Objectives: Pulmonary hypertension is one of the leading causes of death in systemic sclerosis. Early detection and treatment of pulmonary hypertension in systemic sclerosis is crucial. Nailfold capillaroscopy microscopy, vascular autoantibodies AT1R and ETAR, and several candidate-biomarkers have the potential to serve as noninvasive tools to identify systemic sclerosis patients at risk for developing pulmonary hypertension. Here, we explore the classifying potential of nailfold capillaroscopy microscopy characteristics and serum levels of selected candidate-biomarkers in a sample of systemic sclerosis patients with and without different forms of pulmonary hypertension.Methods: A total of 81 consecutive systemic sclerosis patients were included, 40 with systemic sclerosis pulmonary hypertension and 41 with no pulmonary hypertension. In each group, quantitative and qualitative nailfold capillaroscopy microscopy characteristics, vascular autoantibodies AT1R and ETAR, and serum levels of 24 soluble serum factors were determined. For evaluation of the nailfold capillaroscopy microscopy characteristics, linear regression analysis accounting for age, sex, and diffusing capacity of the lungs for carbon monoxide percentage predicted was used. Autoantibodies and soluble serum factor levels were compared using two-sample t test with equal variances.Results: No statistically significant differences were observed in quantitative or qualitative nailfold capillaroscopy microscopy characteristics, or vascular autoantibody ETAR and AT1R titer between systemic sclerosis-pulmonary hypertension and systemic sclerosis-no pulmonary hypertension. In contrast, several serum levels of soluble factors differed between groups: Endostatin, sVCAM, and VEGFD were increased, and CXCL4, sVEGFR2, and PDGF-AB/BB were decreased in systemic sclerosis-pulmonary hypertension. Random forest classification identified Endostatin and CXCL4 as the most predictive classifiers to distinguish systemic sclerosispulmonary hypertension from systemic sclerosis-no pulmonary hypertension.Conclusion: This study shows the potential for several soluble serum factors to distinguish systemic sclerosis-pulmonary hypertension from systemic sclerosis-no pulmonary hypertension. We found no classifying potential for qualitative or quantitative nailfold capillaroscopy microscopy characteristics, or vascular autoantibodies.
Bespreking van onderzoek van Todor Stefanov in ‘Waar wij trots op zijn. De ontdekkingen van 2011’ van de Universiteit Leiden Faculteit der Wiskunde & Natuurwetenschappen. De Bulgaar Todor Stefanov onderzoekt methoden en middelen voor het ontwerpen en programmeren van multiprocessorsystemen die zijn geïntegreerd in een enkele chip. Dit om de verwerking van signalen en beelden in bijvoorbeeld smartphones te verbeteren. En dat moet snel, want ieder jaar komt er wel weer een nieuwe generatie op de markt.
Bespreking van onderzoek van Rychard Bouwens in ‘Waar wij trots op zijn. De ontdekkingen van 2011’ van de Universiteit Leiden Faculteit der Wiskunde & Natuurwetenschappen. Het valt goed te begrijpen voor iedereen met een basale kennis van klassieke fotografie: bij weinig licht neem je een lange sluitertijd. En dat is wat Rychard Bouwens deed. Om naar de zogenaamde Dark Ages van het heelal te kijken, hield hij de Hubble-ruimtetelescoop maar liefst 87 uur lang op een plek gericht.
