Nonlinear association between platelet to albumin ratio and disease activity in patients with early rheumatoid arthritis DOI Creative Commons
Lina Leng,

Jingfang Shen,

Lianju Li

et al.

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: Nov. 7, 2024

The relationship between the platelet to albumin ratio (PAR) and disease activity of early rheumatoid arthritis (ERA) remains be elucidated. This cross-sectional study included 372 patients with ERA who were hospitalized at Xingtai People's Hospital January 2022 2024. Multiple linear regression analysis was employed assess correlation PAR Disease Activity Score 28 (DAS28) using erythrocyte sedimentation rate (ESR) C-reactive protein (CRP), then generalized additive models used explore their relationship. After accounting for confounding variables, a positive observed DAS28-ESR DAS28-CRP in (β (95% CI): 0.20 (0.08, 0.32) 0.33), respectively), general trends consistent from lowest tertile group (T1) highest (T3). Furthermore, nonlinear identified both DAS28-CRP. Threshold effect indicated that value 13.73 significant inflection point. In brief, has threshold on ERA. Increased levels independently associated among < 13.73.

Language: Английский

The Role of Pharmacometrics in Advancing the Therapies for Autoimmune Diseases DOI Creative Commons
Artur Świerczek,

Dominika Batko,

Elżbieta Wyska

et al.

Pharmaceutics, Journal Year: 2024, Volume and Issue: 16(12), P. 1559 - 1559

Published: Dec. 5, 2024

Autoimmune diseases (AIDs) are a group of disorders in which the immune system attacks body’s own tissues, leading to chronic inflammation and organ damage. These difficult treat due variability drug PK among individuals, patient responses treatment, side effects long-term immunosuppressive therapies. In recent years, pharmacometrics has emerged as critical tool discovery development (DDD) precision medicine. The aim this review is explore diverse roles that played addressing challenges associated with DDD personalized therapies treatment AIDs. Methods: This synthesizes research from past two decades on pharmacometric methodologies, including Physiologically Based Pharmacokinetic (PBPK) modeling, Pharmacokinetic/Pharmacodynamic (PK/PD) disease progression (DisP) population model-based meta-analysis (MBMA), Quantitative Systems Pharmacology (QSP). incorporation artificial intelligence (AI) machine learning (ML) into also discussed. Results: Pharmacometrics demonstrated significant potential optimizing dosing regimens, improving safety, predicting patient-specific PBPK PK/PD models have been instrumental personalizing treatments, while DisP QSP provide insights evolution pathophysiological mechanisms AI/ML implementation further enhanced these models. Conclusions: plays crucial role bridging pre-clinical findings clinical applications, driving more effective treatments for Its integration translational science, combination AI ML algorithms, holds promise advancing therapeutic strategies autoimmune patients’ outcomes.

Language: Английский

Citations

0

Effects of Aerobic and Resistance Exercises on Sleep Quality and Fatigue in Women With Rheumatoid Arthritis: A Randomized Controlled Comparative Trial DOI
Saher Lotfy Elgayar, Tarek M. Youssef

Women in Sport and Physical Activity Journal, Journal Year: 2024, Volume and Issue: 32(1)

Published: Jan. 1, 2024

This trial sought to compare the effects of aerobic and resistance exercises on sleep quality, fatigue, depression, exercise capacity, quality life among women with rheumatoid arthritis. Seventy-eight arthritis were randomly allocated into three equalized groups: training (AT), (RT), nonexercising control group. For 12 weeks, conducted times a week at moderate intensities. Outcome measures included Pittsburgh Sleep Quality Index for Bristol Rheumatoid Arthritis Fatigue Multi-Dimensional Questionnaire Beck Depression Inventory II time exhaustion 12-Item Short Form Health Survey components physical component score mental life. Comparatively baseline group no exercises, AT RT groups exhibited substantial improvements in all outcomes by completion ( p < .05). In addition, notable variations found between regarding Index, Questionnaire, II, score, > The group, however, revealed greater significant increases than (53.19% vs. 15.44%, = .001). All outcome indicators showed statistically changes arthritis, could be similarly beneficial as improving Nevertheless, have gains capacity such women.

Language: Английский

Citations

0

Visnagin alleviates rheumatoid arthritis via its potential inhibitory impact on malate dehydrogenase enzyme: in silico, in vitro, and in vivo studies DOI Creative Commons
Abeer A. Khamis,

Amira H. Sharshar,

Tarek M. Mohamed

et al.

Genes & Nutrition, Journal Year: 2024, Volume and Issue: 19(1)

Published: Oct. 10, 2024

Rheumatoid arthritis (RA) is a chronic inflammatory autoimmune disorder. The present study aimed to evaluate the in silico, vitro, and vivo inhibitory effect of visnagin on malate dehydrogenase activity elucidate its efficacy when combined with methotrexate RA rat model. molecular docking, ADMET simulations, MDH activity, expression, X-ray imaging were detected. Moreover, CRP, RF, (anti-CCP) antibody, (TNF-α), (IL-6), (IL-17), (IL-10) evaluated. expression levels MMP3 FOXP3 genes CD4, CD25, CD127 protein assessed. Histological assessment ankle joints was results revealed that showed reversible competitive inhibition constant (Ki) equal 141 mM theoretical IC50 1202.7 mM, LD50 155.39 mg/kg, LD25 77.69 mg/kg. In studies indicated exhibited anti-inflammatory effects through decreasing MDH1 induced proliferation CD4

Language: Английский

Citations

0

Classical proinflammatory cytokines in patients with rheumatoid arthritis: immunologic and clinical relationships DOI Creative Commons
N. A. Lapkina, А. А. Баранов, A. S. Shutov

et al.

Patient-Oriented Medicine and Pharmacy, Journal Year: 2024, Volume and Issue: 2(3), P. 13 - 20

Published: Oct. 31, 2024

Relevance. Activation of innate and acquired immunity, accompanied by increased production classical (interleukin (IL) IL-1β, IL-6, tumor necrosis factor-α (TNF-α) interferon-γ (INF-γ)) proinflammatory cytokines in synovial fluid blood serum, plays an important role the pathogenesis rheumatoid arthritis (RA). Objective. To determine concentration TNF-α INF-γ RA patients advanced stage disease, to evaluate relationship between them, clinical indices disease activity, presence factor (RF), antibodies cyclic citrullinated peptide (ACCP). Material methods. We examined 154 with (41 men 113) who were middle-aged (56.0 (50.0; 64.0) years), duration (9.4 (3.0; 13.0) seropositive 129 (83.8 %) for IgM RF and/or 106 (68.8 ACCP moderate high (DAS28-ESR — 5.40 (4.65; 6.00)) activity. The serum determined multiplex technology. Results. IL-1β was not significantly different controls. values IL-6 higher, lower than donors. hyperproduction detected most frequently (51.6 %), whereas elevated levels (38.96 (26.62 (23.38 less common. Significant positive correlations observed concentrations all their levels. strongest characteristic INF-γ. No statistically significant differences cytokine or negative IgM-RF ACCP. alone positively correlated (DAS28-ESR, CDAI, SDAI) activity (p<0.05). Conclusions. There are frequencies among advanced-stage RA. In a close there certain associations laboratory indicators

Language: Английский

Citations

0

Nonlinear association between platelet to albumin ratio and disease activity in patients with early rheumatoid arthritis DOI Creative Commons
Lina Leng,

Jingfang Shen,

Lianju Li

et al.

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: Nov. 7, 2024

The relationship between the platelet to albumin ratio (PAR) and disease activity of early rheumatoid arthritis (ERA) remains be elucidated. This cross-sectional study included 372 patients with ERA who were hospitalized at Xingtai People's Hospital January 2022 2024. Multiple linear regression analysis was employed assess correlation PAR Disease Activity Score 28 (DAS28) using erythrocyte sedimentation rate (ESR) C-reactive protein (CRP), then generalized additive models used explore their relationship. After accounting for confounding variables, a positive observed DAS28-ESR DAS28-CRP in (β (95% CI): 0.20 (0.08, 0.32) 0.33), respectively), general trends consistent from lowest tertile group (T1) highest (T3). Furthermore, nonlinear identified both DAS28-CRP. Threshold effect indicated that value 13.73 significant inflection point. In brief, has threshold on ERA. Increased levels independently associated among < 13.73.

Language: Английский

Citations

0