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

Identifieur interne : 000771 ( PubMed/Corpus ); précédent : 000770; suivant : 000772

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

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

Source :

RBID : pubmed:29745884

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

Links to Exploration step

pubmed:29745884

Le document en format XML

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<name sortKey="Junker, Peter" sort="Junker, Peter" uniqKey="Junker P" first="Peter" last="Junker">Peter Junker</name>
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<name sortKey="Juhl, Pernille" sort="Juhl, Pernille" uniqKey="Juhl P" first="Pernille" last="Juhl">Pernille Juhl</name>
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<name sortKey="Siebuhr, Anne Sofie" sort="Siebuhr, Anne Sofie" uniqKey="Siebuhr A" first="Anne Sofie" last="Siebuhr">Anne Sofie Siebuhr</name>
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<name sortKey="Byrjalsen, Inger" sort="Byrjalsen, Inger" uniqKey="Byrjalsen I" first="Inger" last="Byrjalsen">Inger Byrjalsen</name>
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<name sortKey="Bay Jensen, Anne Christine" sort="Bay Jensen, Anne Christine" uniqKey="Bay Jensen A" first="Anne Christine" last="Bay-Jensen">Anne Christine Bay-Jensen</name>
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<term>Antibodies, Monoclonal, Humanized (therapeutic use)</term>
<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>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en">
<term>Biomarkers</term>
<term>Collagen Type IV</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Antibodies, Monoclonal, Humanized</term>
<term>Antirheumatic Agents</term>
<term>Methotrexate</term>
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<keywords scheme="MESH" qualifier="blood" xml:lang="en">
<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="metabolism" xml:lang="en">
<term>Synovial Membrane</term>
</keywords>
<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>
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<front>
<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>
</front>
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<PMID Version="1">29745884</PMID>
<DateCompleted>
<Year>2019</Year>
<Month>01</Month>
<Day>07</Day>
</DateCompleted>
<DateRevised>
<Year>2019</Year>
<Month>01</Month>
<Day>07</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Print">0392-856X</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>36</Volume>
<Issue>5</Issue>
<PubDate>
<MedlineDate>2018 Sep-Oct</MedlineDate>
</PubDate>
</JournalIssue>
<Title>Clinical and experimental rheumatology</Title>
<ISOAbbreviation>Clin. Exp. Rheumatol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Type IV collagen metabolism is associated with disease activity, radiographic progression and response to tocilizumab in rheumatoid arthritis.</ArticleTitle>
<Pagination>
<MedlinePgn>829-835</MedlinePgn>
</Pagination>
<Abstract>
<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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