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Type IV collagen metabolism is associated with disease activity, radiographic progression and response to tocilizumab in rheumatoid arthritis.

Identifieur interne : 001C60 ( PubMed/Checkpoint ); précédent : 001C59; suivant : 001C61

Type IV collagen metabolism is associated with disease activity, radiographic progression and response to tocilizumab in rheumatoid arthritis.

Auteurs : Natasja St Hr Gudmann [Danemark] ; Peter Junker [Danemark] ; Pernille Juhl [Danemark] ; Christian Schneider Thudium [Danemark] ; Anne Sofie Siebuhr [Danemark] ; Inger Byrjalsen [Danemark] ; Morten Asser Karsdal [Danemark] ; Anne Christine Bay-Jensen [Danemark]

Source :

RBID : pubmed:29745884

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English descriptors

Abstract

The expanding spectrum of targeted therapies for rheumatoid arthritis (RA) implies a need for development of precision tools for disease assessment reflecting pathobiologic processes. Type IV collagen is an abundant protein of basement membranes, but is also present in the intercellular matrix of the synovial lining layer. We aimed to investigate the association of type IV collagen turnover with RA disease activity, response to IL-6 inhibition and radiographic progression.

PubMed: 29745884


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pubmed:29745884

Le document en format XML

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<term>Antirheumatic Agents (therapeutic use)</term>
<term>Arthritis, Rheumatoid (blood)</term>
<term>Arthritis, Rheumatoid (diagnostic imaging)</term>
<term>Arthritis, Rheumatoid (drug therapy)</term>
<term>Biomarkers (blood)</term>
<term>Collagen Type IV (blood)</term>
<term>Double-Blind Method</term>
<term>Drug Therapy, Combination</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Methotrexate (therapeutic use)</term>
<term>Middle Aged</term>
<term>Severity of Illness Index</term>
<term>Synovial Membrane (diagnostic imaging)</term>
<term>Synovial Membrane (drug effects)</term>
<term>Synovial Membrane (metabolism)</term>
<term>Treatment Outcome</term>
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<term>Adulte d'âge moyen</term>
<term>Anticorps monoclonaux humanisés (usage thérapeutique)</term>
<term>Antirhumatismaux (usage thérapeutique)</term>
<term>Association de médicaments</term>
<term>Collagène de type IV (sang)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Marqueurs biologiques (sang)</term>
<term>Membrane synoviale ()</term>
<term>Membrane synoviale (imagerie diagnostique)</term>
<term>Membrane synoviale (métabolisme)</term>
<term>Mâle</term>
<term>Méthode en double aveugle</term>
<term>Méthotrexate (usage thérapeutique)</term>
<term>Polyarthrite rhumatoïde (imagerie diagnostique)</term>
<term>Polyarthrite rhumatoïde (sang)</term>
<term>Polyarthrite rhumatoïde (traitement médicamenteux)</term>
<term>Résultat thérapeutique</term>
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<term>Biomarkers</term>
<term>Collagen Type IV</term>
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<term>Antibodies, Monoclonal, Humanized</term>
<term>Antirheumatic Agents</term>
<term>Methotrexate</term>
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<term>Arthritis, Rheumatoid</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Arthritis, Rheumatoid</term>
<term>Synovial Membrane</term>
</keywords>
<keywords scheme="MESH" qualifier="drug effects" xml:lang="en">
<term>Synovial Membrane</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Arthritis, Rheumatoid</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Membrane synoviale</term>
<term>Polyarthrite rhumatoïde</term>
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<keywords scheme="MESH" qualifier="metabolism" xml:lang="en">
<term>Synovial Membrane</term>
</keywords>
<keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr">
<term>Membrane synoviale</term>
</keywords>
<keywords scheme="MESH" qualifier="sang" xml:lang="fr">
<term>Collagène de type IV</term>
<term>Marqueurs biologiques</term>
<term>Polyarthrite rhumatoïde</term>
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<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr">
<term>Polyarthrite rhumatoïde</term>
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<term>Anticorps monoclonaux humanisés</term>
<term>Antirhumatismaux</term>
<term>Méthotrexate</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Double-Blind Method</term>
<term>Drug Therapy, Combination</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Severity of Illness Index</term>
<term>Treatment Outcome</term>
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<term>Adulte d'âge moyen</term>
<term>Association de médicaments</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Membrane synoviale</term>
<term>Mâle</term>
<term>Méthode en double aveugle</term>
<term>Résultat thérapeutique</term>
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<div type="abstract" xml:lang="en">The expanding spectrum of targeted therapies for rheumatoid arthritis (RA) implies a need for development of precision tools for disease assessment reflecting pathobiologic processes. Type IV collagen is an abundant protein of basement membranes, but is also present in the intercellular matrix of the synovial lining layer. We aimed to investigate the association of type IV collagen turnover with RA disease activity, response to IL-6 inhibition and radiographic progression.</div>
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<Month>01</Month>
<Day>07</Day>
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<Year>2019</Year>
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<Title>Clinical and experimental rheumatology</Title>
<ISOAbbreviation>Clin. Exp. Rheumatol.</ISOAbbreviation>
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<ArticleTitle>Type IV collagen metabolism is associated with disease activity, radiographic progression and response to tocilizumab in rheumatoid arthritis.</ArticleTitle>
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<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">The expanding spectrum of targeted therapies for rheumatoid arthritis (RA) implies a need for development of precision tools for disease assessment reflecting pathobiologic processes. Type IV collagen is an abundant protein of basement membranes, but is also present in the intercellular matrix of the synovial lining layer. We aimed to investigate the association of type IV collagen turnover with RA disease activity, response to IL-6 inhibition and radiographic progression.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">C4M, a serologic marker of type IV collagen metabolism, was measured at baseline and at follow-up in serum samples of RA patients participating in the phase III studies LITHE (n=687) and RADIATE (n=217). Both were double-blinded, placebo-controlled clinical trials testing the safety and efficacy of 4 and 8 mg/kg tocilizumab (TCZ) in combination with methotrexate (MTX) vs. MTX plus placebo. Associations with disease activity, radiographic severity and ACR response were investigated.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Baseline C4M correlated significantly with clinical disease parameters in both study populations, including DAS28, HAQ score and VASpain (all p<0.00001). C4M at baseline correlated significantly with change in JSN (p=0.001) and Sharp score (p=0.00002) at 52 weeks. TCZ lowered C4M by 11-40% in a dose dependent manner. The likelihood of achieving an ACR20 response by week 16 was associated with C4M suppression exceeding the median decrease at week 4 (p<0.0001).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Type IV collagen remodelling was associated with disease activity and radiographic progression in RA and was persistently and dose-dependently suppressed by TCZ. These findings indicate that C4M may serve as a plausible biologic marker of destructive synovitis growth in RA.</AbstractText>
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<Year>2018</Year>
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