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Blood pro-resolving mediators are linked with synovial pathology and are predictive of DMARD responsiveness in rheumatoid arthritis

Author

Listed:
  • Esteban A. Gomez

    (Queen Mary University of London)

  • Romain A. Colas

    (Queen Mary University of London)

  • Patricia R. Souza

    (Queen Mary University of London)

  • Rebecca Hands

    (Queen Mary University of London)

  • Myles J. Lewis

    (Queen Mary University of London)

  • Conrad Bessant

    (Queen Mary University of London)

  • Costantino Pitzalis

    (Queen Mary University of London
    Queen Mary University of London)

  • Jesmond Dalli

    (Queen Mary University of London
    Queen Mary University of London)

Abstract

Biomarkers are needed for predicting the effectiveness of disease modifying antirheumatic drugs (DMARDs). Here, using functional lipid mediator profiling and deeply phenotyped patients with early rheumatoid arthritis (RA), we observe that peripheral blood specialized pro-resolving mediator (SPM) concentrations are linked with both DMARD responsiveness and disease pathotype. Machine learning analysis demonstrates that baseline plasma concentrations of resolvin D4, 10S, 17S-dihydroxy-docosapentaenoic acid, 15R-Lipoxin (LX)A4 and n-3 docosapentaenoic-derived Maresin 1 are predictive of DMARD responsiveness at 6 months. Assessment of circulating SPM concentrations 6-months after treatment initiation establishes that differences between responders and non-responders are maintained, with a decrease in SPM concentrations in patients resistant to DMARD therapy. These findings elucidate the potential utility of plasma SPM concentrations as biomarkers of DMARD responsiveness in RA.

Suggested Citation

  • Esteban A. Gomez & Romain A. Colas & Patricia R. Souza & Rebecca Hands & Myles J. Lewis & Conrad Bessant & Costantino Pitzalis & Jesmond Dalli, 2020. "Blood pro-resolving mediators are linked with synovial pathology and are predictive of DMARD responsiveness in rheumatoid arthritis," Nature Communications, Nature, vol. 11(1), pages 1-13, December.
  • Handle: RePEc:nat:natcom:v:11:y:2020:i:1:d:10.1038_s41467-020-19176-z
    DOI: 10.1038/s41467-020-19176-z
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    Cited by:

    1. Valerie B. O’Donnell & Nils H. Schebb & Ginger L. Milne & Michael P. Murphy & Christopher P. Thomas & Dieter Steinhilber & Stacy L. Gelhaus & Hartmut Kühn & Michael H. Gelb & Per-Johan Jakobsson & Ian, 2023. "Failure to apply standard limit-of-detection or limit-of-quantitation criteria to specialized pro-resolving mediator analysis incorrectly characterizes their presence in biological samples," Nature Communications, Nature, vol. 14(1), pages 1-5, December.

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