青少年皮肌炎患者干扰素反应基因评分与疾病活动度密切相关

IF 3.6 2区 医学 Q2 RHEUMATOLOGY
Jayne MacMahon, Mohammed Massumi, Trang T Duong, Rose H Garrett, Audrey Bell-Peter, Kristi Whitney, Jo-Anne Marcuz, Y Ingrid Goh, Rae S M Yeung, Brian M Feldman
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引用次数: 0

摘要

目的:1型干扰素(ifn)已被确定为青少年皮肌炎(JDM)疾病活动性的潜在重要指标。干扰素反应基因评分(IRG-score)已经使用NanoString技术定义,并且似乎与JDM患者横断面样本中的疾病活动性相关。本研究旨在确定是否有证据表明JDM患者的疾病活动性和irg评分之间存在相关性,包括病程早期和纵向。方法:所有在SickKids JDM诊所就诊的患者被纳入儿童关节炎和风湿病(CARD)生物库。我们确定了2015年1月至2022年6月期间被诊断为JDM的患者。根据提取的RNA计算NanoString irg评分。改良疾病活动度评分(mDAS)是基于通过SickKids JDM登记处前瞻性收集的临床数据计算的。所有入组访视样本均计算Spearman相关,多样本受试者采用线性混合模型回归。结果:共鉴定出43例受试者87份生物样本,其中treatment-naïve受试者18例。在入组访问时Spearman相关性很强(rs = 0.78),在treatment-naïve队列中也看到了类似的结果(rs = 0.63)。这种关系随着时间的推移而持续存在,treatment-naïve队列的线性混合模型显示,IRG-Score的β系数为0.004,p值为p值。结论:该研究表明,irg -评分与疾病活动之间存在显著相关性,这种相关性随着时间的推移而保持。这凸显了IRG-score作为JDM重要生物标志物的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Interferon Response Gene Score in Juvenile Dermatomyositis Correlates Strongly with Disease Activity.

Objective: Type 1 interferons (IFNs) have been identified as potentially important measures of disease activity in Juvenile Dermatomyositis (JDM). An Interferon Response Gene-score (IRG-score) has been defined using NanoString technology and appears to correlate with disease activity in cross-sectional samples of JDM patients. This study aimed to determine if there is evidence of a correlation between disease activity and IRG-score, in patients with JDM, both early in disease course and longitudinally.

Methods: All patients attending JDM clinic in SickKids were approached to enrol in the Childhood Arthritis and Rheumatic Diseases (CARD) biobank. We identified patients with a diagnosis of JDM, enrolled between January 2015 and June 2022. NanoString IRG-score was calculated from extracted RNA. The Modified Disease Activity Score (mDAS) was calculated based on clinical data collected prospectively through SickKids JDM registry. Spearman's correlation was calculated using all enrolment visit samples, and linear mixed model regression was used for subjects with multiple samples.

Results: 43 subjects with 87 bio-samples were identified, including 18 treatment-naïve subjects. Spearman's correlation at the enrolment visit was strong (rs = 0.78) with similar results seen in the treatment-naïve cohort (rs = 0.63). This relationship persisted over time, with linear mixed modelling of the treatment-naïve cohort showing beta-coefficient for the IRG-Score of 0.004 with p-value <0.001.

Conclusion: This study shows evidence of a significant correlation between IRG-score and disease activity, which is maintained over time. This highlights the potential for IRG-score to be an important biomarker in JDM.

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来源期刊
Journal of Rheumatology
Journal of Rheumatology 医学-风湿病学
CiteScore
6.50
自引率
5.10%
发文量
285
审稿时长
1 months
期刊介绍: The Journal of Rheumatology is a monthly international serial edited by Earl D. Silverman. The Journal features research articles on clinical subjects from scientists working in rheumatology and related fields, as well as proceedings of meetings as supplements to regular issues. Highlights of our 41 years serving Rheumatology include: groundbreaking and provocative editorials such as "Inverting the Pyramid," renowned Pediatric Rheumatology, proceedings of OMERACT and the Canadian Rheumatology Association, Cochrane Musculoskeletal Reviews, and supplements on emerging therapies.
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