論文

国際誌
2021年3月11日

High serum IgA and activated Th17 and Treg predict the efficacy of abatacept in patients with early, seropositive rheumatoid arthritis.

Clinical rheumatology
  • Jun Inamo
  • ,
  • Yuko Kaneko
  • ,
  • Jun Kikuchi
  • ,
  • Tsutomu Takeuchi

40
9
開始ページ
3615
終了ページ
3626
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s10067-021-05602-0

<h4>Objective</h4>To identify the predictive biomarkers for achieving remission with abatacept in patients with seropositive rheumatoid arthritis (RA).<h4>Methods</h4>We enrolled patients with RA who were treated with abatacept. We compared the baseline laboratory results and longitudinal immune-phenotyping data between patients who achieved remission and those who did not achieve remission at 6 months according to the clinical disease activity index.<h4>Results</h4>One hundred and twenty RA patients were enrolled. In the seropositive patients with early RA (n = 24), high serum IgA levels, anti-citrullinated peptide (CCP) titers, and neutrophil counts before treatment were predictors of remission (area under the curve [AUC], 0.659, 0.741, and 0.704, respectively). Additionally, activated Th17 (aTh17) cells and activated Treg (aTreg) cells before treatment were found to be significantly higher in patients with remission compared to those without remission (2.9% vs 1.1%, P = 0.02; 34.3% vs 17%, P = 0.03, respectively). The measurement of longitudinal cell subpopulation revealed a decrease in the effector CD4 T cell population after abatacept treatment, which correlated with anti-CCP titers and neutrophil counts, and was associated with remission achievement. In seropositive patients with established RA (n = 79), high RF titers and low IFN-γ levels were associated with the good response to abatacept.<h4>Conclusion</h4>Our study has shown that serum IgA levels, anti-CCP titer, and neutrophil counts are predictive biomarkers for predicting the response to abatacept in patients with seropositive and early RA and may reflect the inhibition of effector CD4 T cell subpopulations by abatacept. Key Points • Serum IgA levels and neutrophil counts are novel biomarkers for predicting the efficacy of abatacept. • Those may reflect the inhibition of effector CD4 T cell subpopulations by abatacept.

リンク情報
DOI
https://doi.org/10.1007/s10067-021-05602-0
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/33704594
ID情報
  • DOI : 10.1007/s10067-021-05602-0
  • ORCIDのPut Code : 91302637
  • PubMed ID : 33704594

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