Search for: rheumatoid arthritis    methotrexate    autoimmune disease    biomarker    gene expression    GWAS    HLA genes    non-HLA genes   

ID PMID Title PublicationDate abstract
7163736 Synthesis of underpolymerized hyaluronic acid by fibroblasts cultured from rheumatoid and 1982 Fibroblast cultures were started from synovial tissue of normal controls and patients with seronegative and seropositive rheumatoid arthritis, juvenile rheumatoid arthritis and chronic non-rheumatoid synovitis. Glycosaminoglycan synthesis of the cultures was studied by metabolic labeling with 3H-glucosamine. Molecular weight of hyaluronic acid produced and secreted into culture medium by these fibroblast strains was studied by gel filtration in a Sepharose 2 B column. All fibroblast strains from joints with active inflammation produced hyaluronate with decreased molecular weight. The synthesis of underpolymerized hyaluronate thus appears to be a property of activated synovial fibroblasts common to rheumatoid and non-rheumatoid inflammation.
710046 Soft tissue changes in early rheumatoid arthritis as seen on xeroradiography and non-scree 1978 Sep Forty-seven patients with early or newly established rheumatoid arthritis were studied with non-screen radiography and xerography. Estimations of soft tissue swelling, bone erosion and cysts were made by two observers and the results compared between observers and the two types of imaging. The results indicate no significant advantage or disadvantage in xerographic imaging compared with non-screen radiographs in the identification of superficial soft tissue swelling and bone erosions. More cysts were, however, identified on the radiographs. In a previous anatomical study of the dissected hand, xerography showed definite advantages in the detection of certain features.
6768438 Remission-inducing drugs in rheumatoid arthritis. 1980 Feb 23 The administration of certain drugs to patients with established rheumatoid arthritis frequently results in improvement that is slow to appear but persists for long periods, even after the drug is discontinued. The three main drugs with this effect, whose efficacy and toxicity are reviewed in this paper, are gold salts, D-penicillamine and chloroquine. The cytotoxic agents used to treat rheumatoid arthritis, which likely have nonspecific anti-inflammatory actions and have serious long-term side effects, are also briefly reviewed. A new drug, levamisole, is currently being tested in patients with rheumatoid arthritis. It is suggested that the time for considering the introduction of a remission-inducing drug in patients with progressive rheumatoid arthritis is after an adequate trial of therapy with salicylates or other nonsteroidal anti-inflammatory agents, or both, and before the oral administration of steroids. It is difficult, however, on the basis of rigorous clinical comparisons, to recommend which of the three main remission-inducing drugs should be tried first, although gold salts have been used the most. Patients who have improved with 6 months of chrysotherapy may continue treatment for at least 3 years, during which time the frequency of mucocutaneous and renal toxic effects will steadily decrease. Some aspects of the medical economics of therapy with remission-inducing drugs for rheumatoid arthritis are discussed.
725464 [Sesamoid pathology of the 1st metatarsal bone]. 1978 Jul The sesamoid region constitutes an "anatomo-clinical entity" because the small sesamoid bones and the tendino-sero-cutaneous formations which surround them are in close association. Subjected to various microtraumatisms, (professional, sports or static), it expresses its pathology through a painful sesamoid point, a localized tumefaction that is more or less ifnlammatory (sometimes with a pseudo-gout aspect) or a painful corn that disturbs walking. The observation of radiologic alterations of the sesamoid bones results in the discussion of osteonecrosis (Renander's disease) or a fracture. This region may also be the site of a specific micro-cristalline inflammation (with deposit of various crystals) or a rheumatic (mainly rheumatoid, sometimes psioriatic or spondylarthritic) responsible for sesamoid alterations of variable intensity. I can also be involved in an infectious process that is either acute or chronic (fistulization). The sesamoid region has a rich pathology, that is often poorly understood since it is inadequately investigated.
3897530 Antibodies to vimentin intermediate filaments in sera from patients with SLE and RA: quant 1985 Apr A solid phase radioimmunoassay was used to quantify levels of antibodies to vimentin intermediate filaments (VIF) of the cytoskeleton in sera from patients with systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA). Significantly higher levels of these antibodies were found in 52% of the SLE sera studied, compared to 6% in RA sera and 10% of sera from healthy controls. These antibodies include IgG and IgM classes of immunoglobulins. Our results show that high levels of anti-VIF antibodies are more prevalent in SLE sera, whereas no significant differences are found between sera from patients with RA and healthy controls.
315842 Quantitation and characterization of soluble immune complexes precipitated from sera by po 1979 Sep Polyethylene glycol (PEG) was used to isolate immune complexes from sera. Complexes were then quantified and partially characterized by a variety of immunological techniques. Complexes were detected in rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), Felty's syndrome and vasculitis, but not in polymyositis, scleroderma or Behçets syndrome. The level of immune complexes correlated with disease activity in SLE and RA patients. Rheumatoid factors and anti-DNA antibodies were enriched by PEG precipitation of RA and SLE sera, respectively, thus these antibodies appeared to be present in the form of soluble immune complexes. Immune complexes usually contained all three immunoglobulin classes, IgG, IgM and IgA. Complexes from RA patients were generally larger and often contained Clq, while C3 was found almost exclusively in SLE complexes which also tended to be smaller. Such compositional differences may one day explain the differences in clinical manifestations of various immune complex-mediated diseases.
7234957 A dynamic splint for use after total wrist arthroplasty. 1981 Mar Total wrist arthroplasty has been performed at the Mayo Clinic for the past 5 years. The procedure has necessitated the development of a dynamic wrist splint for post-operative care. This article provides a step-by-step outline for construction of this splint.
4065195 Plasma protein binding of imipramine in patients with rheumatoid arthritis. 1985 In 23 patients with rheumatoid arthritis the plasma protein binding of 3H-imipramine and the plasma levels of 13 proteins were measured in order to examine the significance of the proteins for the binding of imipramine. The degree of 3H-imipramine binding did not differ significantly from that in healthy controls. It was positively correlated with the concentrations of fibrinogen, alpha 1-acid-glycoprotein, ceruloplasmin, complement C3c, haptoglobin and hemopexin. Erythrocyte sedimentation rate was also highly positively correlated with binding. The concentration of several of the proteins showed a significant covariation. The 3H-imipramine binding was negatively correlated with the concentration of albumin and the latter was negatively correlated with some of the proteins mentioned-above. No correlation with the levels of apolipoproteins A and B was found. There appears to be more a qualitative than a quantitative change in 3H-imipramine binding in patients with rheumatoid arthritis.
442839 [The correlation analysis of amino acids: an aid in the diagnosis of chronic polyarthritis 1979 Mar This report is concerned with the correlation analysis of plasma amino acids as a possible tool to differentiate between healthy people and patients with rheumatoid arthritis (RA). Out of 450 theoretically possible correlations between plasma amino acids 95 statistically significant correlations were found in normals whereas 184 correlations were observed in RA. When the method reported here was used to find out whether an unknown sample originated from RA or normal, only one out of 40 RA-samples was incorrect. In controls 3 out of 14 failed. The possibility to use this method for common diagnostic problems is indicated.
6570090 Activity of some lysosomal enzyme in rheumatoid and psoriatic arthritis. 1984 Dec In order to study the function of polymorphonuclear leukocytes in patients suffering from psoriatic and rheumatoid arthritis and psoriasis vulgaris the release of beta-glucuronidase, elastase and cytoplasmic lactate dehydrogenase was investigated. The life of polymorphonuclear leukocytes in rheumatoid and psoriatic arthritis is shorter. Polymorphonuclears from patients with psoriasis and psoriatic arthritis release, with as well as without phagocytic stimulation by zymosan, more lysosomal enzymes into extracellular space then cells of healthy controls. The total content of LDH and of lysosomal enzymes in leukocytes of patients suffering from all three forms of disease were not altered in comparison with the amount in PMNL of healthy subjects.
6614851 Skeletal surgery in the treatment of the rheumatoid hand. 1983 Apr Surgery of the rheumatoid hand is complex. It is important to understand the pathophysiology of deformity at the several linkaged joints of convexity of the wrist, metacarpophalangeal and interphalangeal joints. Pegging offers one of the best and reliable techniques of stabilising the joints. However, arthroplasty and soft tissue reconstruction play equally important roles in restoring hand function.
7352946 Synovial origins of Rice bodies in joint fluid. 1980 Jan Rice bodies and synovia obtained from knee joints of rheumatoid arthritis patients were solubilized by limited pepsin treatment. The quantity of each type of collagen in both tissues was determined by differential salt precipitation, cyanogen bromide peptide analysis, and SDS polyacrylamide gel electrophoresis. Rice bodies and synovial membrane contained equal proportions of Type I and III collagens with trace amounts of Type "A-B" collagen.
6162894 Nature of double-stranded DNA binding activity in seropositive rheumatoid arthritis: forma 1981 Apr Sera from majority of patients with seropositive rheumatoid arthritis, which generally lacked detectable anti-double stranded DNA in Farr, Crithidia luciliae, and microcomplement fixation assays, exhibited high levels of dsDNA binding in the presence of 3.5% polyethylene glycol when using intrinsically labeled 3H-PM2 DNA as antigen. Except for SLE, such increased dsDNA binding was absent in normal and a variety of other disease sera, including those from patients with seronegative rheumatoid arthritis. In contrast to the situation in SLE, in which dsDNA binding is mediated by specific anti-DNA antibody, the increased dsDNA binding activity in seropositive rheumatoid arthritis was shown to be dependent upon complex low avidity interactions involving DNA, IgG, IgM rheumatoid factor, and low density lipoproteins. Analysis of the composition of the polyethylene glycol serum precipitates by 2-dimensional gel diffusion, immunoelectrophoresis, and sodium dodecyl sulfate polyacrylamide gel electrophoresis failed to reveal the presence of additional DNA-binding proteins unique to seropositive rheumatoid arthritis. The only feature distinguishing high DNA binding sera from those with low DNA binding activity was an increased amount of polyethylene glycol-insoluble IgG in the former, presumably reflecting IgG/IgG and/or IgG/IgM complexes. The significance of these unusual DNA/low density lipoprotein/IgG/rheumatoid factor complexes with respect to the diagnostic specificity and pathophysiology of the DNA/anti-DNA system is discussed.
6608925 Antibodies to cellular antigens in Greek patients with autoimmune rheumatic diseases: anti 1984 Apr One hundred and twenty-four sera from Greek patients with autoimmune rheumatic diseases (29 with systemic lupus erythematosus (SLE), 24 with scleroderma, 11 with primary Sjögren's syndrome (SS), and 60 with rheumatoid arthritis (RA) were tested for antibodies to nRNP, Sm, Scl-70, Ro(SSA), and La(SSB) cellular antigens. The incidence of these antibodies in the different groups of patients examined, did not differ overall from that described previously. It was noted, however, that antibodies to Sm were very infrequently found in Greek patients with SLE and anti-Ro positive patients with SLE did not have the clinical manifestations described by other workers. Finally, it was found that anti-Ro positive patients with RA experienced a high frequency of side effects from penicillamine-D. The significance of these findings is discussed.
310604 The effect of serum and allogeneic antiglobulin preparations on the mitogenic reactivity o 1978 Sep In vitro transofrmation of peripheral blood lymphocytes (PBL) by phytohaemagglutinin (PHA) and concanavalin A (Con A) was found to be decreased in 17 RA patients. The addition of 50 microliter RA serum or serum from normal controls exhibited an inhibitory effect on the mitogenic reactivity to Con A but not to PHA of both normal and RA patient's PBL. Allogeneic antiglobulin preparations (a-Ig) stimulated the spontaneous in vitro DNA synthesis of PBL from normal control and, to a smaller degree, also from RA patients. The simultaneous addition of a-Ig's and mitogens to PBL of normal controls and RA patients did not exhibit a significant effect on the mitogenic reactivity.
150118 Simultaneous occurrence of perimembranous glomerulonephritis and glomerular amyloidosis. 1978 Jul 26 The results of electron microscopic examination of renal biopsies from 3 patients with rheumatoid arthritis treated with penicillamine are presented. All 3 patients developed a nephrotic syndrome upon discontinuation of penicillamine therapy. When viewed with the electron microscope, segmental forms of perimembranous glomerulonephritis (Stages I-II of Ehrenreich and Churg) and glomerular renal amyloidosis Grade I-III were observed. In all three cases the nephrotic syndrome was considered to be due to the simultaneous occurrence of the two disease processes. In 2 cases perimembranous glomerulonephritis with immuno-complex-deposits was assumed to be the dominant factor in the causation of the disease, in the other case amyloidosis was the principle abnormality.
684673 Collagen diseases as a cause of constrictive pericarditis. 1978 Jun Seven patients with constrictive pericarditis associated with collagen disease underwent pericardiectomy with good results in all but one. The collagen disease was confirmed as rheumatoid arthritis in five patients, but in two its nature remained obscure. In one case the illness was marked by a persistent eosinophilia and eosinophilic infiltration of the pericardium. The association of constrictive pericarditis with rheumatoid arthritis and other collagenoses is briefly discussed.
488794 Perichondrial wrist arthroplasty in rheumatoid patients. 1979 Jun A new method is proposed for reconstruction of the wrist joint in rheumatoid arthritis. Perichondrial arthroplasty done in four patients with severe deformity of the wrist from rheumatoid arthritis gave functionally improved results. In one case biopsy of the reconstructed joint showed newly formed cartilaginous tissue four months after initial surgery.
6398168 Differences in the distribution of synovial T lymphocyte subpopulations between patients w 1984 Jan T lymphocyte subpopulations were determined by monoclonal antibodies Leu 2 (suppressor/cytotoxic subset) and Leu 3 (helper/inducer subset) in synovial fluid (SF) and blood of 9 patients with acute non-septic synovitis (duration less than 1 month), 28 patients with chronic synovitis (16 with rheumatoid arthritis (RA), 7 with ankylosing spondylitis, 4 with psoriatic arthritis and one with juvenile rheumatoid arthritis) and 37 age- and sex-matched healthy controls. The patients with acute synovitis had a significantly higher percentage of Leu 3+ cells and a significantly lower percentage of Leu 2+ cells in SF than had patients with RA or other forms of chronic synovitis. In patients with acute synovitis the ratio of Leu 3+ to Leu 2+ cells was significantly higher in SF (4.0) than in blood (1.9) whereas in patients with RA the ratio was significantly lower in SF (1.1) than in blood (2.7). Patients with other forms of chronic synovitis also had a lower Leu 3/Leu 2 ratio in SF (1.1) than in blood (1.9). Two patients with acute synovitis who were retested after 10 days and 10 months respectively (the latter patient having developed definite RA) showed a decrease of the synovial Leu 3/Leu 2 ratio. Thus it appears that the distribution of T lymphocyte subsets in SF was related to the duration of the synovitis.
405123 [Proof, by a double-blind study, of the efficacy of synoviorthesis by erbium-169 in rheuma 1977 Mar 14 A double-blind study (201 metacarpo and interphalangeal joints) on the effectiveness of the synoviorthesis shows the significant value of the 169-Erbium, compared with intra-articular placebo or corticotherapy. The treatment gives an improvement in 58% of the cases (p less than 0.01) (stade 1:80,7%), by destruction of the rheumatoid pannus, begins after 3 months and develops for one year and more.