Usefulness of Serum Leucine-Rich Alpha-2 Glycoprotein as a Disease Activity Biomarker in Patients with Rheumatoid Arthritis
Our study aimed to investigate whether serum leucine-rich alpha-2-glycoprotein (LRG) levels are elevated in patients with rheumatoid arthritis (RA). In addition, we assessed their correlation with disease activity parameters and pro-inflammatory cytokine, tumor necrosis factor-α (TNF-α). Our study i...
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Published in | Journal of Korean medical science Vol. 29; no. 9; pp. 1199 - 1204 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
Korea (South)
The Korean Academy of Medical Sciences
01.09.2014
대한의학회 |
Subjects | |
Online Access | Get full text |
ISSN | 1011-8934 1598-6357 1598-6357 |
DOI | 10.3346/jkms.2014.29.9.1199 |
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Abstract | Our study aimed to investigate whether serum leucine-rich alpha-2-glycoprotein (LRG) levels are elevated in patients with rheumatoid arthritis (RA). In addition, we assessed their correlation with disease activity parameters and pro-inflammatory cytokine, tumor necrosis factor-α (TNF-α). Our study included 69 patients with RA and 48 age- and sex-matched healthy controls. Serum concentrations of TNF-α and LRG were determined by enzyme-linked immunosorbent assay. Serum LRG concentrations were significantly elevated in patients with RA compared with those in healthy controls (30.8 ± 14.4 vs. 22.2 ± 6.1 ng/mL; P<0.001). In patients with RA, serum LRG levels were found to be correlated with disease activity score 28 (DAS28), erythrocyte sedimentation rate, and C-reactive protein levels (γ=0.671; γ=0.612; and γ=0.601, P<0.001, respectively), but not with serum TNF-α levels. Serum LRG levels in patients with an active disease status (DAS28≥2.6) were significantly higher than those in remission (DAS28<2.6) (36.45 ± 14.36 vs. 24.63 ± 8.81 ng/mL; P<0.001). Our findings suggest that serum LRG could contribute to the inflammatory process independent of TNF-α and it may be a novel biomarker for assessing inflammatory activity in patients with RA. |
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AbstractList | Our study aimed to investigate whether serum leucine-rich alpha-2-glycoprotein (LRG) levels are elevated in patients with rheumatoid arthritis (RA). In addition, we assessed their correlation with disease activity parameters and pro-inflammatory cytokine, tumor necrosis factor-α (TNF-α). Our study included 69 patients with RA and 48 age- and sex-matched healthy controls. Serum concentrations of TNF-α and LRG were determined by enzyme-linked immunosorbent assay. Serum LRG concentrations were significantly elevated in patients with RA compared with those in healthy controls (30.8 ± 14.4 vs. 22.2 ± 6.1 ng/mL; P<0.001). In patients with RA, serum LRG levels were found to be correlated with disease activity score 28 (DAS28), erythrocyte sedimentation rate, and C-reactive protein levels (γ=0.671; γ=0.612; and γ=0.601, P<0.001, respectively), but not with serum TNF-α levels. Serum LRG levels in patients with an active disease status (DAS28≥2.6) were significantly higher than those in remission (DAS28<2.6) (36.45 ± 14.36 vs. 24.63 ± 8.81 ng/mL; P<0.001). Our findings suggest that serum LRG could contribute to the inflammatory process independent of TNF-α and it may be a novel biomarker for assessing inflammatory activity in patients with RA. Our study aimed to investigate whether serum leucine-rich alpha-2-glycoprotein (LRG)levels are elevated in patients with rheumatoid arthritis (RA). In addition, we assessed theircorrelation with disease activity parameters and pro-inflammatory cytokine, tumornecrosis factor-α (TNF-α). Our study included 69 patients with RA and 48 age- and sexmatchedhealthy controls. Serum concentrations of TNF-α and LRG were determined byenzyme-linked immunosorbent assay. Serum LRG concentrations were significantlyelevated in patients with RA compared with those in healthy controls (30.8 ± 14.4 vs. 22.2 ± 6.1 ng/mL; P < 0.001). In patients with RA, serum LRG levels were found to becorrelated with disease activity score 28 (DAS28), erythrocyte sedimentation rate, andC-reactive protein levels (γ = 0.671; γ = 0.612; and γ = 0.601, P < 0.001, respectively),but not with serum TNF-α levels. Serum LRG levels in patients with an active disease status(DAS28 ≥ 2.6) were significantly higher than those in remission (DAS28 < 2.6) (36.45 ±14.36 vs. 24.63 ± 8.81 ng/mL; P < 0.001). Our findings suggest that serum LRG couldcontribute to the inflammatory process independent of TNF-α and it may be a novelbiomarker for assessing inflammatory activity in patients with RA. KCI Citation Count: 0 Our study aimed to investigate whether serum leucine-rich alpha-2-glycoprotein (LRG) levels are elevated in patients with rheumatoid arthritis (RA). In addition, we assessed their correlation with disease activity parameters and pro-inflammatory cytokine, tumor necrosis factor-α (TNF-α). Our study included 69 patients with RA and 48 age- and sex-matched healthy controls. Serum concentrations of TNF-α and LRG were determined by enzyme-linked immunosorbent assay. Serum LRG concentrations were significantly elevated in patients with RA compared with those in healthy controls (30.8 ± 14.4 vs. 22.2 ± 6.1 ng/mL; P<0.001). In patients with RA, serum LRG levels were found to be correlated with disease activity score 28 (DAS28), erythrocyte sedimentation rate, and C-reactive protein levels (γ=0.671; γ=0.612; and γ=0.601, P<0.001, respectively), but not with serum TNF-α levels. Serum LRG levels in patients with an active disease status (DAS28≥2.6) were significantly higher than those in remission (DAS28<2.6) (36.45 ± 14.36 vs. 24.63 ± 8.81 ng/mL; P<0.001). Our findings suggest that serum LRG could contribute to the inflammatory process independent of TNF-α and it may be a novel biomarker for assessing inflammatory activity in patients with RA.Our study aimed to investigate whether serum leucine-rich alpha-2-glycoprotein (LRG) levels are elevated in patients with rheumatoid arthritis (RA). In addition, we assessed their correlation with disease activity parameters and pro-inflammatory cytokine, tumor necrosis factor-α (TNF-α). Our study included 69 patients with RA and 48 age- and sex-matched healthy controls. Serum concentrations of TNF-α and LRG were determined by enzyme-linked immunosorbent assay. Serum LRG concentrations were significantly elevated in patients with RA compared with those in healthy controls (30.8 ± 14.4 vs. 22.2 ± 6.1 ng/mL; P<0.001). In patients with RA, serum LRG levels were found to be correlated with disease activity score 28 (DAS28), erythrocyte sedimentation rate, and C-reactive protein levels (γ=0.671; γ=0.612; and γ=0.601, P<0.001, respectively), but not with serum TNF-α levels. Serum LRG levels in patients with an active disease status (DAS28≥2.6) were significantly higher than those in remission (DAS28<2.6) (36.45 ± 14.36 vs. 24.63 ± 8.81 ng/mL; P<0.001). Our findings suggest that serum LRG could contribute to the inflammatory process independent of TNF-α and it may be a novel biomarker for assessing inflammatory activity in patients with RA. Our study aimed to investigate whether serum leucine-rich alpha-2-glycoprotein (LRG) levels are elevated in patients with rheumatoid arthritis (RA). In addition, we assessed their correlation with disease activity parameters and pro-inflammatory cytokine, tumor necrosis factor-α (TNF-α). Our study included 69 patients with RA and 48 age- and sex-matched healthy controls. Serum concentrations of TNF-α and LRG were determined by enzyme-linked immunosorbent assay. Serum LRG concentrations were significantly elevated in patients with RA compared with those in healthy controls (30.8±14.4 vs. 22.2±6.1 ng/mL; P<0.001). In patients with RA, serum LRG levels were found to be correlated with disease activity score 28 (DAS28), erythrocyte sedimentation rate, and C-reactive protein levels (γ=0.671; γ=0.612; and γ=0.601, P<0.001, respectively), but not with serum TNF-α levels. Serum LRG levels in patients with an active disease status (DAS28≥2.6) were significantly higher than those in remission (DAS28<2.6) (36.45±14.36 vs. 24.63±8.81 ng/mL; P<0.001). Our findings suggest that serum LRG could contribute to the inflammatory process independent of TNF-α and it may be a novel biomarker for assessing inflammatory activity in patients with RA. |
Author | Choi, Sang Tae Park, Yong-Beom Ha, You Jung Song, Jung-Soo Kang, Eun-Jin Lee, Sang-Won Lee, Soo-Kon |
AuthorAffiliation | 1 Division of Rheumatology, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea 4 Division of Rheumatology, Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea 3 Division of Rheumatology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea 2 Division of Rheumatology, Department of Internal Medicine, Busan Medical Center, Busan, Korea |
AuthorAffiliation_xml | – name: 2 Division of Rheumatology, Department of Internal Medicine, Busan Medical Center, Busan, Korea – name: 4 Division of Rheumatology, Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea – name: 1 Division of Rheumatology, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea – name: 3 Division of Rheumatology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea |
Author_xml | – sequence: 1 givenname: You Jung orcidid: 0000-0001-6107-9523 surname: Ha fullname: Ha, You Jung organization: Division of Rheumatology, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea – sequence: 2 givenname: Eun-Jin surname: Kang fullname: Kang, Eun-Jin organization: Division of Rheumatology, Department of Internal Medicine, Busan Medical Center, Busan, Korea – sequence: 3 givenname: Sang-Won surname: Lee fullname: Lee, Sang-Won organization: Division of Rheumatology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea – sequence: 4 givenname: Soo-Kon surname: Lee fullname: Lee, Soo-Kon organization: Division of Rheumatology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea – sequence: 5 givenname: Yong-Beom orcidid: 0000-0003-4695-8620 surname: Park fullname: Park, Yong-Beom organization: Division of Rheumatology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea – sequence: 6 givenname: Jung-Soo orcidid: 0000-0001-8651-5125 surname: Song fullname: Song, Jung-Soo organization: Division of Rheumatology, Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea – sequence: 7 givenname: Sang Tae orcidid: 0000-0002-2074-1733 surname: Choi fullname: Choi, Sang Tae organization: Division of Rheumatology, Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea |
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Keywords | Disease Activity Leucine-Rich Alpha-2-Glycoprotein Tumor Necrosis Factor-alpha Arthritis, Rheumatoid |
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Snippet | Our study aimed to investigate whether serum leucine-rich alpha-2-glycoprotein (LRG) levels are elevated in patients with rheumatoid arthritis (RA). In... Our study aimed to investigate whether serum leucine-rich alpha-2-glycoprotein (LRG)levels are elevated in patients with rheumatoid arthritis (RA). In... |
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SubjectTerms | Adult Aged Area Under Curve Arthritis, Rheumatoid - blood Arthritis, Rheumatoid - diagnosis Biomarkers - blood Blood Sedimentation C-Reactive Protein - analysis Enzyme-Linked Immunosorbent Assay Female Glycoproteins - blood Humans Male Middle Aged Original ROC Curve Severity of Illness Index Tumor Necrosis Factor-alpha - blood 의학일반 |
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Title | Usefulness of Serum Leucine-Rich Alpha-2 Glycoprotein as a Disease Activity Biomarker in Patients with Rheumatoid Arthritis |
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