Autoantibodies and other serological markers in rheumatoid arthritis: predictors of disease activity?

被引:0
作者
Licia Maria Henrique da Mota
Leopoldo Luiz dos Santos Neto
Jozélio Freire de Carvalho
机构
[1] Brasília University Hospital,Department of Rheumatology
[2] University of São Paulo School of Medicine,Department of Rheumatology
[3] Disciplina de Reumatologia da FMUSP,undefined
来源
Clinical Rheumatology | 2009年 / 28卷
关键词
Autoantibodies; Disease activity; Rheumatoid arthritis; Serological markers;
D O I
暂无
中图分类号
学科分类号
摘要
The description of potential serological markers of rheumatoid arthritis (RA) activity can be quite useful in optimizing RA treatment, since the laboratory markers currently used, namely erythrocyte sedimentation rate and C-reactive protein, are not specific for RA and are influenced by several other variables. The markers proposed for assessing RA activity include rheumatoid factor, anti-citrullinated protein/peptide antibodies, immunoglobulin M (IgM) anti-IgG advanced glycation end products, markers of bone/cartilage metabolism, mannose-binding lectin, E-selectin, interleukin-6, and leptin. Various studies have investigated the correlation between some of these markers and other variables that might indicate disease activity, e.g., inflammatory activity tests and disease activity scores. However, there is as yet insufficient evidence that any of these markers, in isolation or in combination, are useful in the assessment of RA activity.
引用
收藏
页码:1127 / 1134
页数:7
相关论文
共 272 条
[1]  
Cabral D(2005)Development and assessment of indicators of rheumatoid arthritis severity: results of a Delphi panel Arthritis Rheum 53 61-66
[2]  
Katz JN(2007)Evaluation of the preliminary definitions of minimal disease activity and remission in an early seropositive rheumatoid arthritis cohort Arthritis Rheum 15 440-447
[3]  
Weinblatt ME(2008)Limitations of a quantitative swollen and tender joint count to assess and monitor patients with rheumatoid arthritis Bull NYU Hosp Jt Dis 66 216-223
[4]  
Ting G(1982)Correlation of clinical parameters of disease activity in rheumatoid arthritis with serum concentration of C-reactive protein and erythrocyte sedimentation rate J Rheumatol 19 224-228
[5]  
Avorn J(2008)Measures of disease activity in rheumatoid arthritis: a clinician’s guide Curr Rheum Rev 4 259-265
[6]  
Solomon DH(1995)Modified disease activity scores that include twenty-eight-joint counts. Development and validation in a prospective longitudinal study of patients with rheumatoid arthritis Arthritis Rheum 38 44-48
[7]  
Khanna D(2003)A simplified disease activity index for rheumatoid arthritis for use in clinical practice Rheumatology 42 244-257
[8]  
Oh M(2005)Acute phase reactants add little to composite disease activity indices for rheumatoid arthritis: validation of a clinical activity score Arthritis Res Ther 7 R796-R806
[9]  
Furst DE(1997)The acute phase and function in early rheumatoid arthritis. C-reactive protein levels correlate with functional outcome J Rheumatol 24 9-13
[10]  
Pincus T(2008)Erythrocyte sedimentation rate and C-reactive protein levels are poorly correlated with clinical measures of disease activity in rheumatoid arthritis, systemic lupus erythematosus and osteoarthritis patients Clin Exp Rheumatol 26 814-819