Spondyloarthritis & psoriatic arthritis

Role of the S1P/S1PR axis in inflammation and structural damage in psoriatic arthritis: a cross-sectional study with clinical, biochemical and imaging correlation

RMD OpenPublished Cross-sectional study

Authors' conclusion

The S1P/S1PR axis is dysregulated in PsA and is associated with disease progression.

Study context

Population
Patients with psoriatic arthritis (PsA) and healthy controls43 PsA, 21 controls
Participants
64 patients
Exposure
PsA vs healthy controls
  • Recent-onset PsAn = 16
  • Established PsA (EPsA)n = 27
  • Healthy controlsn = 21reference
Outcome
Serum S1P and S1PR levels (ELISA) and their relation to clinical activity, imaging findings and PsA stage
Methodological detailsobservational
  • Observational

Main finding

As reported in the abstract

S1P significantly higher in PsA vs controls
p=0.013
Highest S1P values in EPsA subgroup
p=0.009
S1PR significantly higher in patients with US-detected Achilles enthesitis
p=0.046
S1PR significantly higher in patients with bone proliferation/structural damage
p=0.03

Observational data: associations, not effects.

Further findings

Cortical volumetric bone mineral density (BMD)

Significantly higher in EPsA vs controls
P = 0.027

Original publication

Role of the S1P/S1PR axis in inflammation and structural damage in psoriatic arthritis: a cross-sectional study with clinical, biochemical and imaging correlation. RMD Open. Published 8 June 2026. doi:10.1136/rmdopen-2026-006874

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

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