Vasculitis & polymyalgia rheumatica

Trans-omics landscape of systemic vasculitis identified matrix metalloproteinase 12 as a novel signature molecule

Rheumatology (Oxford)Published Mechanistic study

Authors' conclusion

MMP12 is a disease-specific molecule that is associated with macrophage maturation and the formation of multinucleated giant cells and reflects disease activity independently of the IL-6 pathway in systemic vasculitis.

Study context

Population
Patients with newly diagnosed or relapsed rheumatic and musculoskeletal diseases, June 2013 to September 2022
Methodological detailstrans-omics analysis, serum proteome analysis, whole-blood RNA sequencing, immunohistochemical staining, spatial transcriptome analysis
  • Trans-omics analysis
  • Serum proteome analysis
  • Whole-blood RNA sequencing
  • Immunohistochemical staining
  • Spatial transcriptome analysis

Main finding

As reported in the abstract

  • Serum proteome and RNA sequencing identified MMP12 as a significant molecule for systemic vasculitis
  • MMP12 distinguished vasculitis from other rheumatic and musculoskeletal diseases
  • MMP12 reflected disease activity along with longitudinal change
  • MMP12 predicted relapse in patients with LVV
  • MMP12 could detect insidious disease activity even under IL-6 inhibition
  • MMP12 specifically expressed in tissue-infiltrating CD206-positive macrophages (immunohistochemistry)
  • MMP12-positive macrophages: characteristic phenotype associated with macrophage maturation and multinucleated giant cell formation (spatial transcriptomics)

Original publication

Trans-omics landscape of systemic vasculitis identified matrix metalloproteinase 12 as a novel signature molecule. Rheumatology (Oxford). Published 26 March 2025. doi:10.1093/rheumatology/keaf175

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