Systemic sclerosis & Raynaud's

Systemic sclerosis-associated pulmonary arterial hypertension is characterized by a distinct peripheral T helper cell profile

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

SSc patients with severe vasculopathy (presence of PAH) exhibited a distinct T cell profile, suggesting a potential role of auto-immune inflammation in SSc vascular complications.

Study context

Population
Systemic sclerosis (SSc) patients (with and without pulmonary arterial hypertension (PAH)), patients with idiopathic PAH and age and sex-matched healthy donors30 SSc patients
Participants
15 / 15 / 5 / 15
Exposure
SSc with PAH vs SSc without PAH, idiopathic PAH and healthy donors (HD)
  • SSc-PAHn = 15
  • SSc without PAHn = 15reference
  • Idiopathic PAHn = 5
  • HDn = 15reference
Outcome
Peripheral T cell subsets associated with vascular severity in SSc
Methodological detailsmatched for age, sex and medication, multi-colour flow cytometry
  • Matched for age, sex and medication
  • Multi-colour flow cytometry

Main finding

As reported in the abstract

Peripheral T cell subsets
  • SSc vs HD: elevated percentages of Tph and CD4+GZMB+ T cells; decreased Th1 cells
  • SSc vs HD: increased CD4+ and CD8+ exhausted-like (CD28-) T cells, with raised cytokine and cytotoxic signature
  • IL-4 expressing CD4+CD8+ T cells significantly increased in SSc peripheral blood
  • PAH in SSc accompanied by a distinct T helper profile: raised percentages of Th17 and Tph cells

Observational data: associations, not effects.

Original publication

Systemic sclerosis-associated pulmonary arterial hypertension is characterized by a distinct peripheral T helper cell profile. Rheumatology (Oxford). Published 29 March 2024. doi:10.1093/rheumatology/keae190

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

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