Table 1

Genomics studies in rheumatic diseases

Disease
Tissue
Number of samples
Approximate number of genes on array
Comparison
Results
Reference

RA
Synovium
13 RA
16,164
Intra- and interindividual patients
Gene expression differences between patients are greater than between biopsies obtained from the same joint
[7]
RA
Synovium
5 RA and 10 OA
5,760
RA versus OA
Genes differentially expressed between RA and OA
[5]
RA
Synovium
21 RA and 9 OA
11,500 and 18,000
Within RA and versus OA
Evidence for the existence of multiple pathways of tissue destruction and repair
[8,9]
RA
Synovium
12 early and 4 late
23,040
Early versus longstanding RA
Early RA fell into two groups based on differences in genes critical for proliferative inflammation
[16]
RA
Synovium
10 RA
30,000 cDNA spots
Before versus after about 9 weeks of infliximab
Genes specifically changed in patients who have a good response to infliximab treatment.
[53]
RA
Synovium
18 RA
18,000
Responders versus nonresponders to infliximab treatment
Patients with high expression levels of genes involved in tissue inflammation before treatment are more likely to benefit from Infliximab therapy.
[54]
RA
Synovium
12 RA
11,500 and 18,000
Within RA
Identification of IL-7 signalling pathway in tissues characterized by lymphoid neogenesis
[15]
RA
FLS
19 RA
18,000
Within RA
Heterogeneity between synovial tissues is reflected in FLSs
[27]
RA
FLS
2 RA
12,600
Resting versus TNF-α or IL-1β4-hour stimulated cells
Identification of TNF-α and IL-1β regulated genes in RA FLSs
[26]
RA
FLS
5 RA and 5 HC
588
RA versus HC
Over-expression of genes responsible for tumor-like growth in RA FLSs
[24]
RA
Whole blood
35 RA and 15 HC
18,000
Within RA and versus HC
Assignment of a type I IFN signature in a subpopulation of Patients
[39,40]
RA
PBMC
19
4,300
Early versus longstanding RA
Gene signature in early disease overlaps with normal response to virus
[38]
RA
PBMC
29 RA and 21 HC
12,626
RA versus HC
Monocyte associated gene signature increased in RA
[36]
RA
PBMC
33
10,000
Before versus 3 months after infliximab
Gene expression profile correlating with treatment response
[51]
RA
PBMC
8 RF+, 6 RF- and 7 HC
10,000
RF+ versus RF- and versus HC
No genes differentially expressed between RF+ and RF- RA patients. Increased expression of immunoinflammatory response genes, especially those related to phagocytic functions, in RA
[35]
RA
PBMC
19
18,500
Before versus 72 hours after etanercept
Gene pairs and triplets predictive for response to treatment at an early stage of treatment
[52]
RA
B-cells
8 RA versus 8 HC
21,329
RA versus HC
Dysregulated B-cell biology in RA is multifaceted
[37]
SSc
Skin biopsies
24 SSc and 6 HC
33,000
Within SSc and versus HC
A 177-gene signature associated with severity of skin disease in diffuse SSc
[14]
SSc
Dermal fibroblasts
15 SSc twins and 5 HC
16,659
Lesional versus nonlesional and versus twin pair and versus HC
At the molecular level, concordance for the SSc fibroblast phenotype is high in MZ twins and greatly exceeds that in DZ twins
[31]
SSc
Dermal non-lesional fibroblasts
21 SSc and 18 HC
16,659
Lesional versus nonlesional and versus HC
Fibroblasts from nonlesional sites in SSc have detectable abnormalities in a variety of cellular processes, including ECM formation, fibrillogenesis, angiogenesis and complement activation
[30]
SSc
PBMC
18 SSc and 18 HC
16,659
SSc versus HC
Differentially regulated expression of genes involved in IFN and vasculopathy
[42]
SSc
PBMC
9 early diffuse SSc and 4 HC
38,500
SSc versus HC
Type I IFN induced Siglec-1 is increased on circulating SSc CD14+ monocytes
[43]
SS
Minor salivary glands
10 SS and 10 HC
6,803
SS versus HC
Increased expression of genes involved in chronic inflammation and type I IFN
[13]
SS
Minor salivary glands
7 SS and 7 HC
7,261
SS versus HC
Activation of IFN pathways in SS
[17]
SS
Whole saliva
10 SS and 8 HC
38,500
SS versus HC
Activation of IFN pathway in SS
[18]
SLE
Synovium
6 SLE, 7 RA and 6 OA
38,500
SLE versus RA versus OA
The different diseases were characterized by distinct molecular signatures. Upregulation of IFN-induced genes and downregulation of genes involved in ECM homeostasis in SLE
[6]
SLE
Glomeruli
12 SLE and 4 HC
3,602 and 4,030
SLE versus HC and within SLE
Characterization of heterogeneity in the molecular pathogenesis of lupus nephritis
[12]
Paediatric SLE
PBMC
30 SLE, 12 JCA and 9 controls
12,626
SLE versus JCA versus controls
IFN signature in the majority of SLE patients and upregulation of granulocyte specific transcripts
[32]
SLE
PBMC
48 SLE and 42 HC
10,260
Within SLE and versus HC
About half of the patients studied exhibited dysregulated expression of genes in the IFN pathway associated with more severe disease
[33]
SLE
Whole blood
269 patients
256
Within SLE
Categorization of SLE patients into two groups based on a high or low IFN signature. Disease activity correlates with the high IFN signature
[34]
Paediatric SoJIA
PBMC
44 SoJIA, 94 infected patients, 38 SLE, 6 PAPA and 39 healthy controls
17,454
SoJIA versus controls
A SoJIA-specific gene signature containing 88 genes. Blood transcriptional patterns in the systemic phase of SoJIA are more similar to those of patients with infections than to those of SoJIA patients in a later arthritic stage of disease
[45]
Paediatric SoJIA
PBMC
8 untreated and 5 infliximab treated SoJIA
17,454
Treated versus untreated Patients
Increased expression of type I IFN regulated genes in the anti-TNF treated SoJIA patients, suggesting cross-regulation between TNF and type I IFN
[55]
Autoimmune diseases
PBMC
20 RA, 24 SLE, 5 type I diabetes, 4 MS and 9 HC
4,329
Between autoimmune disease
Overlapping gene expression profiles in RA, SLE, type I diabetes and MS, which is distinct from a normal immune response profile
[48,58,59]
RA, SLE
Whole blood
6 HC, 4 RA, 4 SLE and 5 family members
4,000
RA versus SLE versus HC versus family
Shared autoimmune gene expression signature in patients and unaffected first-degree relatives
[47]

DZ, dizygotic twin; ECM, extracellular matrix; FLS, fibroblast-like synoviocyte; HC, healthy control individuals; OA, osteoarthritis; IFN, interferon; IL, interleukin; JCA, juvenile chronic arthritis; MS, multiple sclerosis; MZ, monozygotic; PAPA syndrome, a familial autoinflammatory disease that causes pyogenic sterile arthritis, pyoderma gangrenosum and acne; PBMC, peripheral blood mononuclear cell; RA, rheumatoid arthritis; RF, rheumatoid factor; SLE, systemic lupus erythematosus; SoJIA, systemic onset juvenile idiopathic arthritis; SS, Sjögren's syndrome; SSc, scleroderma; TNF, tumour necrosis factor.

van Baarsen et al. Arthritis Research & Therapy 2009 11:207   doi:10.1186/ar2557