PMID- 32164778 OWN - NLM STAT- MEDLINE DCOM- 20210111 LR - 20210111 IS - 1478-6362 (Electronic) IS - 1478-6354 (Print) IS - 1478-6354 (Linking) VI - 22 IP - 1 DP - 2020 Mar 12 TI - Identification of molecules associated with response to abatacept in patients with rheumatoid arthritis. PG - 46 LID - 10.1186/s13075-020-2137-y [doi] LID - 46 AB - BACKGROUND: Abatacept (ABA) is a biological disease-modifying antirheumatic drug (bDMARD) for rheumatoid arthritis (RA). The aim of this study was to identify molecules that are associated with therapeutic responses to ABA in patients with RA. METHODS: Peripheral blood was collected using a PAX gene Blood RNA kit from 45 bDMARD-naive patients with RA at baseline and at 6 months after the initiation of ABA treatment. Gene expression levels of responders (n = 27) and non-responders (n = 8) to ABA treatment among patients with RA at baseline were compared using a microarray. The gene expression levels were confirmed using real-time quantitative polymerase chain reaction (RT-qPCR). RESULTS: Gene expression analysis revealed that the expression levels of 218 genes were significantly higher and those of 392 genes were significantly lower in the responders compared to the non-responders. Gene ontology analysis of the 218 genes identified "response to type I interferon (IFN)" with 24 type I IFN-related genes. RT-qPCR confirmed that there was a strong correlation between the score calculated using the 24 genes and that using OAS3, MX1, and IFIT3 (type I IFN score) (rho with the type I IFN score 0.981); the type I IFN score was significantly decreased after treatment with ABA in the responders (p < 0.05), but not in the non-responders. The receiver operating characteristic curve analysis of the type I IFN score showed that sensitivity, specificity, and AUC (95% confidence interval) for the responders were 0.82, 1.00, and 0.92 (0.82-1.00), respectively. Further, RT-qPCR demonstrated higher expression levels of BATF2, LAMP3, CD83, CLEC4A, IDO1, IRF7, STAT1, STAT2, and TNFSF10 in the responders, all of which are dendritic cell-related genes or type I IFN-related genes with significant biological implications. CONCLUSION: Type I IFN score and expression levels of the nine genes may serve as novel biomarkers associated with a clinical response to ABA in patients with RA. FAU - Yokoyama-Kokuryo, Waka AU - Yokoyama-Kokuryo W AD - Department of Rheumatology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan. AD - Department of Pharmacovigilance, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan. AD - Department of Rheumatology, Japan Organization of Occupational Health and Safety Chubu Rosai Hospital, 1-10-6 Koumei, Minato-ku, Nagoya-City, Aichi, Japan. FAU - Yamazaki, Hayato AU - Yamazaki H AD - Department of Rheumatology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan. AD - Department of Pharmacovigilance, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan. FAU - Takeuchi, Tsutomu AU - Takeuchi T AD - Division of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan. FAU - Amano, Koichi AU - Amano K AD - Department of Rheumatology and Clinical Immunology, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe-shi, Saitama, 350-8550, Japan. FAU - Kikuchi, Jun AU - Kikuchi J AD - Division of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan. FAU - Kondo, Tsuneo AU - Kondo T AD - Department of Rheumatology and Clinical Immunology, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe-shi, Saitama, 350-8550, Japan. FAU - Nakamura, Seiji AU - Nakamura S AD - DNA Chip Research Inc, 1-15-1 Kaigan, Minato-ku, Tokyo, 105-0022, Japan. FAU - Sakai, Ryoko AU - Sakai R AD - Department of Pharmacovigilance, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan. AD - Department of Rheumatology, Tokyo Women's Medical University School of Medicine, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan. FAU - Hirano, Fumio AU - Hirano F AD - Department of Rheumatology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan. AD - Department of Pharmacovigilance, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan. FAU - Nanki, Toshihiro AU - Nanki T AD - Department of Rheumatology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan. AD - Department of Pharmacovigilance, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan. AD - Division of Rheumatology, Department of Internal Medicine, Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8541, Japan. FAU - Koike, Ryuji AU - Koike R AD - Department of Rheumatology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan. AD - Department of Pharmacovigilance, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan. FAU - Harigai, Masayoshi AU - Harigai M AUID- ORCID: 0000-0002-6418-2603 AD - Department of Rheumatology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan. harigai.masayoshi@twmu.ac.jp. AD - Department of Pharmacovigilance, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan. harigai.masayoshi@twmu.ac.jp. AD - Department of Rheumatology, Tokyo Women's Medical University School of Medicine, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan. harigai.masayoshi@twmu.ac.jp. LA - eng GR - #15K19570/Ministry of Health, Labour and Welfare/International GR - H30-meneki-shitei-002/Ministry of Health, Labour and Welfare/International PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200312 PL - England TA - Arthritis Res Ther JT - Arthritis research & therapy JID - 101154438 RN - 0 (Antirheumatic Agents) RN - 0 (Interferon Type I) RN - 7D0YB67S97 (Abatacept) SB - IM MH - Abatacept/*therapeutic use MH - Aged MH - Antirheumatic Agents/therapeutic use MH - Arthritis, Rheumatoid/diagnosis/*drug therapy/*genetics MH - Female MH - Humans MH - Interferon Type I/genetics/metabolism MH - Male MH - Middle Aged MH - Oligonucleotide Array Sequence Analysis/methods MH - ROC Curve MH - Reverse Transcriptase Polymerase Chain Reaction MH - Transcriptome/*genetics MH - Treatment Outcome PMC - PMC7068901 OTO - NOTNLM OT - Abatacept OT - Interferon signature OT - Microarray OT - Prediction OT - Rheumatoid arthritis COIS- WY-K received honoraria from Eisai Co., Ltd., Asahikasei Pharma Corp. HY is currently an employee of Nippon Boehringer Ingelheim Co., Ltd. TT received Grants from Astellas Pharma Inc., Chugai Pharmaceutical Co, Ltd., Daiichi Sankyo Co., Ltd., Takeda Pharmaceutical Co., Ltd., AbbVie GK, Asahikasei Pharma Corp., Mitsubishi Tanabe Pharma Co., Pfizer Japan Inc., Eisai Co., Ltd., AYUMI Pharmaceutical Corporation, Nipponkayaku Co. Ltd., and Novartis Pharma K.K. TT received personal fees from AbbVie GK., Astellas Pharma Inc., Astra Zeneca K.K., Bristol-Myers K.K., Chugai Pharmaceutical Co. Ltd., Diaichi Sankyo Co. Ltd., Eisai Co. Ltd., Eli Lilly Japan K.K., GlaxoSmithKline K.K., Janssen Pharmaceutical K.K., Mitsubishi Tanabe Pharma Co., Nipponkayaku Co., Ltd., Novartis Pharma K.K., Pfizer Japan Inc., Sanofi K.K., Teijin Pharma Ltd., Taiho Pharmaceutical Co. Ltd., Taisho Pharmaceutical Co. Ltd., Takeda Pharmaceutical Co. Ltd., and UCB Japan Co. Ltd. KA received honoraria from Chugai Pharmaceutical Co. Ltd., Eli Lilly Japan K.K., Pfizer Japan Inc., and Mitsubishi Tanabe Pharma and the research grant from Chugai Pharmaceutical Co. Ltd. and Asahi Kasei Pharma. JK received honoraria from Astellas Pharma Inc., Chugai Pharmaceutical Co., Ltd., Mitsubishi Tanabe Pharma Co., Pfizer Japan Inc., Eisai Co., Ltd., Bristol-Myers K.K., Eli Lilly Japan K.K., GlaxoSmithKline K.K., Janssen Pharmaceutical K.K., and Sanofi K.K. Tokyo Medical and Dental University (TMDU) received unrestricted research grants for Department of Pharmacovigilance from AbbVie Japan Co., Ltd., Astellas Pharma Inc., Bristol-Myers Squibb K.K., Chugai Pharmaceutical Co., Ltd., Eisai Co., Ltd., Mitsubishi Tanabe Pharma Co., Ono Pharmaceuticals, Pfizer Japan Inc., Sanofi-Aventis K.K., Santen Pharmaceutical Co., Ltd., Takeda Pharmaceutical Co., Ltd., and UCB Japan, with which TMDU paid the salaries of HY, RS, TN, and MH. The Department of Lifetime Clinical Immunology of Tokyo Medical and Dental University (TMDU) has received unrestricted research grants from Chugai Pharmaceutical Co., Ltd.; Ono Pharmaceuticals; Mitsubishi Tanabe Pharma Co.; UCB Japan; CSL Behring; Towa Pharmaceutical Co., Ltd.; Abbvie Japan Co., Ltd.; Japan Blood Products Organization; Ayumi Pharmaceutical Co.; and Nippon Kayaku Co., Ltd., with which TMDU currently pays the salary of FH. FH also received consulting fees from Ono Pharmaceuticals, Astellas Pharma Inc., Sumitomo Dainippon Pharma, and Chugai Pharmaceutical Co., Ltd. SN, TK, and RK have nothing to declare. EDAT- 2020/03/14 06:00 MHDA- 2021/01/12 06:00 PMCR- 2020/03/12 CRDT- 2020/03/14 06:00 PHST- 2019/08/26 00:00 [received] PHST- 2020/02/21 00:00 [accepted] PHST- 2020/03/14 06:00 [entrez] PHST- 2020/03/14 06:00 [pubmed] PHST- 2021/01/12 06:00 [medline] PHST- 2020/03/12 00:00 [pmc-release] AID - 10.1186/s13075-020-2137-y [pii] AID - 2137 [pii] AID - 10.1186/s13075-020-2137-y [doi] PST - epublish SO - Arthritis Res Ther. 2020 Mar 12;22(1):46. doi: 10.1186/s13075-020-2137-y.