Abstract | OBJECTIVE: METHODS: RESULTS: Among the patients in the increased inflammation cohort, the mean age was 59 years, 81% were women, and the mean RA disease duration was 17.9 years. The average increase in hsCRP levels was 36 mg/liter, and this increase was associated with significant reductions in LDL cholesterol, triglycerides, total cholesterol, apolipoprotein ( Apo B), and Apo A-I levels. In the increased inflammation cohort at baseline, 45.6% of patients (47 of 103) had detectable circulating hs-cTnT, which further increased during inflammation (P = 0.02). In the decreased inflammation cohort, hs-cTnT levels remained stable despite a reduction in inflammation over follow-up. In both cohorts, hs-cTnT levels were associated with the overall estimated risk of CVD. CONCLUSION: Among RA patients who experienced an increase in inflammation, a significant decrease in routinely measured lipids, including LDL cholesterol, and an increase in markers of subclinical myocardial injury were observed. These findings highlight the divergence in biomarkers of CVD risk and suggest a role in future studies examining the benefit of including hs-cTnT for CVD risk stratification in RA.
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Authors | Brittany Weber, Zeling He, Nicole Yang, Martin P Playford, Dana Weisenfeld, Christine Iannaccone, Jonathan Coblyn, Michael Weinblatt, Nancy Shadick, Marcelo Di Carli, Nehal N Mehta, Jorge Plutzky, Katherine P Liao |
Journal | Arthritis & rheumatology (Hoboken, N.J.)
(Arthritis Rheumatol)
Vol. 73
Issue 6
Pg. 970-979
(06 2021)
ISSN: 2326-5205 [Electronic] United States |
PMID | 33615723
(Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
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Copyright | © 2020, American College of Rheumatology. |
Chemical References |
- Apolipoprotein A-I
- Apolipoproteins B
- Cholesterol, LDL
- IL6 protein, human
- Interleukin-6
- Peptide Fragments
- Receptors, Tumor Necrosis Factor, Type II
- TNNT2 protein, human
- Triglycerides
- Troponin T
- pro-brain natriuretic peptide (1-76)
- Natriuretic Peptide, Brain
- C-Reactive Protein
- Cholesterol
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Topics |
- Aged
- Apolipoprotein A-I
(metabolism)
- Apolipoproteins B
(metabolism)
- Arthritis, Rheumatoid
(metabolism)
- Asymptomatic Diseases
- C-Reactive Protein
(metabolism)
- Cardiovascular Diseases
(metabolism)
- Cholesterol
(metabolism)
- Cholesterol, LDL
(metabolism)
- Female
- Heart Disease Risk Factors
- Heart Diseases
(metabolism)
- Humans
- Inflammation
(metabolism)
- Interleukin-6
(metabolism)
- Male
- Middle Aged
- Myocardium
(metabolism)
- Natriuretic Peptide, Brain
(metabolism)
- Peptide Fragments
(metabolism)
- Prospective Studies
- Receptors, Tumor Necrosis Factor, Type II
(metabolism)
- Risk Assessment
- Triglycerides
(metabolism)
- Troponin T
(metabolism)
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