Vasculitis & polymyalgia rheumatica

Protein Profiling in Presymptomatic Individuals Separates Myeloperoxidase–Antineutrophil Cytoplasmic Antibody and Proteinase 3–Antineutrophil Cytoplasmic Antibody Vasculitides

Arthritis RheumatolPublished Nested case-control study

Authors' conclusion

To our knowledge, this is the first study to identify protein markers preceding symptom onset in AAV patients.

Study context

Population
Individuals later diagnosed with AAV identified via the National Patient Register and Cause of Death register linked to 5 biobanks, with samples collected before symptom onsetreplication: 48 cases, 96 controls
Comparison
Presymptomatic AAV vs matched controls
  • Presymptomatic AAVn = 85
Outcome
Levels of inflammation-related proteins (Olink Inflammation panel, 73 of 92 proteins) in presymptomatic samples
Follow-up
Before symptom onset
Methodological detailspresymptomatic biobank samples, 2 matched controls per case, replication cohort, Olink Inflammation panel
  • Presymptomatic biobank samples
  • 2 matched controls per case
  • Replication cohort
  • Olink Inflammation panel

Main finding

As reported in the abstract

Of the 20 proteins with the lowest P values in the original cohort, replicated in the second cohort

7

Proteins significant between the groups in a meta-analysis

5

Pathways in network enrichment analyses significant in both cohorts

11

Observational data: associations, not effects.

Further findings

Samples obtained ≤5 years before symptom onset (subgroup)

Significant levels of CCL23, VEGF-A and hepatocyte growth factor; increased at borderline significant levels in the replication cohort
IL-6 significantly increased in the replication cohort

Proteins associated with antineutrophil cytoplasmic antibody (ANCA) positivity in presymptomatic AAV

Proteins associated with MPO-ANCA positivity
6
Proteins associated with PR3-ANCA positivity
7

Original publication

Protein Profiling in Presymptomatic Individuals Separates Myeloperoxidase–Antineutrophil Cytoplasmic Antibody and Proteinase 3–Antineutrophil Cytoplasmic Antibody Vasculitides. Arthritis Rheumatol. Published 9 April 2023. doi:10.1002/art.42425

Composed by AI from the published abstract and checked against it. How Briefs are made →

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