Subtype-specific peripheral blood gene expression profiles in recent-onset juvenile idiopathic arthritis.
Subtype-specific peripheral blood gene expression profiles in recent-onset juvenile idiopathic arthritis.
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DOI:
10.1002/art.24601
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发表时间:
2009-07
影响因子:
--
通讯作者:
Colbert, Robert A.
中科院分区:
文献类型:
--
作者:
Barnes, Michael G.;Grom, Alexei A.;Thompson, Susan D.;Griffin, Thomas A.;Pavlidis, Paul;Itert, Lukasz;Fall, Ndate;Sowders, Dawn Paxson;Hinze, Claas H.;Aronow, Bruce J.;Luyrink, Lorie K.;Srivastava, Shweta;Ilowite, Norman T.;Gottlieb, Beth S.;Olson, Judyann C.;Sherry, David D.;Glass, David N.;Colbert, Robert A.
A multi-center study of recent onset juvenile idiopathic arthritis (JIA) subjects prior to treatment with DMARDS or biologics was undertaken to identify peripheral blood gene expression differences between JIA subclasses and controls. PBMC from 59 healthy children and 136 JIA subjects (28 enthesitis-related arthritis [ERA], 42 persistent oligoarthritis, 45 RF- polyarthritis, and 21 systemic) were isolated over Ficoll. Poly-A RNA was labeled using NuGEN Ovation and gene expression profiles were obtained using Affymetrix HG-U133 plus 2.0 Arrays. 9,501 differentially expressed probe sets were identified among JIA subtypes and controls (ANOVA, FDR 5%). Specifically, 193, 1036, 873 and 7595 probe sets were different between controls and ERA, persistent oligoarthritis, RF- polyarthritis and systemic JIA samples respectively. In persistent oligoarthritis, RF- polyarthritis and systemic JIA subtypes, up-regulation of genes associated with IL-10 signaling was prominent. A hemoglobin cluster was identified that was under-expressed in ERA patients but over-expressed in systemic JIA. The influence of JAK/STAT, ERK/MAPK, IL-2 and B cell receptor signaling pathways was evident in persistent oligoarthritis. In systemic JIA, up-regulation of innate immune pathways, including IL-6, TLR/IL1R, and PPAR signaling were noted, along with down-regulation of gene networks related to NK and T cells. Complement and coagulation pathways were up-regulated in systemic JIA with a subset of these genes differentially-expressed in other subtypes as well. Expression analysis identified differentially expressed genes in PBMCs between subtypes of JIA early in disease and controls, thus providing evidence for immunobiologic differences between these forms of childhood arthritis.
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