Pediatric rheumatology

Serological biomarkers of juvenile idiopathic arthritis (JIA)-associated uveitis: ANA titers, ANA Anti-Cell (AC-30) staining pattern and prefoldin 5 antibodies

Arthritis Res TherPublished Cohort study

Authors' conclusion

High ANA titers, the AC-30 ANA indirect immunofluorescence (IIF) pattern, and younger age at JIA onset are significantly associated with uveitis in JIA. Anti-PFDN5 antibodies show potential as a novel biomarker for JIA-associated uveitis.

Study context

Population
Newly diagnosed JIA patients from a German inception cohort (ICON)
Participants
52 vs 141
Exposure
JIA with uveitis vs JIA without uveitis
  • Uveitisn = 52
  • No uveitisn = 141reference
Outcome
Serum biomarkers associated with development of uveitis
Methodological detailsbiomarker analysis of a convenience sample from a prospective inception cohort, convenience sample enriched for uveitis cases, prospectively followed inception cohort (ICON), baseline biobanked serum, multi-analyte array technologies
  • Biomarker analysis of a convenience sample from a prospective inception cohort
  • Convenience sample enriched for uveitis cases
  • Prospectively followed inception cohort (ICON)
  • Baseline biobanked serum
  • Multi-analyte array technologies

Main finding

As reported in the abstract

Serum autoantibodies associated with uveitis · baseline

ANA titer, median [IQR]

960 [240-5120] vs. 160 [0-640]

P < 0.001

Uveitis

AC-30 indirect immunofluorescence (IIF) staining pattern

63.5% vs. 23.4%

P < 0.001

Uveitis

PFDN5 antibody titer, mean ± SD

486.39 ± 495.85 vs. 321.85 ± 330.36

P = 0.010

Uveitis

Observational data: associations, not effects.

Further findings

Uveitis-related complications at first uveitis documentation
26%

Original publication

Serological biomarkers of JIA-associated uveitis: ANA titers, ANA AC-30 staining pattern and prefoldin 5 antibodies. Arthritis Res Ther. Published 26 May 2026. doi:10.1186/s13075-026-03835-5

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