Serum levels of soluble urokinase plasminogen activator receptor in juvenile idiopathic arthritis: a single-center Swedish case-control study
Abstract Objectives Reliable biomarkers in the early stages of idiopathic arthritis (JIA) are scarce and the disease heterogeneity makes it clinically challenging to predict the risk of joint damage. Biomarkers with prognostic potential are warranted in order to individualize treatment and follow-up...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-05-01
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| Series: | Pediatric Rheumatology Online Journal |
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| Online Access: | https://doi.org/10.1186/s12969-023-00832-9 |
| _version_ | 1797811613364912128 |
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| author | Per Lewander Lina Wirestam Charlotte Dahle Jonas Wetterö Christopher Sjöwall |
| author_facet | Per Lewander Lina Wirestam Charlotte Dahle Jonas Wetterö Christopher Sjöwall |
| author_sort | Per Lewander |
| collection | DOAJ |
| description | Abstract Objectives Reliable biomarkers in the early stages of idiopathic arthritis (JIA) are scarce and the disease heterogeneity makes it clinically challenging to predict the risk of joint damage. Biomarkers with prognostic potential are warranted in order to individualize treatment and follow-up in JIA. The soluble urokinase plasminogen activator receptor (suPAR) has been reported as an easily measurable biomarker for prognosis and severity in several rheumatic diseases but it has never been studied in JIA. Methods Sera from 51 well-characterized patients with JIA and 50 age- and sex-matched control subjects were collected and stored for later analysis of suPAR. Patients were carefully followed clinically over 3 years and analysis of erythrocyte sedimentation rate, C-reactive protein, rheumatoid factor (RF) and antibodies against cyclic citrullinated peptides (anti-CCP) were analyzed as part of clinical routine. Signs of joint erosions were evaluated by radiography. Results Overall, the levels of suPAR did not differ significantly between JIA patients and controls but those with polyarticular involvement showed higher suPAR (p = 0.013). In addition, elevated suPAR were associated with joint erosions (p = 0.026). Two RF/anti-CCP negative individuals with erosions showed high levels of suPAR. Conclusions We present new data on the biomarker suPAR in JIA. Our results indicate that, apart from RF and anti-CCP, analysis of suPAR could be of additional value in assessing the risk of erosions. Analysis of suPAR early could potentially guide treatment decision-making in JIA, but our observations should be confirmed in prospective studies. |
| first_indexed | 2024-03-13T07:25:18Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 1546-0096 |
| language | English |
| last_indexed | 2024-03-13T07:25:18Z |
| publishDate | 2023-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Pediatric Rheumatology Online Journal |
| spelling | doaj.art-59e52195b3b4430eabf1ebda57c895232023-06-04T11:23:29ZengBMCPediatric Rheumatology Online Journal1546-00962023-05-012111710.1186/s12969-023-00832-9Serum levels of soluble urokinase plasminogen activator receptor in juvenile idiopathic arthritis: a single-center Swedish case-control studyPer Lewander0Lina Wirestam1Charlotte Dahle2Jonas Wetterö3Christopher Sjöwall4Department of Paediatrics, Vrinnevi HospitalDepartment of Biomedical and Clinical Sciences, Division of Inflammation and Infection/Rheumatology, Linköping UniversityDepartment of Biomedical and Clinical Sciences, Division of Inflammation and Infection/Clinical Immunology, Linköping UniversityDepartment of Biomedical and Clinical Sciences, Division of Inflammation and Infection/Rheumatology, Linköping UniversityDepartment of Biomedical and Clinical Sciences, Division of Inflammation and Infection/Rheumatology, Linköping UniversityAbstract Objectives Reliable biomarkers in the early stages of idiopathic arthritis (JIA) are scarce and the disease heterogeneity makes it clinically challenging to predict the risk of joint damage. Biomarkers with prognostic potential are warranted in order to individualize treatment and follow-up in JIA. The soluble urokinase plasminogen activator receptor (suPAR) has been reported as an easily measurable biomarker for prognosis and severity in several rheumatic diseases but it has never been studied in JIA. Methods Sera from 51 well-characterized patients with JIA and 50 age- and sex-matched control subjects were collected and stored for later analysis of suPAR. Patients were carefully followed clinically over 3 years and analysis of erythrocyte sedimentation rate, C-reactive protein, rheumatoid factor (RF) and antibodies against cyclic citrullinated peptides (anti-CCP) were analyzed as part of clinical routine. Signs of joint erosions were evaluated by radiography. Results Overall, the levels of suPAR did not differ significantly between JIA patients and controls but those with polyarticular involvement showed higher suPAR (p = 0.013). In addition, elevated suPAR were associated with joint erosions (p = 0.026). Two RF/anti-CCP negative individuals with erosions showed high levels of suPAR. Conclusions We present new data on the biomarker suPAR in JIA. Our results indicate that, apart from RF and anti-CCP, analysis of suPAR could be of additional value in assessing the risk of erosions. Analysis of suPAR early could potentially guide treatment decision-making in JIA, but our observations should be confirmed in prospective studies.https://doi.org/10.1186/s12969-023-00832-9Soluble urokinase plasminogen activator receptorJuvenile idiopathic arthritisJoint damageBiomarker |
| spellingShingle | Per Lewander Lina Wirestam Charlotte Dahle Jonas Wetterö Christopher Sjöwall Serum levels of soluble urokinase plasminogen activator receptor in juvenile idiopathic arthritis: a single-center Swedish case-control study Pediatric Rheumatology Online Journal Soluble urokinase plasminogen activator receptor Juvenile idiopathic arthritis Joint damage Biomarker |
| title | Serum levels of soluble urokinase plasminogen activator receptor in juvenile idiopathic arthritis: a single-center Swedish case-control study |
| title_full | Serum levels of soluble urokinase plasminogen activator receptor in juvenile idiopathic arthritis: a single-center Swedish case-control study |
| title_fullStr | Serum levels of soluble urokinase plasminogen activator receptor in juvenile idiopathic arthritis: a single-center Swedish case-control study |
| title_full_unstemmed | Serum levels of soluble urokinase plasminogen activator receptor in juvenile idiopathic arthritis: a single-center Swedish case-control study |
| title_short | Serum levels of soluble urokinase plasminogen activator receptor in juvenile idiopathic arthritis: a single-center Swedish case-control study |
| title_sort | serum levels of soluble urokinase plasminogen activator receptor in juvenile idiopathic arthritis a single center swedish case control study |
| topic | Soluble urokinase plasminogen activator receptor Juvenile idiopathic arthritis Joint damage Biomarker |
| url | https://doi.org/10.1186/s12969-023-00832-9 |
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