Background Systemic sclerosis (SSc) or scleroderma is an intractable autoimmune disorder that affects multiple organs. The objectives were to investigate clinical correlations of serum calpain activity and high mobility group box 1 (HMGB1) levels with immunological and clinical traits.
Methods A total of 31 patients with SSc, 20 age- and gender-matched healthy control subjects (HC) and 10 patients with other connective tissue diseases (CTD) were recruited in the study. We measured serum calpain activity and HMGB1 levels and analyzed the datasets (GSE40839, GSE48149, GSE76808, GSE81292 and GSE33463) from gene expression omnibus (GEO) database to explore potential mechanism by which calpain exerts its function through bioinformatics methods.
Results Serum calpain activity was significantly increased in patients with SSc compared with those in HC and in patients with CTD and was correlated with serum HMGB1 levels, modified Rodnan skin score, erythrocyte sedimentation rate, mean platelet volume and plateletcrit. Notably, serum calpain activity and HMGB1 levels in SSc patients with interstitial lung disease (ILD) were significantly higher than that in SSc patients without ILD. Serum calpain activity and HMGB1 levels could be the independent risk factors for SSc-ILD and novel biomarkers in patients with SSc.
Conclusion This is the first study that reports increased serum calpain activity and the correlation between calpain and HMGB1 in patients with SSc or SSc-ILD. The serum calpain activity and HMGB1 levels may serve as measures of ILD in patients with SSc. Also, calpain and HMGB1 could be potentially therapeutic targets for patients with SSc or SSc-ILD in the future.
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On 20 Apr, 2020
Received 14 Apr, 2020
On 06 Apr, 2020
On 03 Apr, 2020
Invitations sent on 03 Apr, 2020
On 03 Apr, 2020
Received 03 Apr, 2020
On 02 Apr, 2020
On 02 Apr, 2020
Posted 10 Mar, 2020
Received 24 Mar, 2020
On 24 Mar, 2020
Received 22 Mar, 2020
On 10 Mar, 2020
Invitations sent on 04 Mar, 2020
On 04 Mar, 2020
On 03 Mar, 2020
On 03 Mar, 2020
On 02 Mar, 2020
On 02 Mar, 2020
On 20 Apr, 2020
Received 14 Apr, 2020
On 06 Apr, 2020
On 03 Apr, 2020
Invitations sent on 03 Apr, 2020
On 03 Apr, 2020
Received 03 Apr, 2020
On 02 Apr, 2020
On 02 Apr, 2020
Posted 10 Mar, 2020
Received 24 Mar, 2020
On 24 Mar, 2020
Received 22 Mar, 2020
On 10 Mar, 2020
Invitations sent on 04 Mar, 2020
On 04 Mar, 2020
On 03 Mar, 2020
On 03 Mar, 2020
On 02 Mar, 2020
On 02 Mar, 2020
Background Systemic sclerosis (SSc) or scleroderma is an intractable autoimmune disorder that affects multiple organs. The objectives were to investigate clinical correlations of serum calpain activity and high mobility group box 1 (HMGB1) levels with immunological and clinical traits.
Methods A total of 31 patients with SSc, 20 age- and gender-matched healthy control subjects (HC) and 10 patients with other connective tissue diseases (CTD) were recruited in the study. We measured serum calpain activity and HMGB1 levels and analyzed the datasets (GSE40839, GSE48149, GSE76808, GSE81292 and GSE33463) from gene expression omnibus (GEO) database to explore potential mechanism by which calpain exerts its function through bioinformatics methods.
Results Serum calpain activity was significantly increased in patients with SSc compared with those in HC and in patients with CTD and was correlated with serum HMGB1 levels, modified Rodnan skin score, erythrocyte sedimentation rate, mean platelet volume and plateletcrit. Notably, serum calpain activity and HMGB1 levels in SSc patients with interstitial lung disease (ILD) were significantly higher than that in SSc patients without ILD. Serum calpain activity and HMGB1 levels could be the independent risk factors for SSc-ILD and novel biomarkers in patients with SSc.
Conclusion This is the first study that reports increased serum calpain activity and the correlation between calpain and HMGB1 in patients with SSc or SSc-ILD. The serum calpain activity and HMGB1 levels may serve as measures of ILD in patients with SSc. Also, calpain and HMGB1 could be potentially therapeutic targets for patients with SSc or SSc-ILD in the future.
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
This is a list of supplementary files associated with this preprint. Click to download.
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