Evidence map›Paper›PMID 42778335›Full record

ArticleRMD open2026

Distinct molecular signature in relapsed patients with ANCA-associated vasculitis.

Chrysoula G Gialouri, Dimitrios Valakos, Savvina Moustafa, Christos Koutsianas, Aglaia Chalkia, Dimitrios Petras, Dimitrios T Boumpas, Aggelos Banos, Dimitrios Vassilopoulos

Abstract read
In one paragraph

Article in RMD open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Chrysoula G GialouriJoint Rheumatology Program, Clinical Immunology-Rheumatology Unit, 2nd Department of Medicine and Laboratory, National and Kapodistrian University of Athens, School of Medicine, General Hospital of Athens "Hippokration", Athens, Greece.
Dimitrios ValakosLaboratory of Molecular Biology, Biomedical Research Foundation, Academy of Athens (BRFAA), Athens, Greece.
Savvina MoustafaJoint Rheumatology Program, Clinical Immunology-Rheumatology Unit, 2nd Department of Medicine and Laboratory, National and Kapodistrian University of Athens, School of Medicine, General Hospital of Athens "Hippokration", Athens, Greece.
Christos KoutsianasJoint Rheumatology Program, Clinical Immunology-Rheumatology Unit, 2nd Department of Medicine and Laboratory, National and Kapodistrian University of Athens, School of Medicine, General Hospital of Athens "Hippokration", Athens, Greece.ORCID http://orcid.org/0000-0002-6621-6918
Aglaia ChalkiaNephrology Department, General Hospital of Athens "Hippokration", Athens, Greece.
Dimitrios PetrasNephrology Department, General Hospital of Athens "Hippokration", Athens, Greece.
Dimitrios T BoumpasJoint Rheumatology Program, 4th Department of Medicine, National and Kapodistrian University of Athens, School of Medicine, Attikon General Hospital, Athens, Greece.
Aggelos BanosJoint Rheumatology Program, 4th Department of Medicine, National and Kapodistrian University of Athens, School of Medicine, Attikon General Hospital, Athens, Greece.ORCID http://orcid.org/0000-0002-5647-6505
Dimitrios VassilopoulosJoint Rheumatology Program, Clinical Immunology-Rheumatology Unit, 2nd Department of Medicine and Laboratory, National and Kapodistrian University of Athens, School of Medicine, General Hospital of Athens "Hippokration", Athens, Greece dvassilop@med.uoa.gr.ORCID http://orcid.org/0000-0003-2288-3863

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe pathogenesis of relapses in patients with microscopic polyangiitis (MPA) and granulomatosis with polyangiitis (GPA) remains ill defined. We aimed to identify whether there are any differences in the molecular profile between patients with relapsing versus new-onset disease.

methodsWhole blood RNA sequencing in 21 patients with MPA or GPA and 12 age-matched/sex-matched healthy controls was performed; 11 patients had active disease, either newly diagnosed (treatment-naïve, n=6) or relapsed (off-therapy, n=5) and 10 were in remission, either on (n=4) or off (n=6) maintenance therapy. Differential gene expression and functional enrichment analysis were conducted.

resultsRelapsing patients with MPA/GPA exhibited a distinct molecular profile compared with healthy controls, newly diagnosed patients or those in remission. Specifically, patients with a major relapse displayed a unique pattern of 41 neutrophil degranulation-associated genes, encoding neutrophil granular proteins, proteins mediating neutrophil adhesion and chemotaxis and proteins involved in myelopoiesis.

conclusionsIn this well-defined MPA/GPA cohort, we report for the first time a distinct relapse-associated transcriptional signature consistent with enhanced neutrophil activity. Therapies targeting neutrophil activation could represent a novel approach for preventing or treating relapses in MPA/GPA.

Indexed as

Anti-Neutrophil Cytoplasmic Antibody-Associated VasculitisTranscriptomeAdultAgedBiomarkersCase-Control StudiesComputational BiologyFemaleGene Expression ProfilingGranulomatosis with PolyangiitisHumansMaleMicroscopic PolyangiitisMiddle AgedNeutrophilsRecurrenceBiomarkersAnti-Neutrophil Cytoplasmic Antibody-Associated VasculitisAutoimmune DiseasesBiomarkersVasculitis

Identifiers

PMID42778335
PMCPMC13636333

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.