Serum levels of ICAM-1, VCAM-1 andgelatinase A and B as possible predictive markers of rheumatoid arthritis
Sérové hladiny s ICAM-1, s VCAM-1 a želatináz A a B jako možné prediktory dopadu revmatoidní artritidy
Úvod.
Revmatoidní artritida je potenciálně těžké a invalidizující onemocnění a proto je vynakládánovelké úsilí najít spolehlivé prediktivní markery. V nedávné době bylo prokázáno, že interakceadhezivních molekul ICAM-1 nebo VCAM-1 na povrchu mezenchymálních buněk s integriny napovrchu T-buněk aktivuje expresi želatináz. Ty jsou schopné degradovat extracelulární matrixpostižených kloubů. Metody. Sledovali jsme sérové hladiny sICAM-1, sVCAM-1, a želatináz A a Bv sérech 60 pacientů s časnou revmatoidní artritidou a porovnávali s hladinami CRP, skóre DAS,a radiografickým skóre podle Larsena. Hladiny sICAM-1, sVCAM-1, obou želatináz a CRP bylyhodnoceny v šestiměsíčních a hodnoty skóre DAS a Larsena v dvanáctiměsíčních intervalech podobu dvou let. Výsledky. Hladiny sICAM-1 korelovaly s hladinami sVCAM-1 (0,3147
Klíčová slova:
revmatoidní artritida, adhezivní proteiny, želatinázy
Authors:
J. Šťovíčková; S. Macháček; J. Gatterová
Authors‘ workplace:
Revmatologický ústav, Praha
Published in:
Čes. Revmatol., , 2003, No. 3, p. 138-145.
Category:
Overview
Objective.
Rheumatoid arthritis is a potentially severe and disability-related disease and thereforegreat effort is exerted to find reliable predictive markers of the disease. Recently the interaction ofadhesion molecules ICAM-1 or VCAM-1 on the surface of mesenchymal cells with T-cell integrins wasshown to activate expression of gelatinases. The extracellular matrix of affected joints is degradedby gelatinases. Methods. Serum levels of ICAM-1, VCAM-1, gelatinase A and B were measured in 60patients with early rheumatoid arthritis and correlated with CRP values, DAS scores, and withradiographic impairment assessed by Larsen score. The levels of sICAM-1, sVCAM-1, both of thegelatinases and CRP were evaluated every six months and DAS score value and Larsen score everytwelve months over a period of two years of follow up. Results. The sICAM-1 levels correlated withsVCAM-1 (0.3147
Key words:
rheumatoid arthritis, adhesion molecules, gelatinases
Labels
Dermatology & STDs Paediatric rheumatology RheumatologyArticle was published in
Czech Rheumatology
2003 Issue 3
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