Comorbidity in incident rheumatoid arthritis—a nationwide case-control study with bidirectional follow-up DOI Creative Commons
Bogdan Batko, Mateusz Szeląg, Magdalena Krajewska–Włodarczyk

et al.

Lara D. Veeken, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 17, 2024

Abstract Objectives To investigate the association between risk of different co-morbidities and diagnosis rheumatoid arthritis (RA) using a temporal approach. Methods Retrospective, case-control study. Data were extracted from all healthcare claims for Poland 2011-2021. Prevalent RA(n = 262 265) patients examined to evaluate morbidity patterns. Incident 15 879) age-, sex- region-matched controls sampled 1:10 general population (GP). Exposure was new-onset RA identified by interspaced, repeat prescription. Follow-up performed in bidirectional, five-year timeframe diagnosis(Dx). Results is associated with enhanced multiple organ system disorders both pre- post-Dx, especially hematologic (IRR 1.80, 95% CI 1.58, 2.05), pulmonary 1.57, 1.53, 1.62), gastrointestinal 1.46, 1.60), cardiovascular 1.25, 1.22, 1.27) conditions. appears strongly interstitial lung disease (pre-Dx IRR 2.97, 2.20, 4.02; post-Dx 4.66, 3.91, 5.56) inflammatory bowel 1.61, 2.07; 2.12, 1.70, 2.63). Enhanced thyroid cancer 1.29, 1.00, 1.66) lymphoma 1.50, 1.20, 1.88) observed, contrast reduced colon 0.77, 0.62, 0.94). Conclusion comorbidities observed post-RA Dx, varying patterns across systems. These data highlight multisystem nature warrant research into causal, bidirectional relationships.

Language: Английский

Microbiota and immune dynamics in rheumatoid arthritis: Mechanisms and therapeutic potential DOI
Jiayang Jin,

Xuanlin Cai,

Peishi Rao

et al.

Best Practice & Research Clinical Rheumatology, Journal Year: 2025, Volume and Issue: unknown, P. 102035 - 102035

Published: Jan. 1, 2025

Language: Английский

Citations

1

Mucosal immunity and rheumatoid arthritis: An update on mechanisms and therapeutic potential DOI Creative Commons
Yuchen Yang,

Congmin Xia,

Chuanhui Yao

et al.

Autoimmunity Reviews, Journal Year: 2025, Volume and Issue: 24(5), P. 103775 - 103775

Published: Feb. 13, 2025

Rheumatoid Arthritis (RA) is a persistent autoimmune inflammatory disorder that arises from the intricate interaction between genetic predisposition and environmental influences. The progression of RA can be delineated into four distinct phases: initially, influence risk factors; followed by emergence systemic autoimmunity; subsequently, an asymptomatic phase; ultimately, manifestation clinical arthritis. Recently, role mucosal immunity in has gained significant attention research. Evidence published studies suggests not only influences onset but also plays crucial its progression. Scholars have begun to unravel links barriers gastrointestinal tract, respiratory system, oral cavity. Specifically, shifts microbiota, dysfunction barriers, abnormal activation immune tissues are all implicated pathogenesis RA.Despite this growing body knowledge, comprehensive review therapeutic implications yet conducted. This emphasizes driving abnormalities development autoimmunity rheumatoid arthritis (RA). It further explores potential RA, as well issues challenges need addressed current research field, providing new perspective targets for prevention treatment RA.

Language: Английский

Citations

1

CXCR4-targeted PET imaging in rheumatoid arthritis: a novel approach for monitoring disease activity and therapeutic response DOI Creative Commons
Yaling Han, Shuo Cao, Jie Liu

et al.

EJNMMI Research, Journal Year: 2025, Volume and Issue: 15(1)

Published: Feb. 18, 2025

Rheumatoid arthritis (RA) is a common chronic, inflammatory autoimmune disease, and early clinical diagnosis crucial for its treatment. CXCR4 expression was characterized in arthritic mouse models joints of RA patients, [18 F]AIF-NOTA-QHA-04 specificity assessed non-malignant cells with elevated expression. This study explored the application CXCR4-targeted PET probe monitoring disease activity therapeutic efficacy RA. To this aim, metabolic characteristics correlation uptake severity were evaluated by imaging mice. potential evaluating further investigated mice following methotrexate (MTX) etanercept (ETC) significantly increased inflamed collagen-induced (CIA) collagen-antibody induced (CAIA) mice, synovial tissues patients. showed high CXCR4, that strongly correlated scores. revealed paralleled activity, decreasing upon remission. Furthermore, provided earlier more sensitive assessments MTX ETC compared to traditional methods. The promising tool monitoring, sensitivity. as biomarker response underscores value personalized medication strategies management

Language: Английский

Citations

1

Convertible Hydrogel Injection Sequentially Regulates Diabetic Periodontitis DOI
Jinmin Zhou, Houxuan Li, Shuhong Li

et al.

ACS Biomaterials Science & Engineering, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 10, 2025

Diabetes exacerbates periodontitis by overexpressing reactive oxygen species (ROS), which leads to periodontal bone resorption. Consequently, it is imperative relieve inflammation and promote alveolar regeneration comprehensively for the development of diabetic treatment strategies. Furthermore, an orderly avoid interference between these two processes can achieve optimal therapeutic effect. Thus, we constructed a sequential sustained release system based on zeolitic imidazolate framework-8 (ZIF-8)-modified chitosan thermosensitive hydrogel (TOOTH) therapy in this work. Chemically modified tetracycline-3 (CMT-3) platelet-derived growth factor-BB (PDGF-BB) were loaded ZIF-8 release, respectively, with aim reducing facilitating tissue regeneration. During therapy, CMT-3 first escaped from due degradation diffusion ROS elimination. Subsequently, was dissociated under acid microenvironment, PDGF-BB sustainably released osteogenesis. The intervals could be regulated sizes ZIF-8. biocompatible TOOTH exhibited favorable effect vitro vivo. sequentially controlled facilitated holds promise promoting offers potential clinical translation.

Language: Английский

Citations

0

Could body piercing be a cause of rheumatoid arthritis? DOI
Michael Seed

Medical Hypotheses, Journal Year: 2025, Volume and Issue: unknown, P. 111577 - 111577

Published: Jan. 1, 2025

Language: Английский

Citations

0

The Autoantibody response in rheumatoid arthritis; what makes it unique? DOI Creative Commons
René E. M. Toes

Seminars in Arthritis and Rheumatism, Journal Year: 2025, Volume and Issue: unknown, P. 152699 - 152699

Published: Feb. 1, 2025

Language: Английский

Citations

0

Deep immunophenotyping reveals circulating activated lymphocytes in individuals at risk for rheumatoid arthritis DOI Creative Commons
Jun Inamo,

Joshua Keegan,

Alec Griffith

et al.

Journal of Clinical Investigation, Journal Year: 2025, Volume and Issue: 135(6)

Published: March 16, 2025

Rheumatoid arthritis (RA) is a systemic autoimmune disease currently with no universally highly effective prevention strategies. Identifying pathogenic immune phenotypes in at-risk populations prior to clinical onset crucial establishing Here, we applied multimodal single-cell technologies (mass cytometry and CITE-Seq) characterize the immunophenotypes blood from individuals (ARIs) identified through presence of serum antibodies against citrullinated protein antigens (ACPAs) and/or first-degree relative (FDR) status, as compared patients established RA people healthy control group. We significant cell expansions ARIs controls, including CCR2+CD4+ T cells, peripheral helper (Tph) type 1 CXCR5+CD8+ cells. also found that CD15+ classical monocytes were specifically expanded ACPA-negative FDRs, an activated PAX5lo naive B population was ACPA-positive FDRs. Further, uncovered molecular phenotype expressing high levels Th17- Th22-related signature transcripts CCR6, IL23R, KLRB1, CD96, IL22. Our integrated study provides promising approach identify targets improve strategy development for RA.

Language: Английский

Citations

0

Restoring immune tolerance in pre-RA: immunometabolic dialogue between gut microbiota and regulatory T cells DOI Creative Commons
Anqi Gao,

Ruihe Wu,

Yanfei Mu

et al.

Frontiers in Immunology, Journal Year: 2025, Volume and Issue: 16

Published: March 20, 2025

Rheumatoid arthritis (RA) is a complex chronic autoimmune disease that remains incurable for most patients. With advances in our understanding of the disease’s natural history, concept pre-RA has emerged as window opportunity to intervene before irreversible joint damage occurs. Numerous studies have indicated key step driving autoimmunity early lies at an extra-articular site, which closely related regulatory T (Treg) cell-established immune tolerance gut microbiota. The intricate immunometabolic crosstalk between Treg cells and microbiota beginning be understood, with re-recognition metabolic sensors recent years. In future, deciphering their dialogue may help elucidate underlying mechanisms pre-RA. Identifying novel biological pathways stage will bring insights into restoring tolerance, thereby potentially curing or preventing onset RA.

Language: Английский

Citations

0

Folate Receptor-Mediated Targeting Strategies for Potential Management & Treatment of Rheumatoid Arthritis DOI
Afifa Shafiq,

Hassan Shah,

Aslam Khan

et al.

Journal of Drug Delivery Science and Technology, Journal Year: 2025, Volume and Issue: unknown, P. 106916 - 106916

Published: April 1, 2025

Language: Английский

Citations

0

Insights into the complexities of Citrullination: From immune regulation to autoimmune disease DOI
Jiawei Wang,

Jinlin Miao,

Ping Zhu

et al.

Autoimmunity Reviews, Journal Year: 2024, Volume and Issue: unknown, P. 103734 - 103734

Published: Dec. 1, 2024

Language: Английский

Citations

1