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

The Reshaping of Modifiable Risk Factors as a Strategy to Prevent the Development of Rheumatoid Arthritis DOI Open Access
Francesco Caso, Roberto Giacomelli, Marcella Nunziato

et al.

The Journal of Rheumatology, Journal Year: 2025, Volume and Issue: unknown, P. jrheum.2024 - 0545

Published: Jan. 15, 2025

In recent years, the outcomes for rheumatoid arthritis (RA) have improved dramatically, thanks to availability of biologic disease-modifying antirheumatic drugs (bDMARDs) and treat-to-target strategies.1 Further, earlier initiation therapies results in better tighter control disease, since prompt treatment induces a deeper modulation less mature more reversible inflammatory process.1

Language: Английский

Citations

0

The absolute number of circulating Treg cells is reduced in difficult-to-treat RA patients and is ameliorated by low-dose IL-2 DOI Creative Commons
Huanhuan Yan,

Xiaoyu Zi,

Huer Yan

et al.

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

Published: Feb. 6, 2025

Circulating regulatory T cells (Tregs) are closely related to immune tolerance and maintenance of homeostasis. Perhaps, there is a unique cell phenotype for difficult-to-treat rheumatoid arthritis (D2T RA). Low-dose interleukin-2 (IL-2) has been considered the treatment autoimmune diseases. This study focused on uniqueness D2T RA lymphocyte subsets feasibility low-dose IL-2 therapy. Participants included 1,042 patients who were divided into three groups according presence or absence their response in last 6 months-new group, treated group-and 339 healthy controls (HCs). A total 381 patients-107, 151, 123 each experimental groups-received [0.5 million international units (MIU) per day, subcutaneous injection from day 1 5]. The absolute numbers peripheral blood detected by flow cytometry (FCM) serum cytokine levels bead array (CBA). number T, CD4+ Treg group was lower than that HC, new, groups. Compared with HC new ratio Th17/Treg increased. treated, had higher HC. negatively correlated disease activity index. could be increased therapy without any side effects. lymphocytes reduced, especially cells, resulting shift balance effector cells/Treg toward which ameliorated obvious

Language: Английский

Citations

0

Mitochondrial calcium uniporter regulates human fibroblast-like synoviocytes invasion via altering mitochondrial dynamics and dictates rheumatoid arthritis pathogenesis DOI

Lakra Promila,

Kabita Sarkar,

Shivika Guleria

et al.

Free Radical Biology and Medicine, Journal Year: 2025, Volume and Issue: unknown

Published: April 1, 2025

Language: Английский

Citations

0

Formulation and In Vitro Evaluation of Matrix Tablets Containing Ketoprofen–Beta Cyclodextrin Complex for Enhanced Rheumatoid Arthritis Therapy: Experimental and Computational Insights DOI Creative Commons

Monica Stamate Cretan,

Lăcrămioara Ochiuz, Vlad Ghizdovăț

et al.

Pharmaceutics, Journal Year: 2025, Volume and Issue: 17(4), P. 474 - 474

Published: April 5, 2025

Background: Rheumatoid arthritis is a chronic autoimmune disease that leads to severe disability and requires improved therapeutic strategies optimize anti-inflammatory treatment. This study aimed address this challenge by developing characterizing an extended-release polymer matrix tablet containing ketoprofen ketoprofen–β-cyclodextrin complex with enhanced properties. The objective was improve inflammation management outcomes using novel delivery system based on the inclusion of active substance in cyclodextrin complexes. Methods: Tablets were formulated complexes combined hydrophilic polymers such as Carbopol® 971P NF, Kollidon® VA 64, MethocelTM K4M. obtained via coprecipitation method bioavailability. kinetics release ketoprofen, (2:1), (1:1) from tablets investigated vitro artificial gastric intestinal fluids, drug profiles established. Advanced mathematical models used describe nonlinear behavior drug–polymer systems. Results: β-cyclodextrin confirmed, revealing distinct profiles. (K-3 F-3) 1:1 showed rapid (96.2% 4–7 h), while (K-1 F-4) free released 76% over 9–11 h. Higher concentrations slowed due gel barrier formation. Pharmacotechnical stability tests supported their suitability forms. A multifractal modeling approach described dynamics, treating polymer–drug system, curves characterized variations fractal dimension resolution. Conclusions: Specific combinations effectively prolonged release. developed tablets, which evaluated studies modeling, show promise for improving patient compliance during rheumatoid

Language: Английский

Citations

0

Preparation, Characterization and Ex vivo Evaluation of Trigonellafoenum-gracium seeds extract-loaded Transferosomal gel for the Treatment of Rheumatoid Arthritis DOI

Vandana Vandana,

Hema Arya,

Koushal Dhamija

et al.

Research Journal of Pharmacy and Technology, Journal Year: 2025, Volume and Issue: unknown, P. 1118 - 1127

Published: March 27, 2025

Rheumatoid arthritis (RA) is a systemic autoimmune disorder characterized by persistent joint inflammation, leading to severe disability and increased mortality rates. Fenugreek, known for its anti-arthritic effects, demonstrates promise in retarding RA onset progression. However, challenges like poor bioavailability limited target specificity hinder therapeutic utility. To circumvent these limitations, transdermal delivery systems, notably transferosomes, offer viable solution. This study aimed formulate transferosomal gel incorporating Trigonella foenum-graecum (TFG) extract, employing the thin-film hydration technique. Evaluation parameters encompassed stability, zeta potential, particle size, entrapment efficiency, deformability. The synthesized transferosomes were integrated into Carbopol enhance ease of application prolong skin retention. Comparative analyses with conventional assessed such as consistency, transparency, viscosity, pH. Experimental findings revealed successful TFG extract (63.69±3.20% w/w) within exhibiting favorable size (269.20±1.20nm) deformability (23.71±0.92). Skin penetration kinetics demonstrated gradual increase concentration over time, TFG-extract-loaded highest among formulations at all-time points. stability studies indicated prolonged TFG-transferosomes formulations. In conclusion, developed extract-loaded presents promising strategy improved delivery, offering potential benefits management.

Language: Английский

Citations

0

Gout and rheumatoid arthritis are associated with subclinical vascular damage, reduced brachial vasoreactivity and coronary microvascular dysfunction: a case-control study DOI Creative Commons
Oğuz Konal, Furkan Bölen, Tolga Sinan Güvenç

et al.

Rheumatology International, Journal Year: 2025, Volume and Issue: 45(5)

Published: April 23, 2025

Language: Английский

Citations

0

Exploring the association between systemic lupus erythematosus and osteonecrosis by Mendelian randomization analysis DOI Creative Commons
Baochuang Qi, Jinglin Zhao, Meng Chen

et al.

Scientific Reports, Journal Year: 2025, Volume and Issue: 15(1)

Published: April 29, 2025

Language: Английский

Citations

0

Low-dose IL-2 restores Tfh/Tfr imbalance and modulates B cell subset distribution in the pre-arthritis phase of the collagen-induced arthritis model DOI
Rui Su, Hui Wang, Baochen Li

et al.

Clinical Rheumatology, Journal Year: 2025, Volume and Issue: unknown

Published: April 30, 2025

Language: Английский

Citations

0

Rheumatoid arthritis: a review of the key clinical features and ongoing challenges of the disease DOI
Andrea Di Matteo, Paul Emery

Panminerva Medica, Journal Year: 2024, Volume and Issue: 66(4)

Published: Dec. 2, 2024

Rheumatoid arthritis (RA) is an autoimmune inflammatory condition that primarily affects the joints and periarticular soft tissue. The development of joint swelling traditionally regarded as starting point disease. Emerging evidence indicates RA patients often experience a preclinical stage characterized by immunological changes before developing review discusses ongoing efforts to predict transition from this phase clinical describes studies aimed at preventing onset in individuals risk. Over past two decades, there have been significant advancements management outcomes. An increasing number can now achieve disease remission, some cases, remission persists without treatment, which effectively cure. As new therapies evolving scientific emerge, recommendations for are continuously evolving. Despite these improvements RA, many still do not respond multiple conventional or more advanced therapies, including biologic targeted synthetic modifying anti-rheumatic drugs, flares when treatments tapered discontinued. This situation underscores need reliable biomarkers guide therapy effectively, improve personalized treatment approaches monitoring strategies (i.e. precision medicine). In conclusion, provides comprehensive overview covering research on 'pre-clinical' disease, well its epidemiology, pathogenesis, manifestations, diagnosis, imaging, strategies. It highlights key aspects addresses challenges management, particularly areas prevention treatment.

Language: Английский

Citations

2

Development and Characterization of Bilayer Tablet Containing Leflunomide and Co-enzyme Q-10 DOI

Abhi Depani,

Dinal Patel,

Tushar Parmar

et al.

Journal of Drug Delivery Science and Technology, Journal Year: 2024, Volume and Issue: 104, P. 106493 - 106493

Published: Dec. 8, 2024

Language: Английский

Citations

1