  • PMRn = 15
  • GCAn = 13
Outcome
Altered plasma protein signatures
Methodological detailspilot study, mass spectrometry plasma proteomics, immunofluorescence of temporal artery biopsy (TABs)
  • Pilot study
  • Mass spectrometry plasma proteomics
  • Immunofluorescence of TABs

Main finding

As reported in the abstract

Protein signatures characteristic of active GCA

50

Signatures altered only in active PMR

83

Proteins with altered expression shared by both groups

13

S100A12 increased in plasma (also in PMR and GCA TABs)

≈1.6-fold

Original publication

Plasma proteome differences between giant cell arteritis and polymyalgia rheumatica: a pilot study. Arthritis Res Ther. Published 1 July 2026. doi:10.1186/s13075-026-03852-4

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