Plasma heat shock protein 90 levels in patients with spondyloarthritis and their relation to structural changes: a cross-sectional study
Language English Country Great Britain, England Media print
Document type Journal Article
Grant support
00023728, 16-33542A
Ministry of Health of the Czech Republic
SVV 260523
Charles University in Prague
PubMed
33427496
DOI
10.2217/bmm-2020-0360
Knihovny.cz E-resources
- Keywords
- axial spondyloarthritis, heat shock protein 90, peripheral spondyloarthritis, psoriatic arthritis, structural changes,
- MeSH
- Biomarkers * blood MeSH
- C-Reactive Protein * metabolism analysis MeSH
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- HSP90 Heat-Shock Proteins * blood MeSH
- Cross-Sectional Studies MeSH
- Arthritis, Psoriatic blood diagnosis MeSH
- Spondylarthritis * blood diagnostic imaging MeSH
- Case-Control Studies MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Names of Substances
- Biomarkers * MeSH
- C-Reactive Protein * MeSH
- HSP90 Heat-Shock Proteins * MeSH
Aim: Heat shock protein 90 (Hsp90) is a molecular chaperone regulating immune response. We aimed to assess systemic Hsp90 as a biomarker for spondyloarthritis (SpA). Materials & methods: Total of 80 axial SpA (axSpA) and 22 psoriatic arthritis patients and a corresponding number of age- and sex-matched healthy controls (HC) were included. Plasma Hsp90 levels were measured by ELISA. Results: Hsp90 was significantly increased in axSpA patients compared with HC (median interquartile range: 15.7 [10.5-19.8] vs 8.3 [6.6-11.8] ng/ml, p < 0.001). Moreover, Hsp90 was superior to C-reactive protein in differentiating axSpA (and both radiographic axSpA [r-axSpA] and nonradiographic-axSpA) from HC. Hsp90 levels correlated with bone marrow edema of sacroiliac joints in r-axSpA patients (r = 0.594, p = 0.019). Conclusion: Hsp90 could become a biomarker for active inflammation in r-axSpA, and can better distinguish axSpA patients from healthy subjects than C-reactive protein.
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