Scavenger receptor-A is a biomarker and effector of rheumatoid arthritis: A large-scale multicenter study.

Hu, Fanlei; Jiang, Xiang; Guo, Chunqing; Li, Yingni; Chen, Shixian; Zhang, Wei; Du, Yan; Wang, Ping et al. · Nat Commun · 2020

prospective_cohort · Level II

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Abstract

Early diagnosis is critical to improve outcomes in rheumatoid arthritis (RA), but current diagnostic tools have limited sensitivity. Here we report a large-scale multicenter study involving training and validation cohorts of 3,262 participants. We show that serum levels of soluble scavenger receptor-A (sSR-A) are increased in patients with RA and correlate positively with clinical and immunological features of the disease. This discriminatory capacity of sSR-A is clinically valuable and complements the diagnosis for early stage and seronegative RA. sSR-A also has 15.97% prevalence in undifferentiated arthritis patients. Furthermore, administration of SR-A accelerates the onset of experimental arthritis in mice, whereas inhibition of SR-A ameliorates the disease pathogenesis. Together, these data identify sSR-A as a potential biomarker in diagnosis of RA, and targeting SR-A might be a therapeutic strategy.

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