Antibodies to mutated citrullinated vimentin and disease activity score in early arthritis: a cohort study
2008

Study on Anti-MCV Antibodies and Arthritis Activity

Sample size: 162 publication Evidence: low

Author Information

Author(s): Ursum Jennie, Nielen Markus MJ, van Schaardenburg Dirkjan, van der Horst Ann R, van de Stadt Rob J, Dijkmans Ben AC, Hamann Dörte

Primary Institution: Jan van Breemen Institute

Hypothesis

The study aimed to investigate the association between arthritic disease activity and antibodies to mutated citrullinated vimentin (anti-MCV).

Conclusion

The correlation between anti-MCV levels and parameters of disease activity was very low, indicating that monitoring disease activity with anti-MCV levels is not useful.

Supporting Evidence

  • Anti-MCV levels and DAS28 exhibited a significant decrease during the first and second year.
  • Anti-MCV had a specificity of 92.3% and a sensitivity of 59.3%.
  • Anti-MCV-positive patients had higher disease activity scores at 2 years of follow up.

Takeaway

The study looked at how a specific antibody relates to arthritis activity, and found that it doesn't really help doctors track how active the disease is.

Methodology

Anti-MCV levels were measured in patients with early arthritis at baseline and at 1 and 2 years of follow up, while disease activity was assessed using the Disease Activity Score based on 28 joints (DAS28).

Limitations

The study did not find a substantial association between anti-MCV levels and disease activity, suggesting limitations in using anti-MCV for monitoring.

Participant Demographics

162 patients with early arthritis, including 123 with rheumatoid arthritis and 39 with undifferentiated arthritis.

Statistical Information

P-Value

p<0.0001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/ar2362

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