RT Journal Article T1 Genome-wide whole blood transcriptome profiling in a large European cohort of systemic sclerosis patients. A1 Beretta, Lorenzo A1 Barturen, Guillermo A1 Vigone, Barbara A1 Bellocchi, Chiara A1 Hunzelmann, Nicolas A1 De Langhe, Ellen A1 Cervera, Ricard A1 Gerosa, Maria A1 Kovacs, Lászlo A1 Ortega Castro, Rafaela A1 Almeida, Isabel A1 Cornec, Divi A1 Chizzolini, Carlo A1 Pers, Jacques-Olivier A1 Makowska, Zuzanna A1 Lesche, Ralf A1 Kerick, Martin A1 Alarcon-Riquelme, Marta Eugenia A1 Martin, Javier K1 Autoimmune diseases K1 Epidemiology K1 Systemic sclerosis AB The analysis of annotated transcripts from genome-wide expression studies may help to understand the pathogenesis of complex diseases, such as systemic sclerosis (SSc). We performed a whole blood (WB) transcriptome analysis on RNA collected in the context of the European PRECISESADS project, aiming at characterising the pathways that differentiate SSc from controls and that are reproducible in geographically diverse populations. Samples from 162 patients and 252 controls were collected in RNA stabilisers. Cases and controls were divided into a discovery (n=79+163; Southern Europe) and validation cohort (n=83+89; Central-Western Europe). RNA sequencing was performed by an Illumina assay. Functional annotations of Reactome pathways were performed with the Functional Analysis of Individual Microarray Expression (FAIME) algorithm. In parallel, immunophenotyping of 28 circulating cell populations was performed. We tested the presence of differentially expressed genes/pathways and the correlation between absolute cell counts and RNA transcripts/FAIME scores in regression models. Results significant in both populations were considered as replicated. Overall, 15 224 genes and 1277 functional pathways were available; of these, 99 and 225 were significant in both sets. Among replicated pathways, we found a deregulation in type-I interferon, Toll-like receptor cascade, tumour suppressor p53 protein function, platelet degranulation and activation. RNA transcripts or FAIME scores were jointly correlated with cell subtypes with strong geographical differences; neutrophils were the major determinant of gene expression in SSc-WB samples. We discovered a set of differentially expressed genes/pathways validated in two independent sets of patients with SSc, highlighting a number of deregulated processes that have relevance for the pathogenesis of autoimmunity and SSc. PB BMJ Group YR 2020 FD 2020-05-14 LK http://hdl.handle.net/10668/15780 UL http://hdl.handle.net/10668/15780 LA en NO Beretta L, Barturen G, Vigone B, Bellocchi C, Hunzelmann N, De Langhe E, et al. Genome-wide whole blood transcriptome profiling in a large European cohort of systemic sclerosis patients. Ann Rheum Dis. 2020 Sep;79(9):1218-1226 DS RISalud RD Apr 7, 2025