Inflammatory myopathies

The emerging role of growth differentiation factor 15 as a potential disease biomarker in juvenile dermatomyositis

Rheumatology (Oxford)Published Biomarker study

Authors' conclusion

GDF-15 may serve as a valuable biomarker for assessing disease activity in JDM. It exhibits better sensitivity and specificity than creatine kinase and the levels correlate with various DASs and functional measures.

Study context

Population
Children with juvenile myositis (JDM, PM) and healthy controls
Participants
77 / 6 / 22
Comparison
JDM vs healthy controls (plasma GDF-15); GDF-15 vs creatine kinase for assessing disease activity
  • JDMn = 77
  • PMn = 6
  • Healthy controlsn = 22reference
Outcome
Plasma GDF-15 levels (ELISA)

Main finding

As reported in the abstract

  • GDF-15 strongly positively correlated with DAS total, skin and muscle scores and Childhood Myositis Assessment Scale
  • GDF-15 differentiated active disease from remission (PGA of muscle score)
  • GDF-15 positively correlated with creatine kinase, neopterin and nailfold end row loops
  • JDM vs Healthy controls: P < 0.001

Further findings

OutcomeGDF-15Creatine kinase
Assessing disease activity in JDM (ROC analysis)
AUC0.770.6369
PP = 0.001P = 0.0738

Original publication

The emerging role of growth differentiation factor 15 as a potential disease biomarker in juvenile dermatomyositis. Rheumatology (Oxford). Published 7 December 2023. doi:10.1093/rheumatology/kead654

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