TY - JOUR T1 - Longitudinal analysis of sarcoidosis blood transcriptomic signatures and disease outcomes JF - European Respiratory Journal JO - Eur Respir J SP - 985 LP - 993 DO - 10.1183/09031936.00039714 VL - 44 IS - 4 AU - Robert Su AU - Michael M. Li AU - Nirav R. Bhakta AU - Owen D. Solberg AU - Eli P.B. Darnell AU - Joris Ramstein AU - Suresh Garudadri AU - Melissa Ho AU - Prescott G. Woodruff AU - Laura L. Koth Y1 - 2014/10/01 UR - http://erj.ersjournals.com/content/44/4/985.abstract N2 - Previously, we demonstrated concordance in differentially expressed genes in sarcoidosis blood and lung, implicating shared dysfunction of specific immune pathways. In the present study, we hypothesised that expression levels of candidate genes in sarcoidosis blood could predict and track with disease outcomes longitudinally. We applied Ingenuity Pathway Analysis to a cross-sectional derivation microarray dataset (n=38) to identify canonical pathways and candidate genes associated with sarcoidosis. In a separate longitudinal sarcoidosis cohort (n=103), we serially measured 48 candidate gene transcripts, and assessed their relation to disease chronicity and severity. In the cross-sectional derivation study, pathway analysis showed upregulation of genes related to interferon signalling and the role of pattern recognition receptors, and downregulation of T-cell receptor (TCR) signalling pathways in sarcoidosis. In the longitudinal cohort, factor analysis confirmed coregulation of genes marking these pathways and identified CXCL9 as an additional candidate pathway. CXCL9 and TCR factors discriminated between chronic versus nonprogressive disease, and CXCL9 predicted disease outcomes longitudinally. Interferon factor was similarly increased in both disease phenotypes. Factors associated with lung function decline included decreased TCR factor and increased CXCL9. These findings demonstrate blood transcriptomic signatures reflecting TCR signalling and CXCL9 predict sarcoidosis chronicity and correlate with disease severity longitudinally. Blood gene transcript measurements predict sarcoidosis chronicity and severity longitudinally http://ow.ly/zFGnP ER -