Chromogranin-A production and fragmentation in patients with Takayasu arteritis

Enrico Tombetti, Barbara Colombo, Maria Chiara Di Chio, Silvia Sartorelli, Maurizio Papa, Annalaura Salerno, Enrica Paola Bozzolo, Elisabetta Tombolini, Giulia Benedetti, Claudia Godi, Chiara Lanzani, Patrizia Rovere-Querini, Alessandro Del Maschio, Alessandro Ambrosi, Francesco De Cobelli, Maria Grazia Sabbadini, Elena Baldissera, Angelo Corti, Angelo A. Manfredi

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background: Chromogranin-A (CgA) is a secretory protein processed into peptides that regulate angiogenesis and vascular cells activation, migration and proliferation. These processes may influence arterial inflammation and remodelling in Takayasu arteritis (TA). Methods: Plasma levels of full-length CgA (CgA439), CgA fragments lacking the C-terminal region (CgA-FRs) and the N-terminal fragment, CgA1-76 (vasostatin-1, VS-1) were analysed in 42 patients with TA and 20 healthy age-matched controls. Vascular remodelling was longitudinally assessed by imaging. CgA peptides were related to markers of systemic and local inflammation, disease activity and vascular remodelling. Results: Levels of CgA-FRs and VS-1 were increased in TA. Treatment with proton-pump inhibitors (PPIs) and arterial hypertension partially accounted for CgA levels and high inter-patient variability. CgA439, CgA-FRs and VS-1 levels did not reflect disease activity or extent. Markers of systemic or local inflammation correlated with higher CgA-FRs and VS-1 in normotensive patients and with higher CgA439 in hypertensive patients. Treatment with non-biologic anti-rheumatic agents was associated with increased CgA-FRs and a distinctive regulation of CgA processing. Reduced blood levels of anti-angiogenic CgA peptides were associated with vascular remodelling in the groups of patients on PPIs and with arterial hypertension. Conclusions: The plasma levels of CgA fragments are markedly increased in TA as a consequence of disease- and therapy-related variables. Anti-angiogenic forms of CgA may limit vascular remodelling. Given the effect of the various CgA peptides, it is advisable to limit the therapeutic prescriptions that might influence CgA-derived peptide levels to clearly agreed medical indications until further data become available.

Original languageEnglish
Article number187
JournalArthritis Research and Therapy
Volume18
Issue number1
DOIs
Publication statusPublished - Aug 17 2016

Fingerprint

Takayasu Arteritis
Chromogranin A
Peptides
Proton Pump Inhibitors
Hypertension
Inflammation
Arteritis
Antirheumatic Agents
Therapeutics

Keywords

  • Biomarker
  • Chromogranin A
  • Proton-pump inhibitors
  • Takayasu arteritis
  • Vascular remodelling
  • Vasculitis

ASJC Scopus subject areas

  • Immunology and Allergy
  • Rheumatology
  • Immunology

Cite this

Chromogranin-A production and fragmentation in patients with Takayasu arteritis. / Tombetti, Enrico; Colombo, Barbara; Di Chio, Maria Chiara; Sartorelli, Silvia; Papa, Maurizio; Salerno, Annalaura; Bozzolo, Enrica Paola; Tombolini, Elisabetta; Benedetti, Giulia; Godi, Claudia; Lanzani, Chiara; Rovere-Querini, Patrizia; Del Maschio, Alessandro; Ambrosi, Alessandro; De Cobelli, Francesco; Sabbadini, Maria Grazia; Baldissera, Elena; Corti, Angelo; Manfredi, Angelo A.

In: Arthritis Research and Therapy, Vol. 18, No. 1, 187, 17.08.2016.

Research output: Contribution to journalArticle

Tombetti, E, Colombo, B, Di Chio, MC, Sartorelli, S, Papa, M, Salerno, A, Bozzolo, EP, Tombolini, E, Benedetti, G, Godi, C, Lanzani, C, Rovere-Querini, P, Del Maschio, A, Ambrosi, A, De Cobelli, F, Sabbadini, MG, Baldissera, E, Corti, A & Manfredi, AA 2016, 'Chromogranin-A production and fragmentation in patients with Takayasu arteritis', Arthritis Research and Therapy, vol. 18, no. 1, 187. https://doi.org/10.1186/s13075-016-1082-2
Tombetti E, Colombo B, Di Chio MC, Sartorelli S, Papa M, Salerno A et al. Chromogranin-A production and fragmentation in patients with Takayasu arteritis. Arthritis Research and Therapy. 2016 Aug 17;18(1). 187. https://doi.org/10.1186/s13075-016-1082-2
Tombetti, Enrico ; Colombo, Barbara ; Di Chio, Maria Chiara ; Sartorelli, Silvia ; Papa, Maurizio ; Salerno, Annalaura ; Bozzolo, Enrica Paola ; Tombolini, Elisabetta ; Benedetti, Giulia ; Godi, Claudia ; Lanzani, Chiara ; Rovere-Querini, Patrizia ; Del Maschio, Alessandro ; Ambrosi, Alessandro ; De Cobelli, Francesco ; Sabbadini, Maria Grazia ; Baldissera, Elena ; Corti, Angelo ; Manfredi, Angelo A. / Chromogranin-A production and fragmentation in patients with Takayasu arteritis. In: Arthritis Research and Therapy. 2016 ; Vol. 18, No. 1.
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AU - Tombetti, Enrico

AU - Colombo, Barbara

AU - Di Chio, Maria Chiara

AU - Sartorelli, Silvia

AU - Papa, Maurizio

AU - Salerno, Annalaura

AU - Bozzolo, Enrica Paola

AU - Tombolini, Elisabetta

AU - Benedetti, Giulia

AU - Godi, Claudia

AU - Lanzani, Chiara

AU - Rovere-Querini, Patrizia

AU - Del Maschio, Alessandro

AU - Ambrosi, Alessandro

AU - De Cobelli, Francesco

AU - Sabbadini, Maria Grazia

AU - Baldissera, Elena

AU - Corti, Angelo

AU - Manfredi, Angelo A.

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N2 - Background: Chromogranin-A (CgA) is a secretory protein processed into peptides that regulate angiogenesis and vascular cells activation, migration and proliferation. These processes may influence arterial inflammation and remodelling in Takayasu arteritis (TA). Methods: Plasma levels of full-length CgA (CgA439), CgA fragments lacking the C-terminal region (CgA-FRs) and the N-terminal fragment, CgA1-76 (vasostatin-1, VS-1) were analysed in 42 patients with TA and 20 healthy age-matched controls. Vascular remodelling was longitudinally assessed by imaging. CgA peptides were related to markers of systemic and local inflammation, disease activity and vascular remodelling. Results: Levels of CgA-FRs and VS-1 were increased in TA. Treatment with proton-pump inhibitors (PPIs) and arterial hypertension partially accounted for CgA levels and high inter-patient variability. CgA439, CgA-FRs and VS-1 levels did not reflect disease activity or extent. Markers of systemic or local inflammation correlated with higher CgA-FRs and VS-1 in normotensive patients and with higher CgA439 in hypertensive patients. Treatment with non-biologic anti-rheumatic agents was associated with increased CgA-FRs and a distinctive regulation of CgA processing. Reduced blood levels of anti-angiogenic CgA peptides were associated with vascular remodelling in the groups of patients on PPIs and with arterial hypertension. Conclusions: The plasma levels of CgA fragments are markedly increased in TA as a consequence of disease- and therapy-related variables. Anti-angiogenic forms of CgA may limit vascular remodelling. Given the effect of the various CgA peptides, it is advisable to limit the therapeutic prescriptions that might influence CgA-derived peptide levels to clearly agreed medical indications until further data become available.

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