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  1. Artikel ; Online: Serum osteoprotegerin and its gene polymorphisms in patients with Takayasu's arteritis: a bicentric cross-sectional study.

    Cendon Duran, Camila da Silva / de Falco Caparbo, Valéria / Santiago, Mittermayer Barreto / Hounkpe, Bidossessi Wilfried / Pedreira, Ana Luisa Souza / de Souza Lima, Isabella Vargas / Giardini, Henrique Ayres Mayrink / Bonoldi, Virgínia Lucia Nazario / Domiciano, Diogo Souza / Shinjo, Samuel Katsuyuki / Pereira, Rosa Maria R

    Advances in rheumatology (London, England)

    2024  Band 64, Heft 1, Seite(n) 43

    Abstract: Introduction: Takayasu's arteritis (TAK) patients are at an elevated risk of metabolic syndrome and cardiovascular diseases (CVD). Currently, there are no well-validated biomarkers to assess this risk in this population. Previous research in different ... ...

    Abstract Introduction: Takayasu's arteritis (TAK) patients are at an elevated risk of metabolic syndrome and cardiovascular diseases (CVD). Currently, there are no well-validated biomarkers to assess this risk in this population. Previous research in different cohorts has linked serum levels of osteoprotegerin (OPG) and its polymorphisms to accelerated atherosclerosis and a marker of poor prognosis in CVD. Thus, we assessed this protein as a potential biomarker of CVD in TAK patients.
    Objectives: To evaluate the serum levels of OPG and its SNPs (single nucleotide polymorphisms) in TAK patients and healthy controls, and to associate these parameters with clinical data.
    Methods: This bicentric cross-sectional study included TAK patients who were compared with healthy individuals (control group). The serum levels of OPG and the frequency of OPG SNPs [1181G > C (rs2073618), 245 A > C (rs3134069), 163T > C (rs3102735), and 209 C > T (rs3134070)] were compared between the both groups and associated with clinical data.
    Results: In total, 101 TAK patients and 93 controls were included in the study. The serum levels of OPG (3.8 ± 1.9 vs. 4.3 ± 1.8pmol/L, respectively; P = 0.059), and its four polymorphisms were comparable between both groups. In an additional analysis of only TAK patients, serum OPG levels and its four genes were not associated with any CVD parameters, except for higher OPG levels among patients without dyslipidemia.
    Conclusion: No significant differences were observed in serum OPG levels or in the genotype frequencies of OPG SNPs between the patient and control groups. Similarly, no correlation was found between laboratory parameters and clinical data on CVD risk in TAK patients.
    Mesh-Begriff(e) Humans ; Takayasu Arteritis/genetics ; Takayasu Arteritis/blood ; Osteoprotegerin/blood ; Osteoprotegerin/genetics ; Cross-Sectional Studies ; Polymorphism, Single Nucleotide ; Female ; Male ; Adult ; Case-Control Studies ; Biomarkers/blood ; Middle Aged
    Chemische Substanzen Osteoprotegerin ; Biomarkers ; TNFRSF11B protein, human
    Sprache Englisch
    Erscheinungsdatum 2024-05-28
    Erscheinungsland England
    Dokumenttyp Journal Article ; Multicenter Study
    ISSN 2523-3106
    ISSN (online) 2523-3106
    DOI 10.1186/s42358-024-00384-w
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Biological therapy in rheumatoid vasculitis: a systematic review.

    de Cerqueira, Débora Patrícia Alves / Pedreira, Ana Luisa Souza / de Cerqueira, Marcelo Gomes / Santiago, Mittermayer Barreto

    Clinical rheumatology

    2020  Band 40, Heft 5, Seite(n) 1717–1724

    Abstract: Rheumatoid vasculitis (RV) is one of the most severe extra-articular manifestations of rheumatoid arthritis, with significant morbidity and mortality, requiring aggressive treatment with corticosteroids and/or immunosuppressants. Recently, biological ... ...

    Abstract Rheumatoid vasculitis (RV) is one of the most severe extra-articular manifestations of rheumatoid arthritis, with significant morbidity and mortality, requiring aggressive treatment with corticosteroids and/or immunosuppressants. Recently, biological drugs were included in its therapeutic armamentarium. The objective of this study was to perform a systematic review on the use of biological drugs in the treatment of RV. A systematic literature review was performed based on PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) recommendations and searching articles in MEDLINE/PubMed, Cochrane, SciELO, Scopus, and Virtual Health Library electronic databases. Secondary references were also evaluated. The methodological quality of the selected studies was evaluated by the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) criteria. Altogether, five articles, assessing the use of biological drugs, were included. Globally, 35 patients participated in the studies, of which 21 were treated with rituximab (RTX) in cycles of 1000 mg every 2 weeks; 9 used infliximab 5 mg/kg; 3 used infliximab 3 mg/kg; and 2 used etanercept 25 mg twice/week. In general, an improvement in clinical picture, reduction of the mean daily dose of corticosteroids, and improvement in the Birmingham Vasculitis Activity Score was achieved by the end of the treatment. Complete remission occurred in almost 70% of the cases. The adverse effect rate was 34%, mainly due to infections. There were two deaths, one due to sepsis and the other due to uncontrolled vasculitis, after the biological drug withdrawal, following the development of sepsis. Based on the results of the present review, we believe that the use of biological therapy such as RTX and anti-tumor necrosis factor α can be beneficial in treating this complication.
    Mesh-Begriff(e) Adalimumab ; Antibodies, Monoclonal/therapeutic use ; Antirheumatic Agents/therapeutic use ; Biological Therapy ; Etanercept/therapeutic use ; Humans ; Infliximab/therapeutic use ; Rheumatoid Vasculitis/drug therapy
    Chemische Substanzen Antibodies, Monoclonal ; Antirheumatic Agents ; Infliximab (B72HH48FLU) ; Adalimumab (FYS6T7F842) ; Etanercept (OP401G7OJC)
    Sprache Englisch
    Erscheinungsdatum 2020-10-14
    Erscheinungsland Germany
    Dokumenttyp Journal Article ; Systematic Review
    ZDB-ID 604755-5
    ISSN 1434-9949 ; 0770-3198
    ISSN (online) 1434-9949
    ISSN 0770-3198
    DOI 10.1007/s10067-020-05459-9
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Prevalence of subclinical systolic dysfunction in Takayasu's arteritis and its association with disease activity: a cross-sectional study.

    de Lourdes Castro de Oliveira Figueirôa, Maria / Costa, Maria Carolina Moura / Costa, Maria Clara Moura / Lobo, Paulo Rocha / Sanches, Leonardo Vinicius / Martins, Kátia Maria Alves / Sousa, Anna Paula Mota Duque / Pedreira, Ana Luisa Souza / Barreto Santiago, Mittermayer

    Advances in rheumatology (London, England)

    2023  Band 63, Heft 1, Seite(n) 41

    Abstract: Background: Takayasu's arteritis (TA) is a vasculitis that affects the aorta and its branches and causes stenosis, occlusion, and aneurysms. Up to 60% of TA patients are associated with cardiac involvement which confers a poor prognosis. Global ... ...

    Abstract Background: Takayasu's arteritis (TA) is a vasculitis that affects the aorta and its branches and causes stenosis, occlusion, and aneurysms. Up to 60% of TA patients are associated with cardiac involvement which confers a poor prognosis. Global longitudinal strain (GLS) analysis is an echocardiographic technique that can detect the presence of subclinical systolic dysfunction. Hence, this study aimed to describe the prevalence of subclinical systolic dysfunction in patients with TA using the GLS method and to correlate this finding with disease activity using the ITAS-2010 (Indian Takayasu Activity Score).
    Methods: Thirty patients over 18 years of age who met the American College of Rheumatology (ACR) 1990 criteria for TA were included. The sample was submitted for medical record review, clinical and echocardiographic evaluation, and application of ITAS-2010. The cutoff for systolic dysfunction was GLS > - 20%.
    Results: Of the 30 patients analyzed, 25 (83.3%) were female, and the mean age was 42.6 years (± 13.2). The median time since diagnosis was 7.5 years [range, 3-16.6 years], and the type V angiographic classification was the most prevalent (56.7%). Regarding echocardiographic findings, the median ejection fraction (EF) was 66% [61-71%] and the GLS was - 19.5% [-21.3 to -15.8%]. Although half of the participants had reduced GLS, only two had reduced EF. Eleven patients (33.%) met the criteria for activity. An association was found between disease activity and reduced GLS in eight patients (P = 0.02) using the chi-square test.
    Conclusion: GLS seems to be an instrument capable of the early detection of systolic dysfunction in TA. The association between GLS and disease activity in this study should be confirmed in a study with a larger sample size.
    Mesh-Begriff(e) Humans ; Female ; Adolescent ; Adult ; Male ; Takayasu Arteritis/diagnostic imaging ; Takayasu Arteritis/epidemiology ; Cross-Sectional Studies ; Prevalence ; Constriction, Pathologic ; Echocardiography
    Sprache Englisch
    Erscheinungsdatum 2023-08-18
    Erscheinungsland England
    Dokumenttyp Journal Article ; Review
    ISSN 2523-3106
    ISSN (online) 2523-3106
    DOI 10.1186/s42358-023-00322-2
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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