Rheumatoid factor. Association with atherogenic risk markers in rheumatoid arthritis patients

Authors

  • Ulises Mendoza Coussette Hospital Clínico .Quirúrgico Docente "Comandante Faustino Pérez Hernández". Matanzas
  • María Eugenia Alonso Biosca Facultad de Biología. Universidad de La Habana. La Habana,

Keywords:

rheumatic factor, rheumatoid arthritis, atherogenic risk’s

Abstract

The IgM rheumatic factor has been the most associated autoantibody to the rheumatoid arthritis. In spite of achieved results about its pathogenesis, the analysis of the association between that antibody and atherogenic risk’s markers it has not used up in this illness. In orden to evaluate the association of IgM rheumatoid factor with the atherogenic risk’s markers lipoprotein(a), apolipoproteín B/apolipoproteín A1, LDL/HDL cholesterol, apolipoproteín B/LDL cholesterol and atherogenic ratios; as well as the predictive value of that antibody above these ones, carried out an observational cross-sectional study in rheumatoid arthritis patients and healthy Matanzas people’s sample since june/2011 to march/2014. The IgM rheumatic factor showed association with the atherogenic, LDL/HDL cholesterol, and apolipoproteína B/LDL cholesterol ratios, usefulness to estimate the first two ones, as well as predictive value over the atherogenic index independent to the disease activity markers: c reactive protein, complement C3, complement C4 and DAS28 in the patients with the illness’s seropositive rheumatoid factor form [Pearson’ r = 0,637; 0,345; (-) 0,359; R2= 0,406; and 0,119 (p < 0,05), respectively]. The present investigation showed relation, predictive value, and able to indirectly stratify the seropositive rheumatoid arthritis patients’coronary risk from IgM rheumatoid factor’s serum title; and motive to extend the study of the same scientific problem about antibodies associated with anothers autoimmunity diseases related to high cardiovascular morbimortality.

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Author Biographies

Ulises Mendoza Coussette, Hospital Clínico .Quirúrgico Docente "Comandante Faustino Pérez Hernández". Matanzas

MSc. Especialista de 1er Grado en Bioquímica Clínica

María Eugenia Alonso Biosca, Facultad de Biología. Universidad de La Habana. La Habana,

Dra. C. Licenciada en Biología

References

Mclnnes I B, Schett G. The Pathogenesis of Rheumatoid Arthritis. The New England Journal of Medicine. 2011;365:2205-19.

Prada DM, Rosabal NM, Molinero C, Gómez JA, Hernández IM, López AM, et al. Artritis Reumatoide: Beneficios clínicos observados en pacientes tratados con anticuerpo monoclonal Itulizumab (T1H MAB), 2 años después de recibir tratamiento. Rev Cuba Reumatol. 2011;13(17-18):5-13.

Kitas GD, Erb N. Tackling ischaemic heart disease in rheumatoid arthritis. Rheumatology. 2003;42:607-13.

Cavagna L, Boffini N, Cagnotto G, Inverardi F, Grosso V, Caporali R. Atherosclerosis and Rheumatoid Arthritis: More than a Simple Association. Mediators of Inflammation 2012; [Internet] 2012. [citado 10 junio 2014]; Disponible en: http://scholar.google.com.cu/scholar?hl=es&q=Atherosclerosis+and+rheumatoid+arthritis%3A+More+than+a+simple+Association&btnG=&lr

Södergren A, Karp K, Boman K, Eriksson C, Lundström E, Smedby T, et al. Atherosclerosis in early rheumatoid arthritis: very early endothelial activation and rapid progression of intima media thickness. Arthritis Research & Therapy 2010; 12:R158.

Soltész P, Kerekes G, Dér H, Szücs G, Szántó S, Kiss E, et al. Comparative assessment of vascular function in autoinmune rheumatic deseases. Considerations of prevention and treatment. Autoimmunity Reviews. 2011; doi:10.1016/j.autrev.2011.01.004.

Sarmiento J C, Amaya J, Espinosa J S, Herrera C, Anaya J M, Rojas A. Cardiovascular Disease in Rheumatoid Arthritis: A Systematic Literature Review in Latin America. Arthritis. [Internet] 2012. [citado 10 junio 2014]; 371909. Disponible en: http://scholar.google.com.cu/scholar?q=cardiovascular+Disease+in+Rheumatoid+Arthritis%3A+A+Systematic+Literature+Review+in+Latin+America&btnG=&hl=es&as_sdt=0%2C5

Wallach J. Enfermedades cardiovasculares. En: Centro Nacional de Información de Ciencias Médicas, editor. Interpretación clínica de las pruebas de laboratorio. La Habana: Ed Ciencias Médicas; 2006. p. 141-67.

Prada D M, Santana I, Molinero C, Gómez JA, Milera JM, Hernández MV, et al. Caracterización clínico epidemiológica y tratamiento precoz en la Artritis Reumatoide temprana. Rev Cuba de Reumatol. [Internet] 2012. [citado 10 diciembre 2014]; 14(21). Disponible en: http://www.revreumatologia.sld.cu/index.php/reumatologia/article/view/219

Loza E, Calvo J, Del Canto F, Alarcón GS. Enfermedades autoinmunes. En: Artritis Reumatoide. Barcelona: Ed. Masson; 2006. p. 369-99.

Ráček V, Němec P. Rheumatoid Arthritis an independent risk factor for cardiovascular disease. Vnitr Lek. 2012;58(11):834-8.

Gkaliagkousi E, Gavriilaki E, Doumas M, Pedtidis K, Aslanidis S, Stella D. Cardiovascular risk in rheumatoid arthritis: pathogenesis, diagnosis, and management. Journal Clinical Rheumatology. 2012;18(8):422-30.

Bartels Ch, Kind A, Everett Ch, Mell M, McBride P, Smith M. Low frequency of primary lipid screening among medicare patients with Rheumatoid Arthritis. Arthritis & rheumatism. 2011;63(5):1221-30.

Pieper J, Herrath J, Raghavan S, Muhammad K, Van R, Malmströ-Pieper J, et.al. CTLA4-Ig (abatacept) therapy modulates Tcell effector functions in autoantibody positive rheumatoid arthritis patients. BCM Immunology. 2013;14:34-43.

Montecucco F, Mach F. Common inflammatory mediators orchestrate pathophysiological processes in rheumatoid arthritis and atherosclerosis. Rheumatology. 2009;48:11-22.

Missala I, Kassner U, Steinhagen E. A Systematic Literature Review of the Association of Lipoprotein (a) and Autoimmune Diseases and Atherosclerosis. Int J Rheumatol. [Internet] 2012. [citado 10 junio 2014]; 480784. Disponible en: http://scholar.google.com.cu/scholar?q=A+Systematic+Literature+Review+of+the+Association+of+Lipoprotein%28a%29+and+Autoimmune+Diseases+and+Atherosclerosis&btnG=&hl=es&as_sdt=0%2C5

Mendoza U, Rodríguez JA, Alonso MA. Marcadores de respuesta inflamatoria y riesgo coronario en pacientes con Artritis Reumatoide. Revista cubana de investigaciones biomédicas [Internet] 2013. [citado 10 junio 2014]; 32(3). Disponible en: http://bvs.sld.cu/revistas/ibi/vol32_3_13/ibi09313.htm

Published

2015-04-30

How to Cite

1.
Mendoza Coussette U, Alonso Biosca ME. Rheumatoid factor. Association with atherogenic risk markers in rheumatoid arthritis patients. Rev. cuba. de Reumatol. [Internet]. 2015 Apr. 30 [cited 2025 Mar. 14];17(2):151-7. Available from: https://revreumatologia.sld.cu/index.php/reumatologia/article/view/412

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Original research article