Decreased levels of the gelsolin plasma isoform in patients with rheumatoid arthritis
2008

Decreased Gelsolin Levels in Rheumatoid Arthritis Patients

Sample size: 78 publication 10 minutes Evidence: moderate

Author Information

Author(s): Teresia M. Osborn, Margareta Verdrengh, Thomas P. Stossel, Andrej Tarkowski, Maria Bokarewa

Primary Institution: University of Gothenburg

Hypothesis

Plasma gelsolin levels are reduced in patients with rheumatoid arthritis compared to healthy controls.

Conclusion

Patients with rheumatoid arthritis have significantly lower levels of plasma gelsolin compared to healthy individuals.

Supporting Evidence

  • Circulating plasma gelsolin levels were significantly lower in patients with rheumatoid arthritis compared with healthy controls.
  • Patients' intra-articular plasma gelsolin levels were also significantly lower than in paired plasma samples.
  • Actin was detected in the synovial fluids of all but four of the patients.

Takeaway

People with rheumatoid arthritis have less of a protein called gelsolin in their blood, which might help explain some of their symptoms.

Methodology

Plasma gelsolin levels were measured in 78 rheumatoid arthritis patients and compared with 62 healthy controls using a functional assay.

Limitations

The study does not definitively rule out the possibility of decreased production or enzymatic degradation of gelsolin.

Participant Demographics

Patients included 47 with erosive RA and 31 with non-erosive RA, with a mean age of 61.2 years for erosive and 54.2 years for non-erosive.

Statistical Information

P-Value

0.0002

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/ar2520

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