Barturen, Guillermo; Babaei, Sepideh; Català-Moll, Francesc; Martínez-Bueno, Manuel; Makowska, Zuzanna; Martorell-Marugán, Jordi; Carmona-Sáez, Pedro; Toro-Domínguez, Daniel; Carnero-Montoro, Elena; Teruel, María; Kerick, Martin; Acosta-Herrera, Marialbert; Lann, Lucas Le; Jamin, Christophe; Rodríguez-Ubreva, Javier; García-Gómez, Antonio; Kageyama, Jorge; Buttgereit, Anne; Hayat, Sikander; Mueller, Joerg; Lesche, Ralf; Hernandez-Fuentes, Maria; Juarez, Maria; Rowley, Tania; White, Ian; Marañón, Concepción; Anjos, Tania Gomes; Varela, Nieves; Aguilar-Quesada, Rocío; Garrancho, Francisco Javier; López-Berrio, Antonio; Maresca, Manuel Rodriguez; Navarro-Linares, Héctor; Almeida, Isabel; Azevedo, Nancy; Brandão, Mariana; Campar, Ana; Faria, Raquel; Farinha, Fátima; Marinho, António; Neves, Esmeralda; Tavares, Ana; Vasconcelos, Carlos; Trombetta, Elena; Montanelli, Gaia; Vigone, Barbara; Alvarez-Errico, Damiana; Li, Tianlu; Thiagaran, Divya; Alonso, Ricardo Blanco; Martínez, Alfonso Corrales; Genre, Fernanda; Mejías, Raquel López; Gonzalez-Gay, Miguel A; Remuzgo, Sara; Garcia, Begoña Ubilla; Cervera, Ricard; Espinosa, Gerard; Rodríguez-Pintó, Ignasi; Langhe, Ellen De; Cremer, Jonathan; Lories, Rik; Belz, Doreen; Hunzelmann, Nicolas; Baerlecken, Niklas; Kniesch, Katja; Witte, Torsten; Lehner, Michaela; Stummvoll, Georg; Zauner, Michael; Aguirre-Zamorano, Maria Angeles; Barbarroja, Nuria; Castro-Villegas, Maria Carmen; Collantes-Estevez, Eduardo; de Ramon, Enrique; Quintero, Isabel Díaz; Escudero-Contreras, Alejandro; Roldán, María Concepción Fernández; Gómez, Yolanda Jiménez; Moleón, Inmaculada Jiménez; Lopez-Pedrera, Rosario; Ortega-Castro, Rafaela; Ortego, Norberto; Raya, Enrique; Artusi, Carolina; Gerosa, Maria; Meroni, Pier Luigi; Schioppo, Tommaso; Groof, Aurélie De; Ducreux, Julie; Lauwerys, Bernard; Maudoux, Anne-Lise; Cornec, Divi; Devauchelle-Pensec, Valérie; Jousse-Joulin, Sandrine; Jouve, Pierre-Emmanuel; Rouvière, Bénédicte; Saraux, Alain; Simon, Quentin; Alvarez, Montserrat; Chizzolini, Carlo; Dufour, Aleksandra; Wynar, Donatienne; Balog, Attila; Bocskai, Márta; Deák, Magdolna; Dulic, Sonja; Kádár, Gabriella; Kovács, László; Cheng, Qingyu; Gerl, Velia; Hiepe, Falk; Khodadadi, Laleh; Thiel, Silvia; de Rinaldis, Emanuele; Rao, Sambasiva; Benschop, Robert J; Chamberlain, Chris; Dow, Ernst R; Ioannou, Yiannis; Laigle, Laurence; Marovac, Jacqueline; Wojcik, Jerome; Renaudineau, Yves; Borghi, Maria Orietta; Frostegård, Johan; Martín, Javier; Beretta, Lorenzo; Ballestar, Esteban; McDonald, Fiona; Pers, Jacques-Olivier; Alarcón-Riquelme, Marta E
Integrative Analysis Reveals a Molecular Stratification of Systemic Autoimmune Diseases Article de journal
Dans: Arthritis Rheumatol, vol. 73, no. 6, p. 1073–1085, 2021, ISSN: 2326-5205.
@article{pmid33497037,
title = {Integrative Analysis Reveals a Molecular Stratification of Systemic Autoimmune Diseases},
author = {Guillermo Barturen and Sepideh Babaei and Francesc Català-Moll and Manuel Martínez-Bueno and Zuzanna Makowska and Jordi Martorell-Marugán and Pedro Carmona-Sáez and Daniel Toro-Domínguez and Elena Carnero-Montoro and María Teruel and Martin Kerick and Marialbert Acosta-Herrera and Lucas Le Lann and Christophe Jamin and Javier Rodríguez-Ubreva and Antonio García-Gómez and Jorge Kageyama and Anne Buttgereit and Sikander Hayat and Joerg Mueller and Ralf Lesche and Maria Hernandez-Fuentes and Maria Juarez and Tania Rowley and Ian White and Concepción Marañón and Tania Gomes Anjos and Nieves Varela and Rocío Aguilar-Quesada and Francisco Javier Garrancho and Antonio López-Berrio and Manuel Rodriguez Maresca and Héctor Navarro-Linares and Isabel Almeida and Nancy Azevedo and Mariana Brandão and Ana Campar and Raquel Faria and Fátima Farinha and António Marinho and Esmeralda Neves and Ana Tavares and Carlos Vasconcelos and Elena Trombetta and Gaia Montanelli and Barbara Vigone and Damiana Alvarez-Errico and Tianlu Li and Divya Thiagaran and Ricardo Blanco Alonso and Alfonso Corrales Martínez and Fernanda Genre and Raquel López Mejías and Miguel A Gonzalez-Gay and Sara Remuzgo and Begoña Ubilla Garcia and Ricard Cervera and Gerard Espinosa and Ignasi Rodríguez-Pintó and Ellen De Langhe and Jonathan Cremer and Rik Lories and Doreen Belz and Nicolas Hunzelmann and Niklas Baerlecken and Katja Kniesch and Torsten Witte and Michaela Lehner and Georg Stummvoll and Michael Zauner and Maria Angeles Aguirre-Zamorano and Nuria Barbarroja and Maria Carmen Castro-Villegas and Eduardo Collantes-Estevez and Enrique de Ramon and Isabel Díaz Quintero and Alejandro Escudero-Contreras and María Concepción Fernández Roldán and Yolanda Jiménez Gómez and Inmaculada Jiménez Moleón and Rosario Lopez-Pedrera and Rafaela Ortega-Castro and Norberto Ortego and Enrique Raya and Carolina Artusi and Maria Gerosa and Pier Luigi Meroni and Tommaso Schioppo and Aurélie De Groof and Julie Ducreux and Bernard Lauwerys and Anne-Lise Maudoux and Divi Cornec and Valérie Devauchelle-Pensec and Sandrine Jousse-Joulin and Pierre-Emmanuel Jouve and Bénédicte Rouvière and Alain Saraux and Quentin Simon and Montserrat Alvarez and Carlo Chizzolini and Aleksandra Dufour and Donatienne Wynar and Attila Balog and Márta Bocskai and Magdolna Deák and Sonja Dulic and Gabriella Kádár and László Kovács and Qingyu Cheng and Velia Gerl and Falk Hiepe and Laleh Khodadadi and Silvia Thiel and Emanuele de Rinaldis and Sambasiva Rao and Robert J Benschop and Chris Chamberlain and Ernst R Dow and Yiannis Ioannou and Laurence Laigle and Jacqueline Marovac and Jerome Wojcik and Yves Renaudineau and Maria Orietta Borghi and Johan Frostegård and Javier Martín and Lorenzo Beretta and Esteban Ballestar and Fiona McDonald and Jacques-Olivier Pers and Marta E Alarcón-Riquelme},
doi = {10.1002/art.41610},
issn = {2326-5205},
year = {2021},
date = {2021-06-01},
urldate = {2021-06-01},
journal = {Arthritis Rheumatol},
volume = {73},
number = {6},
pages = {1073--1085},
abstract = {OBJECTIVE: Clinical heterogeneity, a hallmark of systemic autoimmune diseases, impedes early diagnosis and effective treatment, issues that may be addressed if patients could be classified into groups defined by molecular pattern. This study was undertaken to identify molecular clusters for reclassifying systemic autoimmune diseases independently of clinical diagnosis.
METHODS: Unsupervised clustering of integrated whole blood transcriptome and methylome cross-sectional data on 955 patients with 7 systemic autoimmune diseases and 267 healthy controls was undertaken. In addition, an inception cohort was prospectively followed up for 6 or 14 months to validate the results and analyze whether or not cluster assignment changed over time.
RESULTS: Four clusters were identified and validated. Three were pathologic, representing "inflammatory," "lymphoid," and "interferon" patterns. Each included all diagnoses and was defined by genetic, clinical, serologic, and cellular features. A fourth cluster with no specific molecular pattern was associated with low disease activity and included healthy controls. A longitudinal and independent inception cohort showed a relapse-remission pattern, where patients remained in their pathologic cluster, moving only to the healthy one, thus showing that the molecular clusters remained stable over time and that single pathogenic molecular signatures characterized each individual patient.
CONCLUSION: Patients with systemic autoimmune diseases can be jointly stratified into 3 stable disease clusters with specific molecular patterns differentiating different molecular disease mechanisms. These results have important implications for future clinical trials and the study of nonresponse to therapy, marking a paradigm shift in our view of systemic autoimmune diseases.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
OBJECTIVE: Clinical heterogeneity, a hallmark of systemic autoimmune diseases, impedes early diagnosis and effective treatment, issues that may be addressed if patients could be classified into groups defined by molecular pattern. This study was undertaken to identify molecular clusters for reclassifying systemic autoimmune diseases independently of clinical diagnosis.
METHODS: Unsupervised clustering of integrated whole blood transcriptome and methylome cross-sectional data on 955 patients with 7 systemic autoimmune diseases and 267 healthy controls was undertaken. In addition, an inception cohort was prospectively followed up for 6 or 14 months to validate the results and analyze whether or not cluster assignment changed over time.
RESULTS: Four clusters were identified and validated. Three were pathologic, representing "inflammatory," "lymphoid," and "interferon" patterns. Each included all diagnoses and was defined by genetic, clinical, serologic, and cellular features. A fourth cluster with no specific molecular pattern was associated with low disease activity and included healthy controls. A longitudinal and independent inception cohort showed a relapse-remission pattern, where patients remained in their pathologic cluster, moving only to the healthy one, thus showing that the molecular clusters remained stable over time and that single pathogenic molecular signatures characterized each individual patient.
CONCLUSION: Patients with systemic autoimmune diseases can be jointly stratified into 3 stable disease clusters with specific molecular patterns differentiating different molecular disease mechanisms. These results have important implications for future clinical trials and the study of nonresponse to therapy, marking a paradigm shift in our view of systemic autoimmune diseases.