Evidence map›Paper›PMID 37525216›Full record

ArticleArthritis research & therapy2023

Neutrophils extracellular traps formation may serve as a biomarker for disease activity in oligoarticular juvenile idiopathic arthritis: a pilot study.

Merav Heshin-Bekenstein, Szilvia Baron, Grant Schulert, Anna Shusterman, Victoria Fidel, Yoav Ben-Shahar, Rachel Shukrun, Yoav Binenbaum, Ronit Elhasid

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Article in Arthritis research & therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

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3citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Merav Heshin-Bekenstein *Pediatric Rheumatology Service, Dana Dwek Children's Hospital of Tel Aviv Medical Center, Tel Aviv, Israel. meravheshin@gmail.com.
Szilvia Baron *School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Grant SchulertDivision of Rheumatology, Cincinnati, OH, USA.
Anna ShustermanSchool of Medicine, Tel Aviv University, Tel Aviv, Israel.
Victoria FidelSchool of Medicine, Tel Aviv University, Tel Aviv, Israel.
Yoav Ben-ShaharSchool of Medicine, Tel Aviv University, Tel Aviv, Israel.
Rachel ShukrunSchool of Medicine, Tel Aviv University, Tel Aviv, Israel.
Yoav BinenbaumSchool of Medicine, Tel Aviv University, Tel Aviv, Israel.
Ronit ElhasidSchool of Medicine, Tel Aviv University, Tel Aviv, Israel.

Funding

Research Training in Pediatric OncologyT32CA136432 · NCI · DANA-FARBER CANCER INST · PI SCOTT A ARMSTRONG · 2009 to 2026
$7.9M
NCI NIH HHS T32 CA136432
6 · The paper itself

Abstract

backgroundJuvenile idiopathic arthritis (JIA) is the most common chronic rheumatic disease in children, causing significant morbidity. Despite the dramatic improvement in treatment, many patients do not achieve complete remission, and biomarkers for subclinical disease, flares, and response to treatment are lacking. Neutrophils and neutrophil extracellular traps (NETs) play key roles in the pathogenesis of autoimmune and inflammatory conditions. In this study, we characterized neutrophil enzyme activity and NETs formation in oligoarticular and polyarticular JIA and explored their association with disease activity.

methodsNeutrophils from 6 healthy controls and 7 patients with oligoarticular and polyarticular JIA were freshly isolated at time of diagnosis and after glucocorticoid intra-articular injection. Enzymatic activity of neutrophil granular enzymes was monitored by colorimetry and PMA-activated NETs formation was assessed using fluorescent microscopy.

resultsIn this pilot and feasibility study, we revealed that NETs were significantly increased in oligoarticular JIA patients at time of diagnosis compared to healthy controls. Anti-inflammatory treatment using intra-articular steroid injection normalized NETs formation in these patients. Correlation between NETs formation and clinical Juvenile Activity Disease Activity Score-10 (cJADAS-10) was linear and significant (P = 0.007) in oligo but not in poly JIA patients.

conclusionsThis is the first study exploring the link of NETs formation with oligo and poly JIA activity. We demonstrated a statistically significant linear correlation between cJADAS-10 and NETs formation in oligo but not in poly JIA patients. Hence, we suggest that NETs may reflect clinical disease activity in JIA, and may serve as a putative biomarker. Further work is needed to validate these initial results and determine the dynamics of NETs formation in JIA.

Indexed as

Arthritis, JuvenileExtracellular TrapsBiomarkersChildHumansNeutrophilsPilot ProjectsBiomarkersJuvenile idiopathic arthritis (JIA)Myeloperoxidase (MPO)NeutrophilNeutrophil elastase (NE)Neutrophil extracellular traps (NETs)

Identifiers

PMID37525216
PMCPMC10388488

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