Pediatric rheumatology

Presence and reactivities of antibodies directed to citrullinated peptides in a Swedish JIA cohort

Pediatr Rheumatol Online JPublished Cross-sectional study

Authors' conclusion

This study reveals a distinct pattern of antibody reactivity to citrullinated peptides in a subset of patients with juvenile idiopathic arthritis, suggesting a biologically distinct subgroup with similarities to adult rheumatoid arthritis.

Study context

Population
Swedish cohort of patients with JIA100 profiled by microarray
Participants
334 participants
Exposure
Positive for cyclic citrullinated peptide antibodies vs antibody-negative
Outcome
Antibodies against cyclic citrullinated peptides (ELISA)
Methodological detailsELISA for anti-CCP, multiplex microarray profiling in a subset of 100 patients
  • ELISA for anti-CCP
  • Multiplex microarray profiling in a subset of 100 patients

Main finding

As reported in the abstract

Anti-CCP prevalence

Anti-CCP detected

6.2%

Observational data: associations, not effects.

Further findings

Reactivity to ≥1 citrullinated peptide (microarray, 100 profiled)

Reactivity to ≥1 citrullinated peptide (microarray, 100 profiled)

Most frequent reactivities against filaggrin, fibrinogen, vimentin and enolase peptides
Reactivity to non-citrullinated peptides minimal
Significant association between citrullinated vimentin reactivity and HLA-DRB1 shared epitope alleles

Original publication

Presence and reactivities of antibodies directed to citrullinated peptides in a Swedish JIA cohort. Pediatr Rheumatol Online J. Published 22 November 2025. doi:10.1186/s12969-025-01177-1

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