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2025 ; 11
(4
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Autoantibodies directed against the angiotensin II type 1 receptor and the
endothelin-1 type A receptor in patients with systemic sclerosis
#MMPMID41101787
van der Wouden KE
; Ahmed S
; van Oostveen WM
; Hoekstra EM
; Liem SIE
; Huizinga TWJ
; Toes REM
; Voskuyl AE
; Riemekasten G
; Fehres CM
; Vonk M
; de Vries-Bouwstra JK
RMD Open
2025[Oct]; 11
(4
): ä PMID41101787
show ga
OBJECTIVES: To evaluate the clinical applicability of autoantibodies (AAbs)
measured by ELISA against the angiotensin II type 1 receptor (AT(1)R) and
endothelin-1 type A receptor (ET(A)R) in systemic sclerosis (SSc) patients.
METHODS: Serum samples from n=279?SSc patients from the Leiden Systemic Sclerosis
cohort, n=42 patients with primary Raynaud's phenomenon, n=24 patients with
rheumatoid arthritis and n=20 healthy controls were tested for anti-AT(1)R- and
anti-ET(A)R AAbs. Levels were compared between groups with Mann-Whitney U tests
or Kruskal-Wallis tests. Risk ratios and Kaplan-Meier analyses were used to
determine associations between AAbs and disease manifestations or all-cause
mortality. Analyses were repeated in an independent cohort with n=310?SSc
patients from the Radboud University Medical Center. RESULTS: AAbs against AT(1)R
and ET(A)R could be detected by ELISA in the sera of all groups tested. Levels
were slightly higher in the SSc group compared with the pooled non-SSc group
(p=0.043). No associations could be found between anti-AT(1)R AAbs or anti-ET(A)R
AAbs and disease manifestations or all-cause mortality. In the Radboud cohort,
patients with diffuse cutaneous SSc (p=0.001) and interstitial lung disease
(p=0.007) had higher median anti-ET(A)R AAb levels. Patients who died during
follow-up had lower levels of anti-AT(1)R- (p=0.005) and anti-ET(A)R AAbs
(p=0.020). CONCLUSIONS: We confirm positive ELISAs for anti-AT(1)R AAbs and
anti-ET(A)R AAbs in the sera of several patient groups and healthy controls.
Previously described associations with disease manifestations and all-cause
mortality could not be confirmed in our cohorts. Based on the current study, the
determination of these AAbs is of limited predictive value in clinical practice.