Rheumatoid arthritis

Transforming growth factor-beta is increased in sputum from individuals with rheumatoid arthritis-associated pulmonary fibrosis

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

We demonstrate that sputum levels of TGF-β are significantly elevated in individuals with RA-PF, correlate with lung disease severity, and are elevated in those with the MUC5B ILD-risk polymorphism.

Study context

Population
RA patients with and without pulmonary fibrosis; induced sputum and serum tested for TGF-β, MUC5B interstitial lung disease (ILD)-risk allele, High-resolution CT (HRCT) and pulmonary function tests (PFTs) within 3 months of sputum collection
Participants
37 vs 30
Exposure
RA with pulmonary fibrosis vs RA without ILD
  • RA-PFn = 37
  • RA-no-ILDn = 30reference
Outcome
Sputum TGF-β levels (immunoassay)

Main finding

As reported in the abstract

Sputum TGF-β
  • Sputum TGF-β significantly elevated in RA-PF vs RA-no-ILD
  • RA-PF vs RA-no-ILD: P < 0.001

Observational data: associations, not effects.

Further findings

Correlation of sputum TGF-β with lung disease severity

Correlated with more fibrosis on HRCT
P = 0.005
Correlated with lower forced vital capacity
P = 0.006
Correlated with lower DLCO
P = 0.044

Sputum TGF-β by MUC5B genotype within RA-PF (subgroup)

Higher in those with MUC5B ILD-risk genotype (GT/TT)
P = 0.038

Serum TGF-β

No differences between groups

Original publication

Transforming growth factor-beta is increased in sputum from individuals with rheumatoid arthritis-associated pulmonary fibrosis. Rheumatology (Oxford). Published 18 December 2024. doi:10.1093/rheumatology/keae697

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