| Effect of 1-year anti-TNF-α therapy on aortic stiffness, carotid atherosclerosis, and calprotectin in inflammatory arthropathies: a controlled study. | |
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MedLine Citation:
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PMID: 22378036 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Premature arterial stiffening and atherosclerosis are increased in patients with inflammatory arthropathies such as rheumatoid arthritis (RA), ankylosing spondylitis (AS) and psoriatic arthritis (PsA). The proinflammatory protein calprotectin is associated with inflammatory arthropathies, vascular pathology, and acute coronary events. We examined the long-term effects of treatment with tumor necrosis factor (TNF)-α antagonists on aortic stiffness and carotid intima media thickness (CIMT) in patients with inflammatory arthropathies, and the relationships to the levels of calprotectin. METHODS: Fifty-five patients with RA, AS, or PsA and a clinical indication for anti-TNF-α therapy were included and followed with regular examinations for 1 year. Thirty-six patients starting with anti-TNF-α therapy were compared with a nontreatment group of 19 patients. Examinations included assessments of aortic stiffness (aortic pulse wave velocity, aPWV), CIMT, and plasma calprotectin. RESULTS: After 1 year, aPWV (mean (s.d.)) was improved in the treatment group, but not in the control group (-0.54 [0.79] m/s vs. 0.06 [0.61] m/s, respectively; P = 0.004), and CIMT progression (median (quartile cut-points, 25th and 75th percentiles)) was reduced in the treatment group compared to the control group (-0.002 [-0.038, 0.030] mm vs. 0.030 [0.011, 0.043] mm, respectively; P = 0.01). In multivariable analyses, anti-TNF-α therapy over time was associated with improved aPWV (P = 0.02) and reduced CIMT progression (P = 0.04), and calprotectin was longitudinally associated with aPWV (P = 0.02). CONCLUSIONS: Long-term anti-TNF-α therapy improved aortic stiffness and CIMT progression in patients with inflammatory arthropathies. Calprotectin may be a soluble biomarker reflecting aortic stiffening in these patients. |
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Authors:
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Kristin Angel; Sella A Provan; Magne K Fagerhol; Petter Mowinckel; Tore K Kvien; Dan Atar |
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Publication Detail:
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Type: Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't Date: 2012-03-01 |
Journal Detail:
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Title: American journal of hypertension Volume: 25 ISSN: 1941-7225 ISO Abbreviation: Am. J. Hypertens. Publication Date: 2012 Jun |
Date Detail:
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Created Date: 2012-05-17 Completed Date: 2012-10-23 Revised Date: 2013-06-05 |
Medline Journal Info:
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Nlm Unique ID: 8803676 Medline TA: Am J Hypertens Country: United States |
Other Details:
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Languages: eng Pagination: 644-50 Citation Subset: IM |
Affiliation:
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Department of Cardiology B, Oslo University Hospital Ullevaal, Oslo, Norway. kristin.angel@medisin.uio.no |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Antirheumatic Agents / pharmacology, therapeutic use* Arthritis, Psoriatic / drug therapy*, physiopathology Arthritis, Rheumatoid / drug therapy*, physiopathology Blood Pressure / drug effects, physiology Carotid Artery Diseases / drug therapy*, physiopathology Carotid Intima-Media Thickness Disease Progression Female Humans Leukocyte L1 Antigen Complex / blood, drug effects, physiology* Longitudinal Studies Male Middle Aged Prospective Studies Spondylitis, Ankylosing / drug therapy*, physiopathology Treatment Outcome Tumor Necrosis Factor-alpha / antagonists & inhibitors* Vascular Stiffness / drug effects, physiology* |
| Chemical | |
Reg. No./Substance:
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0/Antirheumatic Agents; 0/Leukocyte L1 Antigen Complex; 0/Tumor Necrosis Factor-alpha |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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