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Evaluation of the glycemic effect of methotrexate in psoriatic arthritis patients with metabolic syndrome: A pilot study

Identifieur interne : 000827 ( Main/Exploration ); précédent : 000826; suivant : 000828

Evaluation of the glycemic effect of methotrexate in psoriatic arthritis patients with metabolic syndrome: A pilot study

Auteurs : Tannaz Dehpouri [Iran] ; Ghasem Rahmatpour Rokni ; Nematollah Ahangar Narenjbon [Iran] ; Mohamad Goldust ; Paul S. Yamauchi [États-Unis] ; Uwe Wollina [Allemagne] ; Torello Lotti [Italie] ; Leon Kircik [États-Unis] ; Vito Giuseppe Di Lernia ; Sidharth Sonthalia ; Aleksandra Vojvodic [Serbie] ; Jacek Szepietowski [Pologne] ; Philippe Bahadoran [France] ; Enzo Errichetti [Italie] ; Carmen Cantisani [Italie] ; Laura Atzori [Italie] ; Elham Rezaee [Iran] ; Zekayi Kutlubay [Turquie] ; Burhan Engin [Turquie] ; Steven Nistic [Italie] ; Giovanni Damiani [Italie] ; Rosalynn R. Z. Conic [États-Unis] ; Andy Goren [Italie] ; Leo Abrijan [Croatie] ; Georgi Tchernev [Bulgarie]

Source :

RBID : PMC:6547029

Abstract

Methotrexate (MTX) is a systemic immunosuppressant drug used for the treatment of psoriasis and psoriatic arthritis. Previous studies demonstrated a potential association between psoriasis and diabetes mellitus, obesity, atherosclerosis, hypertension, eventuating into metabolic syndrome. This study aimed at exploring the glycemic effects of MTX in psoriatic arthritis (PsA) patients. In this prospective cross-sectional study, 27 patients with PsA were evaluated. The status of PsA and presence of accompanying metabolic syndrome was determined by standard criteria and indices. Blood indicators including HbA1c, erythrocyte sedimentation rate, fasting blood sugar, total cholesterol, high-density lipoprotein, triglycerides, and C-reactive protein were examined before and 12 weeks after MTX therapy. There were no significant changes between HbA1c levels before and after MTX therapy in both genders (men: P=0.131, women: P=0.803). In addition, HbA1c levels in PsA patients with metabolic syndrome were not different before and after treatment (P=0.250). Finally, HbA1c levels did not change in PsA patients without metabolic syndrome before and after therapy (P=0.506). MTX in PsA patients does not appear to have hyperglycaemic effects in the short-term and can be safely used in patients with metabolic syndrome and diabetes.


Url:
DOI: 10.4081/dr.2019.7965
PubMed: 31210916
PubMed Central: 6547029


Affiliations:


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<country xml:lang="fr">Croatie</country>
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<name sortKey="Tchernev, Georgi" sort="Tchernev, Georgi" uniqKey="Tchernev G" first="Georgi" last="Tchernev">Georgi Tchernev</name>
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<institution>Medical Institute of Ministry of Interior (MVR)</institution>
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<country xml:lang="fr">Bulgarie</country>
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<name sortKey="Lernia, Vito Giuseppe Di" sort="Lernia, Vito Giuseppe Di" uniqKey="Lernia V" first="Vito Giuseppe Di" last="Lernia">Vito Giuseppe Di Lernia</name>
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</affiliation>
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<name sortKey="Sonthalia, Sidharth" sort="Sonthalia, Sidharth" uniqKey="Sonthalia S" first="Sidharth" last="Sonthalia">Sidharth Sonthalia</name>
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<affiliation>
<nlm:aff id="aff0011">
<institution>Dermasource India</institution>
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</author>
<author>
<name sortKey="Vojvodic, Aleksandra" sort="Vojvodic, Aleksandra" uniqKey="Vojvodic A" first="Aleksandra" last="Vojvodic">Aleksandra Vojvodic</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0012">Department of Dermatology and Venereology,
<institution>Military Medical Academy</institution>
,
<addr-line>Belgrade, Serbia</addr-line>
</nlm:aff>
<country xml:lang="fr">Serbie</country>
<wicri:regionArea>Belgrade</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Szepietowski, Jacek" sort="Szepietowski, Jacek" uniqKey="Szepietowski J" first="Jacek" last="Szepietowski">Jacek Szepietowski</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0013">Department of Dermatology, Venereology and Allergology,
<institution>Wroclaw Medical University</institution>
,
<addr-line>Wroclaw, Poland</addr-line>
</nlm:aff>
<country xml:lang="fr">Pologne</country>
<wicri:regionArea>Wroclaw</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Bahadoran, Philippe" sort="Bahadoran, Philippe" uniqKey="Bahadoran P" first="Philippe" last="Bahadoran">Philippe Bahadoran</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0014">Department of Dermatology,
<institution>University Hospital of Nice</institution>
,
<addr-line>Nice, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Nice</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Errichetti, Enzo" sort="Errichetti, Enzo" uniqKey="Errichetti E" first="Enzo" last="Errichetti">Enzo Errichetti</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0015">Department of Experimental and Clinical Medicine,
<institution>Institute of Dermatology, University of Udine</institution>
,
<addr-line>Udine, Italy</addr-line>
</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Udine</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Cantisani, Carmen" sort="Cantisani, Carmen" uniqKey="Cantisani C" first="Carmen" last="Cantisani">Carmen Cantisani</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0016">Department of Dermatology, “Umberto I” Hospital,
<institution>“Sapienza” University of Rome</institution>
,
<addr-line>Rome, Italy</addr-line>
</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Rome</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Atzori, Laura" sort="Atzori, Laura" uniqKey="Atzori L" first="Laura" last="Atzori">Laura Atzori</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0017">Dermatology Clinic, Department Medical Sciences and Public Health,
<institution>University of Cagliari</institution>
,
<addr-line>Cagliari, Italy</addr-line>
</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Cagliari</wicri:regionArea>
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</author>
<author>
<name sortKey="Rezaee, Elham" sort="Rezaee, Elham" uniqKey="Rezaee E" first="Elham" last="Rezaee">Elham Rezaee</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0018">Department of Pharmaceutical Chemistry,
<institution>School of Pharmacy, Shahid Beheshti University of Medical Sciences</institution>
,
<addr-line>Tehran, Iran</addr-line>
</nlm:aff>
<country xml:lang="fr">Iran</country>
<wicri:regionArea>Tehran</wicri:regionArea>
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</author>
<author>
<name sortKey="Kutlubay, Zekayi" sort="Kutlubay, Zekayi" uniqKey="Kutlubay Z" first="Zekayi" last="Kutlubay">Zekayi Kutlubay</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0019">Department of Dermatology, Cerrahpasa Faculty of Medicine,
<institution>University of Istanbul</institution>
,
<addr-line>Istanbul, Turkey</addr-line>
</nlm:aff>
<country xml:lang="fr">Turquie</country>
<wicri:regionArea>Istanbul</wicri:regionArea>
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</author>
<author>
<name sortKey="Engin, Burhan" sort="Engin, Burhan" uniqKey="Engin B" first="Burhan" last="Engin">Burhan Engin</name>
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<nlm:aff id="aff0019">Department of Dermatology, Cerrahpasa Faculty of Medicine,
<institution>University of Istanbul</institution>
,
<addr-line>Istanbul, Turkey</addr-line>
</nlm:aff>
<country xml:lang="fr">Turquie</country>
<wicri:regionArea>Istanbul</wicri:regionArea>
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</author>
<author>
<name sortKey="Nistic, Steven" sort="Nistic, Steven" uniqKey="Nistic S" first="Steven" last="Nistic">Steven Nistic</name>
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<nlm:aff id="aff0020">Department of Health Sciences,
<institution>“Magna Graecia” University of Catanzaro</institution>
,
<addr-line>Catanzaro, Italy</addr-line>
</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Catanzaro</wicri:regionArea>
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</author>
<author>
<name sortKey="Damiani, Giovanni" sort="Damiani, Giovanni" uniqKey="Damiani G" first="Giovanni" last="Damiani">Giovanni Damiani</name>
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<nlm:aff id="aff0021">Department of Medical and Surgical Pathophysiology and Transplantation,
<institution>University of Milan</institution>
, Dermatology Unit, IRCCS Ca’ Granda Foundation, Ospedale Maggiore Policlinico,
<addr-line>Milan, Italy</addr-line>
</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Milan</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="aff0022">
<institution>Young Dermatologists Italian Network (YDIN), Centro Studi GISED</institution>
,
<addr-line>Bergamo, Italy</addr-line>
</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Bergamo</wicri:regionArea>
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</author>
<author>
<name sortKey="Conic, Rosalynn R Z" sort="Conic, Rosalynn R Z" uniqKey="Conic R" first="Rosalynn R. Z." last="Conic">Rosalynn R. Z. Conic</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0023">Department of Dermatology,
<institution>Case Western Reserve University</institution>
, Cleveland,
<addr-line>OH, USA</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>OH</wicri:regionArea>
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<author>
<name sortKey="Goren, Andy" sort="Goren, Andy" uniqKey="Goren A" first="Andy" last="Goren">Andy Goren</name>
<affiliation wicri:level="1">
<nlm:aff id="aff007">Department of Dermatology,
<institution>“Guglielmo Marconi” University</institution>
,
<addr-line>Rome, Italy</addr-line>
</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Rome</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey=" Abrijan, Leo" sort=" Abrijan, Leo" uniqKey=" Abrijan L" first="Leo" last=" Abrijan">Leo Abrijan</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0024">Department of Dermatovenereology,
<institution>Rijeka Clinical Hospital Center</institution>
,
<addr-line>Rijeka, Croatia</addr-line>
</nlm:aff>
<country xml:lang="fr">Croatie</country>
<wicri:regionArea>Rijeka</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Tchernev, Georgi" sort="Tchernev, Georgi" uniqKey="Tchernev G" first="Georgi" last="Tchernev">Georgi Tchernev</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0025">
<institution>Medical Institute of Ministry of Interior (MVR)</institution>
, Department of Dermatology, Venereology and Dermatologic Surgery,
<addr-line>Sofia, Bulgaria</addr-line>
</nlm:aff>
<country xml:lang="fr">Bulgarie</country>
<wicri:regionArea>Sofia</wicri:regionArea>
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</analytic>
<series>
<title level="j">Dermatology Reports</title>
<idno type="ISSN">2036-7392</idno>
<idno type="eISSN">2036-7406</idno>
<imprint>
<date when="2019">2019</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>Methotrexate (MTX) is a systemic immunosuppressant drug used for the treatment of psoriasis and psoriatic arthritis. Previous studies demonstrated a potential association between psoriasis and diabetes mellitus, obesity, atherosclerosis, hypertension, eventuating into metabolic syndrome. This study aimed at exploring the glycemic effects of MTX in psoriatic arthritis (PsA) patients. In this prospective cross-sectional study, 27 patients with PsA were evaluated. The status of PsA and presence of accompanying metabolic syndrome was determined by standard criteria and indices. Blood indicators including HbA1c, erythrocyte sedimentation rate, fasting blood sugar, total cholesterol, high-density lipoprotein, triglycerides, and C-reactive protein were examined before and 12 weeks after MTX therapy. There were no significant changes between HbA1c levels before and after MTX therapy in both genders (men: P=0.131, women: P=0.803). In addition, HbA1c levels in PsA patients with metabolic syndrome were not different before and after treatment (P=0.250). Finally, HbA1c levels did not change in PsA patients without metabolic syndrome before and after therapy (P=0.506). MTX in PsA patients does not appear to have hyperglycaemic effects in the short-term and can be safely used in patients with metabolic syndrome and diabetes.</p>
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</front>
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