Anti‐ribosomal P protein antibodies in patients with systemic lupus erythematosus is associated with hyperferritinemia

Aim Anti‐ribosomal P protein antibodies (anti‐ribo P) have been reported as one of the specific autoantibodies in patients with systemic lupus erythematosus (SLE) and has been demonstrated to bind and activate macrophages in vitro. Clinically, hyperferritinemia has been known to be a biomarker for m...

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Veröffentlicht in:International journal of rheumatic diseases 2022-01, Vol.25 (1), p.70-75
Hauptverfasser: Arinuma, Yoshiyuki, Hirohata, Shunsei, Isayama, Takuya, Hasegawa, Yasuhiro, Muramatsu, Takumi, Kondo, Junichi, Kanayama, Yoshiro, Ino, Kazuma, Matsueda, Yu, Oku, Kenji, Yamaoka, Kunihiro
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container_title International journal of rheumatic diseases
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creator Arinuma, Yoshiyuki
Hirohata, Shunsei
Isayama, Takuya
Hasegawa, Yasuhiro
Muramatsu, Takumi
Kondo, Junichi
Kanayama, Yoshiro
Ino, Kazuma
Matsueda, Yu
Oku, Kenji
Yamaoka, Kunihiro
description Aim Anti‐ribosomal P protein antibodies (anti‐ribo P) have been reported as one of the specific autoantibodies in patients with systemic lupus erythematosus (SLE) and has been demonstrated to bind and activate macrophages in vitro. Clinically, hyperferritinemia has been known to be a biomarker for macrophage activation. The aim of this study is to clarify the relationship of anti‐ribo P and clinical characteristics and biomarkers including serum ferritin in patients with SLE. Methods Clinical parameters and laboratory data were measured in patients with active SLE (N = 127) in our university hospital. The risk factors affected by anti‐ribo P were retrospectively calculated by logistic regression analysis, and the correlation of anti‐ribo P and clinical factors was demonstrated. Results Anti‐ribo P was significantly elevated in active SLE compared to non‐SLE diseases (P 
doi_str_mv 10.1111/1756-185X.14245
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Clinically, hyperferritinemia has been known to be a biomarker for macrophage activation. The aim of this study is to clarify the relationship of anti‐ribo P and clinical characteristics and biomarkers including serum ferritin in patients with SLE. Methods Clinical parameters and laboratory data were measured in patients with active SLE (N = 127) in our university hospital. The risk factors affected by anti‐ribo P were retrospectively calculated by logistic regression analysis, and the correlation of anti‐ribo P and clinical factors was demonstrated. Results Anti‐ribo P was significantly elevated in active SLE compared to non‐SLE diseases (P &lt; .0001). Sensitivity and the specificity of anti‐ribo P in patients with SLE were 32.0% and 99.3%, respectively. Patients positive for anti‐ribo P had the highest risk for elevated serum ferritin (odds ratio: 8.432). Accordingly, anti‐ribo P positive patients had significantly elevated serum ferritin compared to negative patients (P = .024). A significant positive correlation was observed between the anti‐ribo P titer and the serum ferritin level (r2 = .07, t = 5.22, P = .0081), but not serum interleukin (IL)‐6 in SLE patients. Conclusion The presence of anti‐ribo P is a risk factor for higher ferritin levels that is independent of systemic inflammation regulated by IL‐6. We speculate that anti‐ribo P could be directly associated with macrophage activation leading to hyperferritinemia in patients with SLE.</description><identifier>ISSN: 1756-1841</identifier><identifier>EISSN: 1756-185X</identifier><identifier>DOI: 10.1111/1756-185X.14245</identifier><identifier>PMID: 34796669</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Antibodies, Antinuclear - blood ; anti‐ribosomal P protein antibody ; Autoantibodies ; autoantibody ; Biomarkers ; Biomarkers - blood ; Cell activation ; Female ; Ferritin ; Ferritins - blood ; Humans ; Hyperferritinemia - blood ; Hyperferritinemia - diagnosis ; Lupus ; Lupus Erythematosus, Systemic - blood ; Lupus Erythematosus, Systemic - immunology ; macrophage activation ; Macrophages ; Male ; Middle Aged ; Patients ; Risk Factors ; Systemic lupus erythematosus</subject><ispartof>International journal of rheumatic diseases, 2022-01, Vol.25 (1), p.70-75</ispartof><rights>2021 Asia Pacific League of Associations for Rheumatology and John Wiley &amp; Sons Australia, Ltd</rights><rights>2021 Asia Pacific League of Associations for Rheumatology and John Wiley &amp; Sons Australia, Ltd.</rights><rights>International Journal of Rheumatic Diseases © 2022 Asia Pacific League of Associations for Rheumatology and John Wiley &amp; Sons Australia, Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3255-2d5098788d41b4a3c2d06a2493b47a782dc9bb0c1a010fb67bb043854ff1daa23</cites><orcidid>0000-0003-1305-991X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F1756-185X.14245$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F1756-185X.14245$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34796669$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arinuma, Yoshiyuki</creatorcontrib><creatorcontrib>Hirohata, Shunsei</creatorcontrib><creatorcontrib>Isayama, Takuya</creatorcontrib><creatorcontrib>Hasegawa, Yasuhiro</creatorcontrib><creatorcontrib>Muramatsu, Takumi</creatorcontrib><creatorcontrib>Kondo, Junichi</creatorcontrib><creatorcontrib>Kanayama, Yoshiro</creatorcontrib><creatorcontrib>Ino, Kazuma</creatorcontrib><creatorcontrib>Matsueda, Yu</creatorcontrib><creatorcontrib>Oku, Kenji</creatorcontrib><creatorcontrib>Yamaoka, Kunihiro</creatorcontrib><title>Anti‐ribosomal P protein antibodies in patients with systemic lupus erythematosus is associated with hyperferritinemia</title><title>International journal of rheumatic diseases</title><addtitle>Int J Rheum Dis</addtitle><description>Aim Anti‐ribosomal P protein antibodies (anti‐ribo P) have been reported as one of the specific autoantibodies in patients with systemic lupus erythematosus (SLE) and has been demonstrated to bind and activate macrophages in vitro. Clinically, hyperferritinemia has been known to be a biomarker for macrophage activation. The aim of this study is to clarify the relationship of anti‐ribo P and clinical characteristics and biomarkers including serum ferritin in patients with SLE. Methods Clinical parameters and laboratory data were measured in patients with active SLE (N = 127) in our university hospital. The risk factors affected by anti‐ribo P were retrospectively calculated by logistic regression analysis, and the correlation of anti‐ribo P and clinical factors was demonstrated. Results Anti‐ribo P was significantly elevated in active SLE compared to non‐SLE diseases (P &lt; .0001). Sensitivity and the specificity of anti‐ribo P in patients with SLE were 32.0% and 99.3%, respectively. Patients positive for anti‐ribo P had the highest risk for elevated serum ferritin (odds ratio: 8.432). Accordingly, anti‐ribo P positive patients had significantly elevated serum ferritin compared to negative patients (P = .024). A significant positive correlation was observed between the anti‐ribo P titer and the serum ferritin level (r2 = .07, t = 5.22, P = .0081), but not serum interleukin (IL)‐6 in SLE patients. Conclusion The presence of anti‐ribo P is a risk factor for higher ferritin levels that is independent of systemic inflammation regulated by IL‐6. 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Hirohata, Shunsei ; Isayama, Takuya ; Hasegawa, Yasuhiro ; Muramatsu, Takumi ; Kondo, Junichi ; Kanayama, Yoshiro ; Ino, Kazuma ; Matsueda, Yu ; Oku, Kenji ; Yamaoka, Kunihiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3255-2d5098788d41b4a3c2d06a2493b47a782dc9bb0c1a010fb67bb043854ff1daa23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Antibodies, Antinuclear - blood</topic><topic>anti‐ribosomal P protein antibody</topic><topic>Autoantibodies</topic><topic>autoantibody</topic><topic>Biomarkers</topic><topic>Biomarkers - blood</topic><topic>Cell activation</topic><topic>Female</topic><topic>Ferritin</topic><topic>Ferritins - blood</topic><topic>Humans</topic><topic>Hyperferritinemia - blood</topic><topic>Hyperferritinemia - diagnosis</topic><topic>Lupus</topic><topic>Lupus Erythematosus, Systemic - blood</topic><topic>Lupus Erythematosus, Systemic - immunology</topic><topic>macrophage activation</topic><topic>Macrophages</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patients</topic><topic>Risk Factors</topic><topic>Systemic lupus erythematosus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arinuma, Yoshiyuki</creatorcontrib><creatorcontrib>Hirohata, Shunsei</creatorcontrib><creatorcontrib>Isayama, Takuya</creatorcontrib><creatorcontrib>Hasegawa, Yasuhiro</creatorcontrib><creatorcontrib>Muramatsu, Takumi</creatorcontrib><creatorcontrib>Kondo, Junichi</creatorcontrib><creatorcontrib>Kanayama, Yoshiro</creatorcontrib><creatorcontrib>Ino, Kazuma</creatorcontrib><creatorcontrib>Matsueda, Yu</creatorcontrib><creatorcontrib>Oku, Kenji</creatorcontrib><creatorcontrib>Yamaoka, Kunihiro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; 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Clinically, hyperferritinemia has been known to be a biomarker for macrophage activation. The aim of this study is to clarify the relationship of anti‐ribo P and clinical characteristics and biomarkers including serum ferritin in patients with SLE. Methods Clinical parameters and laboratory data were measured in patients with active SLE (N = 127) in our university hospital. The risk factors affected by anti‐ribo P were retrospectively calculated by logistic regression analysis, and the correlation of anti‐ribo P and clinical factors was demonstrated. Results Anti‐ribo P was significantly elevated in active SLE compared to non‐SLE diseases (P &lt; .0001). Sensitivity and the specificity of anti‐ribo P in patients with SLE were 32.0% and 99.3%, respectively. Patients positive for anti‐ribo P had the highest risk for elevated serum ferritin (odds ratio: 8.432). Accordingly, anti‐ribo P positive patients had significantly elevated serum ferritin compared to negative patients (P = .024). A significant positive correlation was observed between the anti‐ribo P titer and the serum ferritin level (r2 = .07, t = 5.22, P = .0081), but not serum interleukin (IL)‐6 in SLE patients. Conclusion The presence of anti‐ribo P is a risk factor for higher ferritin levels that is independent of systemic inflammation regulated by IL‐6. We speculate that anti‐ribo P could be directly associated with macrophage activation leading to hyperferritinemia in patients with SLE.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34796669</pmid><doi>10.1111/1756-185X.14245</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-1305-991X</orcidid></addata></record>
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subjects Adolescent
Adult
Aged
Antibodies, Antinuclear - blood
anti‐ribosomal P protein antibody
Autoantibodies
autoantibody
Biomarkers
Biomarkers - blood
Cell activation
Female
Ferritin
Ferritins - blood
Humans
Hyperferritinemia - blood
Hyperferritinemia - diagnosis
Lupus
Lupus Erythematosus, Systemic - blood
Lupus Erythematosus, Systemic - immunology
macrophage activation
Macrophages
Male
Middle Aged
Patients
Risk Factors
Systemic lupus erythematosus
title Anti‐ribosomal P protein antibodies in patients with systemic lupus erythematosus is associated with hyperferritinemia
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