Vasculitis & polymyalgia rheumatica

Serine proteinase inhibitor A3 (SERPINA3), FGA, AGP1, ITIH3 and serum amyloid A1 (SAA1) as novel biomarkers for eosinophilic granulomatosis with polyangiitis diagnosis and activity assessment

Rheumatology (Oxford)Published Diagnostic accuracy study

Authors' conclusion

SERPINA3, FGA, AGP1, ITIH3 and SAA1 were identified as potential biomarkers for EGPA diagnosis and disease activity assessment. Among them, as a single biomarker, SERPINA3 had the best diagnostic performance.

Study context

Population
Plasma samples from eosinophilic granulomatosis with polyangiitis (EGPA) patients, disease controls and healthy controls (HCs)discovery 11 EGPA/10 HCs
Comparison
EGPA vs HCs and disease controls
  • Disease controls (DCs)n = 24reference
Outcome
Novel biomarkers for diagnosis and prediction of active EGPA
Methodological detailsproteomic discovery (data-independent acquisition) with ELISA validation, ROC analysis
  • Proteomic discovery (data-independent acquisition) with ELISA validation
  • ROC analysis

Performance

As reported in the abstract

Diagnostic value of candidate biomarker panels (AUC)

Differentially expressed proteins EGPA vs HC (24 upregulated, 11 downregulated)

35

AUC, SERPINA3 + SAA1 panel, EGPA diagnosis

0.953

AUC, SERPINA3 + FGA + AGP1 + ITIH3 panel, EGPA vs DCs

0.926

Further findings

AUC, SERPINA3 + AGP1, disease activity assessment
0.918
SERPINA3, FGA and AGP significantly higher in active EGPA and correlated well with disease activity

Original publication

SERPINA3, FGA, AGP1, ITIH3 and SAA1 as novel biomarkers for eosinophilic granulomatosis with polyangiitis diagnosis and activity assessment. Rheumatology (Oxford). Published 29 March 2024. doi:10.1093/rheumatology/keae187

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