Patients with early rheumatoid arthritis exhibit elevated autoantibody titers against mildly oxidized low-density lipoprotein and exhibit decreased activity of the lipoprotein-associated phospholipase A2
2007

Elevated Autoantibody Levels and Low Lp-PLA2 Activity in Early Rheumatoid Arthritis

Sample size: 121 publication 10 minutes Evidence: moderate

Author Information

Author(s): Lourida Evangelia S, Georgiadis Athanasios N, Papavasiliou Eleni C, Papathanasiou Athanasios I, Drosos Alexandros A, Tselepis Alexandros D

Primary Institution: University of Ioannina

Hypothesis

Patients with early rheumatoid arthritis exhibit elevated autoantibody titers against mildly oxidized low-density lipoprotein and decreased activity of lipoprotein-associated phospholipase A2.

Conclusion

Patients with early rheumatoid arthritis show low plasma Lp-PLA2 activity and elevated autoantibody titers against mildly oxidized LDL, indicating their potential role in the disease's pathophysiology.

Supporting Evidence

  • ERA patients exhibited elevated autoantibody titers against all types of mildly oxidized LDL compared to controls.
  • One year of therapy with DMARDs resulted in a significant decrease in autoantibody titers against all types of oxLDL.
  • Low plasma Lp-PLA2 activity is independently associated with early rheumatoid arthritis.

Takeaway

People with early rheumatoid arthritis have higher levels of certain antibodies and lower enzyme activity that could affect their heart health.

Methodology

The study involved 58 patients with early rheumatoid arthritis and 63 healthy controls, measuring autoantibody titers and Lp-PLA2 activity using ELISA and other biochemical methods.

Limitations

The study's findings need to be confirmed in larger clinical trials.

Participant Demographics

58 patients with early rheumatoid arthritis (14 men, 44 women) and 63 healthy volunteers.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/ar2129

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