Normal neonatal TREC and KREC levels in early onset juvenile idiopathic arthritis
Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.
Publié dans: | Clinical immunology (Orlando, Fla.). - 1999. - 249(2023) vom: 20. Apr., Seite 109277 |
---|---|
Auteur principal: | |
Autres auteurs: | , , , , , , , , , , , , |
Format: | Article en ligne |
Langue: | English |
Publié: |
2023
|
Accès à la collection: | Clinical immunology (Orlando, Fla.) |
Sujets: | Journal Article Arthritis, juvenile Autoimmunity B lymphocytes Central tolerance Infant, newborn T lymphocytes T-cell receptor DNA 9007-49-2 |
Résumé: | Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved. OBJECTIVE: Dysregulated central tolerance predisposes to autoimmune diseases. Reduced thymic output as well as compromised central B cell tolerance checkpoints have been proposed in the pathogenesis of juvenile idiopathic arthritis (JIA). The aim of this study was to investigate neonatal levels of T-cell receptor excision circles (TRECs) and kappa-deleting element excision circles (KRECs), as markers of T- and B-cell output at birth, in patients with early onset JIA METHODS: TRECs and KRECs were quantitated by multiplex qPCR from dried blood spots (DBS), collected 2-5 days after birth, in 156 children with early onset JIA and in 312 matched controls RESULTS: When analysed from neonatal dried blood spots, the median TREC level was 78 (IQR 55-113) in JIA cases and 88 (IQR 57-117) copies/well in controls. The median KREC level was 51 (IQR 35-69) and 53 (IQR 35-74) copies/well, in JIA cases and controls, respectively. Stratification by sex and age at disease onset did not reveal any difference in the levels of TRECs and KRECs CONCLUSION: T- and B-cell output at birth, as measured by TREC and KREC levels in neonatal dried blood spots, does not differ in children with early onset JIA compared to controls |
---|---|
Description: | Date Completed 04.04.2023 Date Revised 11.04.2023 published: Print-Electronic Citation Status MEDLINE |
ISSN: | 1521-7035 |
DOI: | 10.1016/j.clim.2023.109277 |