Utility of soluble triggering receptor expressed on myeloid cells-1 (sTREM-1) as biomarker to predict therapeutic response to methotrexate in rheumatoid arthritis

The objective of this study was to investigate the usefulness of soluble triggering receptor expressed on myeloid cells-1 (sTREM-1) in predicting short-term therapeutic response to methotrexate (MTX) in rheumatoid arthritis (RA). Patients with active RA, with Disease Activity Score-28 joints (DAS-28...

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Veröffentlicht in:Innate immunity (London, England) England), 2017-10, Vol.23 (7), p.606-614
Hauptverfasser: Gamez-Nava, Jorge I., Bonilla-Lara, David, Ponce-Guarneros, Juan M., Zuñiga-Mora, J. Alejandro, Perez-Guerrero, Edsaul E., Murillo-Vazquez, Jessica D., Becerra-Alvarado, Itzel N., Rodriguez-Jimenez, N. Alejandra, Saldaña-Cruz, A. Miriam, Vazquez-Villegas, M. Luisa, Vera-Navarrete, Erika Y., Gonzalez-Ponce, Fabiola, Gonzalez-Lopez, Laura
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container_issue 7
container_start_page 606
container_title Innate immunity (London, England)
container_volume 23
creator Gamez-Nava, Jorge I.
Bonilla-Lara, David
Ponce-Guarneros, Juan M.
Zuñiga-Mora, J. Alejandro
Perez-Guerrero, Edsaul E.
Murillo-Vazquez, Jessica D.
Becerra-Alvarado, Itzel N.
Rodriguez-Jimenez, N. Alejandra
Saldaña-Cruz, A. Miriam
Vazquez-Villegas, M. Luisa
Vera-Navarrete, Erika Y.
Gonzalez-Ponce, Fabiola
Gonzalez-Lopez, Laura
description The objective of this study was to investigate the usefulness of soluble triggering receptor expressed on myeloid cells-1 (sTREM-1) in predicting short-term therapeutic response to methotrexate (MTX) in rheumatoid arthritis (RA). Patients with active RA, with Disease Activity Score-28 joints (DAS-28) >3.2, starting oral MTX, were included. We measured at baseline, 3 and 6 mo: DAS-28, Health Assessment Questionnaire–Disability Index (HAQ-DI), patient’s perception of disease severity, morning stiffness and pain, as well as modifications in sTREM-1 levels. A reduction in DAS-28 > 1.2 at 3 or 6 mo was considered adequate response. A significant decrease in DAS-28 was observed at 3 and 6 mo. HAQ-DI also decreased at 3 and 6 mo. No significant changes were observed in sTREM-1 levels at 3 or 6 mo. Using as cut-off a baseline value of sTREM-1 levels > 390 pg/ml, we obtained low values of sensitivity (61.5%), specificity (59.3%), positive predictive value (59.3%) and negative predictive value (61.5%) for adequate response to MTX at 3 mo. We found no clinical value of sTREM-1 levels in predicting therapeutic response to MTX in RA. Further studies should evaluate if sTREM-1 levels are predictive for other outcomes, including higher structural damage or good response to biologics.
doi_str_mv 10.1177/1753425917726862
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Luisa</au><au>Vera-Navarrete, Erika Y.</au><au>Gonzalez-Ponce, Fabiola</au><au>Gonzalez-Lopez, Laura</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Utility of soluble triggering receptor expressed on myeloid cells-1 (sTREM-1) as biomarker to predict therapeutic response to methotrexate in rheumatoid arthritis</atitle><jtitle>Innate immunity (London, England)</jtitle><addtitle>Innate Immun</addtitle><date>2017-10</date><risdate>2017</risdate><volume>23</volume><issue>7</issue><spage>606</spage><epage>614</epage><pages>606-614</pages><issn>1753-4259</issn><eissn>1753-4267</eissn><abstract>The objective of this study was to investigate the usefulness of soluble triggering receptor expressed on myeloid cells-1 (sTREM-1) in predicting short-term therapeutic response to methotrexate (MTX) in rheumatoid arthritis (RA). Patients with active RA, with Disease Activity Score-28 joints (DAS-28) &gt;3.2, starting oral MTX, were included. We measured at baseline, 3 and 6 mo: DAS-28, Health Assessment Questionnaire–Disability Index (HAQ-DI), patient’s perception of disease severity, morning stiffness and pain, as well as modifications in sTREM-1 levels. A reduction in DAS-28 &gt; 1.2 at 3 or 6 mo was considered adequate response. A significant decrease in DAS-28 was observed at 3 and 6 mo. HAQ-DI also decreased at 3 and 6 mo. No significant changes were observed in sTREM-1 levels at 3 or 6 mo. Using as cut-off a baseline value of sTREM-1 levels &gt; 390 pg/ml, we obtained low values of sensitivity (61.5%), specificity (59.3%), positive predictive value (59.3%) and negative predictive value (61.5%) for adequate response to MTX at 3 mo. We found no clinical value of sTREM-1 levels in predicting therapeutic response to MTX in RA. Further studies should evaluate if sTREM-1 levels are predictive for other outcomes, including higher structural damage or good response to biologics.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>28876141</pmid><doi>10.1177/1753425917726862</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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source Sage Journals GOLD Open Access 2024
subjects Adult
Aged
Antirheumatic Agents - therapeutic use
Arthritis, Rheumatoid - diagnosis
Arthritis, Rheumatoid - drug therapy
Biomarkers, Pharmacological - metabolism
Cohort Studies
Disease Progression
Female
Follow-Up Studies
Humans
Male
Methotrexate - therapeutic use
Middle Aged
Predictive Value of Tests
Prognosis
Prospective Studies
Sensitivity and Specificity
Surveys and Questionnaires
Triggering Receptor Expressed on Myeloid Cells-1 - metabolism
Young Adult
title Utility of soluble triggering receptor expressed on myeloid cells-1 (sTREM-1) as biomarker to predict therapeutic response to methotrexate in rheumatoid arthritis
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