Vasculitis & polymyalgia rheumatica

Tissue degrading and remodelling molecules in giant cell arteritis

Rheumatology (Oxford)Published Mechanistic study

Authors' conclusion

Our study revealed novel molecules associated with the pathological features of GCA, providing a foundation for better understanding of GCA pathogenesis and development of targeted therapeutic strategies.

Study context

Population
Untreated patients with GCA; arterial lesions from temporal artery biopsytreatment-naive
Participants
16 patients
Outcome
Molecular features of GCA lesions
Methodological detailsgenome-wide gene expression profiling, immunohistochemistry
  • Genome-wide gene expression profiling
  • Immunohistochemistry

Main finding

As reported in the abstract

  • Unique gene expression pattern in GCA lesions, incl. enrichment of immune cells and phagocytic pathways related to microglia and osteoclasts
  • MMP12 (macrophage elastase), HLA-DRA, and phagocytosis- and osteoclast-associated molecules present in infiltrating macrophages and MNGCs (immunohistochemistry)
  • LRRC15-expressing cells in the tunica intima, suggesting a myofibroblast subpopulation that suppresses cytotoxic CD8+ T cells
  • These molecules upregulated in other granulomatous diseases affecting arteries and lymph nodes

Original publication

Tissue degrading and remodelling molecules in giant cell arteritis. Rheumatology (Oxford). Published 22 January 2025. doi:10.1093/rheumatology/keae710

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