ABOVE: © ISTOCK.COM, DANIIL DUBOV
Studies of blood samples from four rheumatoid arthritis patients collected over years has led to the discovery of an RNA profile that predicts an imminent flare-up of symptoms, according to a report in the New England Journal of Medicine today (July 15). The transcriptional signature also indicates that a type of fibroblast previously linked to the disease becomes enriched in the blood before migrating to the joints to wreak havoc.
“The work is clearly a breakthrough in how patients with [rheumatoid arthritis] might be managed in the future,” Lawrence Steinman of Stanford University writes in an email to The Scientist. If such an RNA test were commercially developed, then “via a home test involving a mere finger stick, markers that precede a flare [would be] identified. This would allow the individual to consult with their physician and take necessary measures to avert such a flare,” ...