CXCL13 is a predictive biomarker in idiopathic multicentric Castleman disease
© 2022. The Author(s)..
Idiopathic multicentric Castleman disease (iMCD) is a rare and poorly-understood cytokine storm-driven inflammatory disorder. Interleukin-6 (IL-6) is a known disease driver in some patients, but anti-IL-6 therapy with siltuximab is not effective in all patients, and biomarkers indicating success at an early time point following treatment initiation are lacking. Here we show, by comparison of levels of 1,178 proteins in sera of healthy participants (N = 42), patients with iMCD (N = 88), and with related diseases (N = 60), a comprehensive landscape of candidate disease mediators and predictors of siltuximab response. C-X-C Motif Chemokine Ligand-13 (CXCL13) is identified and validated as the protein most prominently up-regulated in iMCD. Early and significant decrease in CXCL13 levels clearly distinguishes siltuximab responders from non-responders; a 17% reduction by day 8 following siltuximab therapy initiation is predictive of response at later time points. Our study thus suggests that CXCL13 is a predictive biomarker of response to siltuximab in iMCD.
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2022 |
---|---|
Erschienen: |
2022 |
Enthalten in: |
Zur Gesamtaufnahme - volume:13 |
---|---|
Enthalten in: |
Nature communications - 13(2022), 1 vom: 24. Nov., Seite 7236 |
Sprache: |
Englisch |
---|
Beteiligte Personen: |
Pierson, Sheila K [VerfasserIn] |
---|
Links: |
---|
Themen: |
Biomarkers |
---|
Anmerkungen: |
Date Completed 29.11.2022 Date Revised 28.12.2022 published: Electronic Citation Status MEDLINE |
---|
doi: |
10.1038/s41467-022-34873-7 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM34946944X |
---|
LEADER | 01000naa a22002652 4500 | ||
---|---|---|---|
001 | NLM34946944X | ||
003 | DE-627 | ||
005 | 20231226042709.0 | ||
007 | cr uuu---uuuuu | ||
008 | 231226s2022 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.1038/s41467-022-34873-7 |2 doi | |
028 | 5 | 2 | |a pubmed24n1164.xml |
035 | |a (DE-627)NLM34946944X | ||
035 | |a (NLM)36433996 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
100 | 1 | |a Pierson, Sheila K |e verfasserin |4 aut | |
245 | 1 | 0 | |a CXCL13 is a predictive biomarker in idiopathic multicentric Castleman disease |
264 | 1 | |c 2022 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Completed 29.11.2022 | ||
500 | |a Date Revised 28.12.2022 | ||
500 | |a published: Electronic | ||
500 | |a Citation Status MEDLINE | ||
520 | |a © 2022. The Author(s). | ||
520 | |a Idiopathic multicentric Castleman disease (iMCD) is a rare and poorly-understood cytokine storm-driven inflammatory disorder. Interleukin-6 (IL-6) is a known disease driver in some patients, but anti-IL-6 therapy with siltuximab is not effective in all patients, and biomarkers indicating success at an early time point following treatment initiation are lacking. Here we show, by comparison of levels of 1,178 proteins in sera of healthy participants (N = 42), patients with iMCD (N = 88), and with related diseases (N = 60), a comprehensive landscape of candidate disease mediators and predictors of siltuximab response. C-X-C Motif Chemokine Ligand-13 (CXCL13) is identified and validated as the protein most prominently up-regulated in iMCD. Early and significant decrease in CXCL13 levels clearly distinguishes siltuximab responders from non-responders; a 17% reduction by day 8 following siltuximab therapy initiation is predictive of response at later time points. Our study thus suggests that CXCL13 is a predictive biomarker of response to siltuximab in iMCD | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Research Support, N.I.H., Extramural | |
650 | 7 | |a Biomarkers |2 NLM | |
650 | 7 | |a CXCL13 protein, human |2 NLM | |
650 | 7 | |a Chemokine CXCL13 |2 NLM | |
700 | 1 | |a Katz, Laura |e verfasserin |4 aut | |
700 | 1 | |a Williams, Reece |e verfasserin |4 aut | |
700 | 1 | |a Mumau, Melanie |e verfasserin |4 aut | |
700 | 1 | |a Gonzalez, Michael |e verfasserin |4 aut | |
700 | 1 | |a Guzman, Stacy |e verfasserin |4 aut | |
700 | 1 | |a Rubenstein, Ayelet |e verfasserin |4 aut | |
700 | 1 | |a Oromendia, Ana B |e verfasserin |4 aut | |
700 | 1 | |a Beineke, Philip |e verfasserin |4 aut | |
700 | 1 | |a Fosså, Alexander |e verfasserin |4 aut | |
700 | 1 | |a van Rhee, Frits |e verfasserin |4 aut | |
700 | 1 | |a Fajgenbaum, David C |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t Nature communications |d 2010 |g 13(2022), 1 vom: 24. Nov., Seite 7236 |w (DE-627)NLM199274525 |x 2041-1723 |7 nnns |
773 | 1 | 8 | |g volume:13 |g year:2022 |g number:1 |g day:24 |g month:11 |g pages:7236 |
856 | 4 | 0 | |u http://dx.doi.org/10.1038/s41467-022-34873-7 |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |d 13 |j 2022 |e 1 |b 24 |c 11 |h 7236 |