Vasculitis & polymyalgia rheumatica

Proteomic Profiling of the Large‐Vessel Vasculitis Spectrum Identifying Shared Signatures of Innate Immune Activation and Stromal Remodeling

Arthritis RheumatolPublished Mechanistic study

Authors' conclusion

These findings suggest shared pathobiology across the LVV spectrum involving innate immunity, lymphocyte homeostasis, and tissue remodeling.

Study context

Population
Patients with large-vessel vasculitis (LVV) (TAK, large-vessel GCA (LV-GCA)) and HCs; patients presenting acutely with possible cranial giant cell arteritis (GCA)two cohorts
Participants
96 / 35 / 35 / 150 / 89
Comparison
TAK, LV-GCA and HCs; confirmed vs excluded cranial GCA (C-GCA)
  • TAKn = 96
  • LV-GCAn = 35
  • HCsn = 35reference
  • C-GCAn = 150
  • Not C-GCAn = 89reference
Outcome
Differentially abundant plasma proteins (DAPs)
Methodological detailsplasma proteomic profiling of 184 proteins, two cohorts, comparison with published arterial transcriptomic data
  • Plasma proteomic profiling of 184 proteins
  • Two cohorts
  • Comparison with published arterial transcriptomic data

Main finding

As reported in the abstract

Differentially abundant proteins (DAPs) in TAK vs HCs (cohort 1)
52
DAPs in LV-GCA vs HCs (cohort 1)
72
Disease activity-associated proteins within TAK
16
Disease activity-associated proteins within LV-GCA
18
DAPs in C-GCA vs Not C-GCA (cohort 2)
31
Shared DAPs across TAK, LV-GCA and biopsy-proven C-GCA (incl. IL-6, CCL7, CSF1, TIMP1, TNC, TNFSF14, IL-7R)
26
DAPs whose corresponding gene was differentially expressed in arterial tissue
42%

Original publication

Proteomic Profiling of the Large‐Vessel Vasculitis Spectrum Identifying Shared Signatures of Innate Immune Activation and Stromal Remodeling. Arthritis Rheumatol. Published 27 February 2025. doi:10.1002/art.43110

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