Search for: rheumatoid arthritis methotrexate autoimmune disease biomarker gene expression GWAS HLA genes non-HLA genes
ID | PMID | Title | PublicationDate | abstract |
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3704605 | [The place of apatite in rheumatic diseases. Study of 25 cases by x-ray microanalysis and | 1986 Mar 29 | The importance of "apatite deposition disease" among the arthropathies has been recognized for some years: it is well known that X-ray microanalysis (XRMA) is an efficient method of determining the elemental constitution of microcrystalline deposits obtained from synovial fluids or from tendon washing solutions during examination in scanning electron microscopy. In all 25 patients studied (11 intraarticular and 14 extraarticular samples), alizarine red S staining was positive and XRMA confirmed the diagnosis of apatite deposition by determination of the phosphorus/calcium (P/Ca) ratio in the deposits. In the 25 patients the mean values obtained for the P/Ca ratios were situated between 0.362 and 0.450, with a general mean value of 0.411, i.e. a ratio clearly lower than the P/Ca ratio of pure hydroxyapatite specimens (0.438) measured in identical conditions. This apparent discrepancy seems to be related to the probable presence of carbonated apatites. The study confirmed the presence of apatite microcrystals in intra- and extraarticular location; in the first condition, these were generally found in patients with severe destructive arthrosis, whereas in the second condition the calcifications derived from supraspinatus tendons. | |
3084782 | Toxicity due to remission inducing drugs in rheumatoid arthritis. Association with HLA-B35 | 1986 Feb | Twenty-five patients with rheumatoid arthritis (RA) who developed toxicity while taking remission inducing drugs and 30 without toxicity were studied for possible associations with class I and II HLA antigens. A strong association has been found between nephritis and dermatitis due to Tiopronin (a D-Penicillamine like compound) and class I antigens B35-Cw4, and between dermatitis due to gold thiosulphate and B35. Compared to healthy controls a lower DR5 frequency was observed in patients with RA except for the Tiopronin related nephritis group. | |
1661433 | [A fatal rheumatoid pneumonitis following surgery for lung cancer]. | 1991 Dec 1 | A 64-year-old man was admitted to our division because of an abnormal mass with a diffuse reticular shadow seen on chest roentgenogram. A right upper lobectomy was performed after the diagnosis of lung cancer. From the 18th postoperative day he complained of dyspnea, which was caused by the exacerbation of rheumatoid pneumonitis based on rheumatoid arthritis, and died on the 44th postoperative day. The course of illness and clinicopathological analysis of this case is described in this paper. | |
3708235 | Car safety belts: a study of two models adapted for people with arthritis. | 1986 May | People with arthritis find car seat belts difficult to use. Sixteen arthritic patients and 19 healthy volunteers completed a comparative study of one standard inertia-reel belt and two adapted inertia-reel belts with reduced retraction forces. Those with arthritis were strong enough to use the standard belt but both adapted belts had features making them easier to use. | |
2177109 | Antibodies to synthetic peptides from Epstein-Barr nuclear antigen-1 in sera of patients w | 1990 Nov | We studied IgG antibody levels to synthetic peptides (p62, E11 and E3) from Epstein-Barr nuclear antigen-1 (EBNA-1) protein sequence in sera of patients with rheumatoid arthritis (RA), in pre-RA and in rheumatoid factor (RF) positive non-RA sera from Finland. Anti-E11 and anti-E3 antibody levels were significantly elevated in RA sera, compared with both RF negative and RF positive nonrheumatoid controls. The concentrations of anti-E11 and anti-E3 antibodies in the preillness sera were lower than those in RA sera. Eight-year followup samples of patients with RA had slightly decreased levels of anti-E3 and anti-E11 antibodies compared with samples taken within 6 months of the disease onset. Anti-p62 antibody levels did not differ significantly between any of the groups studied. Thus, elevated levels of antibodies to 2 of the glycine containing EBNA-1 peptides were associated with clinical RA. | |
3288753 | Ultrastructural pathology of skeletal muscle in various rheumatic diseases. | 1988 Mar | Seventy-three muscle biopsies from patients with various rheumatic diseases were analyzed using immunofluorescence, light, and ultrastructural microscopy. Pathologic data were correlated with clinical variables of local muscle and systemic disease. Light and immunofluorescence findings were generally normal. Ultrastructure differed from normals, showing a spectrum of nonspecific changes. There were no disease specific pathologic features. Myofibrillar damage was the most common pathologic change, with atrophy or degeneration occurring in a majority of biopsies. Semiquantitative analysis showed a general correlation between the extent of pathologic change and muscle weakness. | |
1971759 | Studies of a C2 DNA polymorphism in RA, Felty's and normal subjects. | 1990 | A restriction fragment length polymorphism at the C2 locus was studied in rheumatoid arthritis (RA), Felty's and control subjects. No association was found between any C2 variant and either RA itself or within the rheumatoid population with Felty's syndrome. The C2 DNA polymorphism can be used to subdivide Bf*S- as well as Bf*F-bearing haplotypes. The 2.65-kb C2 DNA allele showed allelic association with HLA-B44 and C4B*Q0 and may help to further characterize the haplotype B44-Bf*S-C4A*3-C4B*Q0-DR4, which has previously been described in Felty's syndrome. | |
3229080 | The clinical value of measuring immunoglobulins when assessing penicillamine therapy in rh | 1988 Sep | Immunoglobulins are often high in active rheumatoid arthritis and fall when treatment with a slow-acting anti-rheumatic drug is instituted. We assessed the value of monitoring immunoglobulins during penicillamine therapy; 145 patients were followed for up to 5 years, IgA, IgM and IgG levels were compared to 12 other clinical and laboratory variables on 903 occasions. Mean levels of IgA and IgG fell by 10-30%. These changes were less than with ESR or clinical measures such as articular index and duration of morning stiffness. Immunoglobulin levels showed weak correlations with other variables. Only a small number of patients had hypogammaglobulinemia. Initially, 5 cases had low IgA with subsequent falls in 3 more. Initially, 2 cases had low IgG with subsequent falls in 5 more. No patients had low IgM levels. These changes seemed clinically irrelevant. Radiological progression was related to IgA levels. Patients with persistently high rates of radiological progression had persistently higher serum IgA. We conclude that IgM gives the most "acute phase" pattern of response. IgA gives more theoretically interesting information, especially concerning radiological progression. There is only a limited amount of clinically valuable information gained from measuring immunoglobulins. | |
1700613 | Antibodies to the mycobacterial 65-kd heat-shock protein are reactive with synovial tissue | 1990 Nov | The expression of 65-kd mycobacterial heat-shock protein (HSP)-related antigens in synovial membrane from rats and humans with arthritis was studied using three monoclonal antibodies and one polyclonal antiserum directed to antigens of mycobacteria. The antibodies labeled synovial tissue sections from both adjuvant arthritis (AA) rats and from patients with either rheumatoid arthritis (RA) or osteoarthritis (OA); especially the synovial lining cells appeared to be positive. The cytoplasmic staining patterns in rats and humans were essentially the same and were not related to the extent of inflammation ie, the size of lymphoid infiltration. In control tissues no cytoplasmic staining was observed. The results suggest a role for a 65-kd HSP or a cross-reactive molecule in the immunopathologic process of arthritic disease. | |
1934684 | Correlation between rheumatoid factor and IL-6 activity in synovial fluids from patients w | 1991 Jul | Synovial fluids (SF) and sera (S) from patients with rheumatoid arthritis (RA) were examined for IgM, IgM-rheumatoid factor (IgM-RF), albumin and interleukin-6 (IL-6) activity. The quotient of SF/S IgM-RF was elevated compared with that of SF/S albumin in 7 patients with seropositive RA, although the quotient of SF/S IgM was lower than that of SF/S albumin. SF IL-6 activity was much higher than serum IL-6 activity in all the 7 RA patients. In synovial fluids from 22 seropositive RA patients, SF IL-6 activity was significantly correlated with the SF IgM-RF, IgG-RF and IgA- less than RF, but not with SF IgM, IgG or IgA. Moreover, SF IgM-RF as well as SF IL-6 activity was significantly correlated with the Westergren erythrocyte sedimentation rate (ESR) or the Lansbury articular index. These results indicate that IL-6 and RF might be produced within the rheumatoid joints as a result of abnormal immune system activation, which is associated with the disease activity of RA. Three of the 4 seronegative RA patients, however, showed high SF IL-6 without detectable levels of SF IgM-RF, indicating that IL-6 alone is not sufficient for IgM-RF production. | |
3961433 | Determination of larger urinary peptides in osteoarthrosis by high-performance liquid chro | 1986 | Urinary peptides larger than 4000 were fractionated by HPLC on reversed phase. Urines of osteoarthrotic patients were compared with those of healthy persons and rheumatoid patients. The profile of urinary peptides of patients with mild form of osteoarthrosis differed significantly from that of other groups studied. The results of patients with rheumatoid arthritis were similar to those of patients with activated or severe form of osteoarthrosis. | |
3497901 | The role of cytokines in arthritic diseases: in vitro and in vivo measurements of cartilag | 1987 | The injection of partially purified porcine synovial catabolin/IL-1 alpha intra-articularly in rabbits resulted in a 50% loss of glycosaminoglycan (GAG) after 3 days. An increase in the synovial fluid content of GAG was found, and 35SO4 incorporation into proteoglycan was inhibited. Measurements were also made of the GAG loss from articular cartilage into the synovial fluid in human rheumatoid (RA) and osteoarthritic (OA) patients. Very high levels of GAG content in the synovial fluid was found, and calculations were made of the half-life of the cartilage proteoglycan during the active phases of the disease. Estimation of the synovial fluid GAG is believed to be a simple and quantitative method for monitoring the effectiveness of cartilage-"sparing" anti-arthritic drugs. | |
1716524 | [Serum levels of trophoblast-specific beta-1-globulin (SP1) and alpha-1-fetoprotein (AFP) | 1991 Apr | In 19 pregnant women treated on account of rheumatic disease (17 women with rheumatoid arthritis or juvenile rheumatoid arthritis, one woman with non-specified arthralgia, one woman with rheumatic fever in the case-history) were examined at least once during pregnancy for SP1 and AFP serum levels. For the assessment of SP1 simple radial immunodiffusion was used, for the assessment of AFP Sevatest ELISA AFP Micro I. The SP1 and AFP levels were compared with the physiological range in the pertaining week of gestation. In nine women of 19 patients raised SP1 levels were found, in seven elevated AFP levels. In all patients with elevated SP1 levels the disease improved, while in four of ten women with normal or reduced SP1 levels the disease deteriorated or developed during pregnancy. This relationship was not found in AFP. | |
2691155 | Treatment of rheumatoid arthritis: our experience. | 1989 Sep | Although an incredible amount of time, work and money has been spent in the evaluation of the relative efficacy of anti-rheumatic drugs, no specific resolutive therapy is currently available for rheumatoid arthritis. In these authors' experience early rheumatoid arthritis should be treated with the most powerful non-steroidal anti-inflammatory drug (indomethacin) and the most tolerated disease modifying anti-rheumatic drug (hydroxychloroquine) available. With respect to hydroxychloroquine, auranofin has a comparable efficacy, but the incidence of side effects is significantly higher than with hydroxychloroquine. Sulphasalazine provides very good results. The enthusiasm for this drug is moderated only by the high frequency of patient drop outs. Corticosteroids should be only used in patients with active disease who do not respond to conventional therapy, and/or those with life-threatening complications (i.e., vasculitis). | |
2481129 | [A comparative assessment of the intensity of cytochemical reactions in blood leukocytes a | 1989 | A method for the comparative assessment of the results obtained by Caplow's semiquantitative method and by Actaldi-Verg's technique in cellular populations of varying size is considered, as exemplified by studies of the cytochemistry of the peripheral blood and synovial fluid leukocytes in patients with rheumatoid arthritis. | |
1934691 | Diet and fatty acids: can fish substitute for fish oil? | 1991 Jul | As fish oil has been shown to be beneficial in rheumatoid arthritis and in psoriasis, we examined whether a diet rich in fish has a similar effect on membrane and plasma lipids as a dietary fish oil supplement. Volunteers recruited by 2 rheumatology units in Switzerland formed three parallel groups eating respective diets during 2 months: a normal diet without fish; a normal diet including 700 g fish per week; a normal diet without fish but with additional fish oil (7.5 g daily). As outcome measures we determined the lipid composition of platelet-rich plasma, the serum cholesterol and triglycerides before the study and after 1 and 2 months of the designated diet. The relative amounts of both eicosapentaenoic acid and docosahexaenoic acid increased significantly in the fish oil group and in the group with the fish diet; no change was seen in the control group. The effect on triglycerides, which were low at the beginning of the study, was minor and no change in cholesterol was seen. In conclusion, 4 to 6 meals with fish per week without any other dietary changes can induce similar changes in lipids as a supplement of fish oil. | |
3062937 | [Recent knowledge and hypotheses on the significance of the HLA-D region in rheumatoid art | 1988 Nov 1 | Rheumatoid arthritis (RA) may result from an interaction between genetic and environmental factors. There is a well documented association between RA and the serologically defined class II MHC antigen haplotype DR4-DRw53-DQw3. Cellular HLA typing reveals five Dw subtypes (Dw4, 10, 13, 14, 15) of this haplotype. DNA coding for this Dw-subtypes occurs in the third hypervariable region (3. HVR) of the DR beta 1 domain suggesting, that this part of the molecule is recognized by T cells. Relatively circumscribed amino acid changes in this 3. HVR, which contains an alpha-helical structure, may result in immune response changes. Susceptibility to RA may be due to related epitopes found in non-Dw10 subtypes of DR4, as well as in DR1 alleles. Studies, using T cell clones specific for the Dw14 subtype of DR4 found Dw14-associated epitopes in 100% (!) also on non-DR4 haplotypes, in the population with RA. Typing with primed lymphocytes may give rise to the association of HLA and RA. | |
3827957 | Non-Hodgkin's lymphoma of the synovium simulating rheumatoid arthritis. | 1987 Feb | Skeletal involvement in patients with non-Hodgkin's lymphoma (NHL) is common, although direct involvement of the joints is unusual. We describe 2 adults who presented with features suggestive of a diagnosis of rheumatoid arthritis, but who were found to have diffuse NHL of the synovium. Results of a review of the literature, and assessment of the few similar cases in which NHL presented in the joint, suggest that the lymphoma may mimic either a monarticular or polyarticular synovitis, without lymphadenopathy or hepatosplenomegaly. Radiographic demonstration of associated bone destruction is the best evidence for non-Hodgkin's lymphomatous arthropathy in patients with rheumatic symptoms. | |
1929582 | Reduction in IgG galactose in juvenile and adult onset rheumatoid arthritis measured by a | 1991 Sep | Glycosylation changes in patients with juvenile chronic and adult onset rheumatoid arthritis have been studied using a novel binding method. Both these major types of arthritis showed decreased galactosylation of serum IgG, which confirms earlier studies using a different, more complex chemical method. No significant correlation between serum IgG, IgM, and IgA rheumatoid factors and age corrected G(o) (percentage of oligosaccharide chains lacking galactose) was found. The possibility that the less glycosylated IgG is preferentially confined to circulating IgM/IgG immune complexes cannot be excluded, however. | |
1757930 | Strength and function in the normal and rheumatoid hand. | 1991 Sep | We have reevaluated the Martin vigorimeter to measure grip strength in healthy subjects, and patients with rheumatoid arthritis (RA), and investigated the correlation of grip strength and hand function using the Jebsen hand function tests and Purdue pegboard test before and after treatment. The vigorimeter showed good test-retest reliability (r greater than 0.911) and interrater reliability (r greater than 0.915). Test-retest reliability was greater than 0.97 for the Jebsen test, and greater than 0.94 for the Purdue test in healthy individuals. Seventeen patients with RA were studied at intervals of 1 to 16 weeks. Active joint count and grip strength both improved significantly. Improvement in grip strength correlated with improvement in active joint count. Hand function tests were significantly impaired in the patients with RA. |