Systemic sclerosis & Raynaud's

Proteomic aptamer analysis reveals serum markers that characterize preclinical systemic sclerosis (SSc) patients at risk for progression toward definite SSc

Arthritis Res TherPublished Prospective cohort study

Authors' conclusion

A distinct protein profile characterized PreSSc from HCs and proteins associated with hypoxia, vasculopathy, and fibrosis regulation are linked with the progression from preclinical to definite SSc.

Study context

Population
Patients with preclinical SSc (discovery cohort 13; independent validation cohort 50) and matched healthy controls (HCs)13 PreSSc discovery
Exposure
PreSSc progressing to definite SSc vs non-progressing PreSSc; PreSSc vs HCs (discovery)
  • HCsn = 8reference
Outcome
Progression to definite SSc (EULAR/ACR 2013 classification criteria)
Follow-up
Up to 5 years (validation cohort)
Methodological detailsdiscovery/validation two-step approach, SOMAscan aptamer-based proteomic analysis, age, gender and ethnicity matched HCs, time-to-event analysis for interval-censored data
  • Discovery/validation two-step approach
  • SOMAscan aptamer-based proteomic analysis
  • Age, gender and ethnicity matched HCs
  • Time-to-event analysis for interval-censored data

Main finding

As reported in the abstract

Association of baseline serum proteins with progression to definite SSc (validation cohort)

Endostatin, HR (CI95 2.2-47.59), p=0.003

10.23

bFGF, HR (CI95 0.709-0.996), p=0.045

0.84

PAF-AHβ, HR (CI95 0.171-0.809), p=0.013

0.372

Observational data: associations, not effects.

Further findings

Discovery cohort: proteins differentially expressed vs HCs

Proteins differentially expressed vs HCs, out of 1306 analysed
286
Proteins significantly associated with disease progression
Ten
Enriched pathways: angiogenesis, endothelial cell chemotaxis, endothelial cell chemotaxis to fibroblast growth factor (FGF)

Original publication

Proteomic aptamer analysis reveals serum markers that characterize preclinical systemic sclerosis (SSc) patients at risk for progression toward definite SSc. Arthritis Res Ther. Published 27 January 2023. doi:10.1186/s13075-023-02989-w

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