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E-GEOD-8650

Title: Transcription profiling of PBMCs from patients with several autoimmune inflammatory diseases or similar disorders and healthy controls. Some patients are on Celebrex or steroids. [original title: Transcription profiling of human blood leukocytes to diagnose systemic onset juvenile idiopathic arthritis and follow IL-1 blockade]
Organism(s): Homo sapiens
Description: 123 patients, duplicate samples. [original description: Systemic onset Juvenile Idiopathic Arthritis (SoJIA) represents up to 20% of Juvenile Idiopathic Arthritis (JIA). We have previously reported that this disease is Interleukin 1 (IL1)-mediated, and that IL-1 blockade results in clinical remission in the majority of patients. The diagnosis of SoJIA, however, still relies on clinical findings as no specific diagnostic tests are available, which leads to delays in the initiation of specific therapy. To identify specific diagnostic markers, we analyzed gene expression profiles in 19 pediatric patients with SoJIA during the systemic phase of the disease (fever and/or arthritis), 25 SoJIA patients with no systemic symptoms (arthritis only or no symptoms), 39 healthy controls, 94 pediatric patients with acute viral and bacterial infections (available under GSE6269), 38 pediatric patients with Systemic Lupus Erythematosus (SLE), and 6 patients with a second IL-1 mediated disease known as PAPA syndrome. Statistical group comparison and class prediction identified genes differentially expressed in SoJIA patients compared to healthy children. These genes, however, were also changed in patients with acute infections and SLE. By performing an analysis of significance across all diagnostic groups, we generated a list of 88 SoJIA-specific genes (p<0.01 in SoJIA and >0.5 in all other groups). A subset of 12/88 genes permitted us to accurately classify an independent test set of SoJIA patients with systemic disease. We were also able to identify a group of transcripts that changed significantly in patients undergoing IL-1 blockade. Thus, analysis of transcriptional signatures from SoJIA blood leukocytes can help distinguishing this disease from other febrile illnesses and assessing response to therapy. Availability of accurate diagnostic markers for SoJIA patients may allow prompt initiation of effective therapy and prevention of long-term disabilities. Experiment Overall Design: 123 RNA samples extracted from PBMCs were studied. For more details on the clinical information, please refer to the paper (PudMed ID 17724127).]
Design(s): unknown_experiment_design_type, transcription profiling by array
Publication(s): Allantaz F, Chaussabel D, Stichweh D, Bennett L, Allman W, Mejias A, Ardura M, Chung W, Smith E, Wise C, Palucka K, Ramilo O, Punaro M, Banchereau J, Pascual V.
Blood leukocyte microarrays to diagnose systemic onset juvenile idiopathic arthritis and follow the response to IL-1 blockade. PubMed:17724127

Sample attribute(s):
drug2
6 recorded
azathioprine interleukin-1 receptor antagonist protein ChEBI infliximab cyclophosphamide ENBREL mycophenolic acid
drug3
1 recorded
amlodipine
Material Type
2 recorded
synthetic_RNA total_RNA
NSAID treatment
1 recorded
celecoxib
sex
2 recorded
female male
drug1
1 recorded
methotrexate
race
5 recorded
Caucasian Latino Other Asian African American
SLEDAI score
12 recorded
2 dimensionless 8 dimensionless 20 dimensionless 6 dimensionless 12 dimensionless 18 dimensionless 24 dimensionless 10 dimensionless 16 dimensionless 14 dimensionless 4 dimensionless 11 dimensionless
illness
4 recorded
systemic lupus erythematosus RHEUMATOID ARTHRITIS, SYSTEMIC JUVENILE Healthy_control_subjects PYOGENIC STERILE ARTHRITIS, PYODERMA GANGRENOSUM, AND ACNE
symptom2
1 recorded
Fever
age
20 recorded
16 years 10 years 15 years 8 years 13 years 6 years 4 years 17 years 2 years 11 years 9 years 19 years 14 years 5 years 7 years 20 years 68 years 12 years 40 years 3 years
Steroid treatment2
1 recorded
Intravenous steroid injection
Label
1 recorded
biotin
steroid treatment
1 recorded
Oral steroid therapy
cell type
1 recorded
peripheral blood mononuclear cell
Organism
1 recorded
Homo sapiens
steroid therapy
1 recorded
steroid
symptom
4 recorded
Systemic lupus erythematosus disease activity index arthritis None Autoinflammatory syndrome with skin involvement
Contact(s): Florence Allantaz
Release Date: 6/16/2008
Submission Date:
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Assay Downloads
transcription profiling using DNA microarray
246 assays