抗MCV抗体与RANKL、OPG、TRACP-5b及RA疾病活动度的相关性研究
Correlation between anti-MCV antibodies and RANKL, OPG, TRACP-5b, and RA disease activity
  
DOI:10.3969/j.issn.1006-7108.2021.05.018
中文关键词:  类风湿关节炎  抗突变型瓜氨酸波形蛋白  核因子κB受体活化因子配体  骨保护素  抗酒石酸酸性磷酸酶5b
英文关键词:rheumatoid arthritis  anti-mutant citrullin vimentin  nuclear factor kappa B receptor activating factor ligand  osteoprotegerin  tartrate-resistant acid phosphatase 5b
基金项目:湖南省自然科学基金(青年基金)项目(2017JJ3532)
作者单位
邓皓莹 文振华 凌青 李敬扬* 中南大学湘雅医学院附属株洲医院风湿免疫科湖南 株洲 412007 
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中文摘要:
      目的 探索类风湿关节炎(rheumatoid arthritis,RA)患者抗突变型瓜氨酸波形蛋白(mutant citrulline vimentin,MCV)抗体与骨代谢标志物及疾病活动度之间的关系。方法 收集119例RA患者临床资料和血清,检测抗MCV抗体及RANKL、OPG和TRACP-5b等骨代谢标志物,分析抗MCV抗体与骨代谢标志物之间的相关性,并探索抗MCV抗体与疾病活动是否有关联。结果 ①RA患者抗MCV抗体滴度与RANKL、TRACP-5b水平及RANKL/OPG均无显著相关性(P>0.05),与OPG呈正相关但相关系数低(r=0.183,P<0.05)。②抗MCV抗体与DAS28(r=0.376,P<0.01)、ESR(r=0.440,P<0.01)、RF-IgM(r=0.376,P<0.01)呈正相关。结论 抗MCV抗体与血清中骨代谢相关标志物TRACP-5b、RANKL、OPG、RANKL/OPG均无显著相关性,提示抗MCV抗体可能不直接通过影响骨代谢参与RA骨侵蚀进展。抗MCV抗体与疾病活动度呈正相关,提示它对RA病情评估可能有一定的价值。
英文摘要:
      Objective To explore the relationship among anti-mutant citrulline vimentin (MCV) antibody, bone metabolic markers, and disease activity in patients with rheumatoid arthritis (RA). Methods The clinical data and serum of 119 RA patients were collected. Anti-MCV antibody and bone metabolism markers such as RANKL, OPG, and TRACP-5b were detected. The correlation between anti-MCV antibody and bone metabolism markers was analyzed, and the relationship between anti-MCV antibody and disease activity was explored. Results 1) There was no significant correlation between the titer of anti-MCV antibody and the levels of RANKL, TRACP-5b, and RANKL/OPG in RA patients (P>0.05). The correlation between titer of anti-MCV antibody and OPG was positive but with low correlation coefficient (r=0.183, P<0.05). 2) Anti-MCV antibody was positively correlated with DAS28 (r=0.376, P<0.01), ESR (r=0.440, P<0.01), and RF IgM (r=0.376, P<0.01). Conclusion There is no significant correlation between anti MCV antibody and serum markers of bone metabolism, such as TRACP-5b, RANKL, OPG, and RANKL/OPG, suggesting that anti-MCV antibody may not directly participate in the development of RA bone erosion by influencing bone metabolism. There is a positive correlation between anti-MCV antibody and disease activity, suggesting that it may have some value in the evaluation of RA.
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