RT Journal Article SR Electronic T1 Soluble Low-density Lipoprotein Receptor-related Protein 1 in Juvenile Idiopathic Arthritis JF The Journal of Rheumatology JO J Rheumatol FD The Journal of Rheumatology SP 760 OP 766 DO 10.3899/jrheum.200391 VO 48 IS 5 A1 Elham Rezaei A1 Marianna M. Newkirk A1 Zhenhong Li A1 John R. Gordon A1 Kiem G. Oen A1 Susanne M. Benseler A1 Gilles Boire A1 David A. Cabral A1 Sarah Campillo A1 Gaëlle Chédeville A1 Anne-Laure Chetaille A1 Paul Dancey A1 Ciaran Duffy A1 Karen Watanabe Duffy A1 Kristin Houghton A1 Adam M. Huber A1 Roman Jurencak A1 Bianca Lang A1 Kimberly A. Morishita A1 Ross E. Petty A1 Suzanne E. Ramsey A1 Johannes Roth A1 Rayfel Schneider A1 Rosie Scuccimarri A1 Lynn Spiegel A1 Elizabeth Stringer A1 Shirley M.L. Tse A1 Lori B. Tucker A1 Stuart E. Turvey A1 Rae S.M. Yeung A1 Alan M. Rosenberg A1 Alan M. Rosenberg for the BBOP Study Group YR 2021 UL http://www.jrheum.org/content/48/5/760.abstract AB Objectives This study aimed to expand knowledge about soluble low-density lipoprotein receptor-related protein 1 (sLRP1) in juvenile idiopathic arthritis (JIA) by determining associations of sLRP1 levels in nonsystemic JIA patients with clinical and inflammatory biomarker indicators of disease activity.Methods Plasma sLRP1 and 44 inflammation-related biomarkers were measured at enrollment and 6 months later in a cohort of 96 newly diagnosed Canadian patients with nonsystemic JIA. Relationships between sLRP1 levels and indicators of disease activity and biomarker levels were analyzed at both visits.Results At enrollment, sLRP1 levels correlated negatively with age and active joint counts. Children showed significantly higher levels of sLRP1 than adolescents (mean ranks: 55.4 and 41.9, respectively; P = 0.02). Participants with 4 or fewer active joints, compared to those with 5 or more active joints, had significantly higher sLRP1 levels (mean ranks: 56.2 and 40.7, respectively; P = 0.006). At enrollment, considering the entire cohort, sLRP1 correlated negatively with the number of active joints (r = –0.235, P = 0.017). In the entire cohort, sLRP1 levels at enrollment and 6 months later correlated with 13 and 6 pro- and antiinflammatory biomarkers, respectively. In JIA categories, sLRP1 correlations with inflammatory markers were significant in rheumatoid factor–negative polyarticular JIA, oligoarticular JIA, enthesitis-related arthritis, and psoriatic arthritis at enrollment. Higher sLRP1 levels at enrollment increased the likelihood of absence of active joints 6 months later.Conclusion Plasma sLRP1 levels correlate with clinical and biomarker indicators of short-term improvement in JIA disease activity, supporting sLRP1 as an upstream biomarker of potential utility for assessing JIA disease activity and outcome prediction.