The clinical and genetic associations of anti-cyclic citrullinated peptide antibodies in psoriatic arthritis

Objectives. Antibodies recognizing a cyclic citrullinated peptide (anti-CCP) are highly specific for rheumatoid arthritis (RA) but their role in psoriatic arthritis (PsA) remains unclear. The aim of this study was therefore to investigate the prevalence of anti-CCP antibodies in PsA and assess their...

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Veröffentlicht in:Rheumatology (Oxford, England) England), 2005-08, Vol.44 (8), p.1056-1060
Hauptverfasser: Korendowych, E., Owen, P., Ravindran, J., Carmichael, C., McHugh, N.
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container_end_page 1060
container_issue 8
container_start_page 1056
container_title Rheumatology (Oxford, England)
container_volume 44
creator Korendowych, E.
Owen, P.
Ravindran, J.
Carmichael, C.
McHugh, N.
description Objectives. Antibodies recognizing a cyclic citrullinated peptide (anti-CCP) are highly specific for rheumatoid arthritis (RA) but their role in psoriatic arthritis (PsA) remains unclear. The aim of this study was therefore to investigate the prevalence of anti-CCP antibodies in PsA and assess their clinical and genetic associations. Methods. One hundred and twenty-six patients with PsA, 40 patients with seropositive RA and 40 controls were tested for the presence of anti-CCP antibodies, rheumatoid factor (RF) and the HLA-DRB1 shared epitope. Clinical and radiological data were collected prospectively on all patients and compared between anti-CCP-positive and -negative patients. Results. Seven (5.6%) patients with PsA were positive for anti-CCP antibodies compared with 0% of controls and 97% of patients with seropositive RA. The presence of anti-CCP antibodies in PsA was significantly associated with the HLA-DRB1 shared epitope (P
doi_str_mv 10.1093/rheumatology/keh686
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Antibodies recognizing a cyclic citrullinated peptide (anti-CCP) are highly specific for rheumatoid arthritis (RA) but their role in psoriatic arthritis (PsA) remains unclear. The aim of this study was therefore to investigate the prevalence of anti-CCP antibodies in PsA and assess their clinical and genetic associations. Methods. One hundred and twenty-six patients with PsA, 40 patients with seropositive RA and 40 controls were tested for the presence of anti-CCP antibodies, rheumatoid factor (RF) and the HLA-DRB1 shared epitope. Clinical and radiological data were collected prospectively on all patients and compared between anti-CCP-positive and -negative patients. Results. Seven (5.6%) patients with PsA were positive for anti-CCP antibodies compared with 0% of controls and 97% of patients with seropositive RA. The presence of anti-CCP antibodies in PsA was significantly associated with the HLA-DRB1 shared epitope (P&lt;0.005), erosive disease (P&lt;0.05), number of swollen joints (P&lt;0.02) and DMARD use (P&lt;0.05). Conclusions. Overall, the increased prevalence of anti-CCP antibodies in this PsA population failed to reach statistical significance. However, when present, they were a marker of disease severity and had RA-linked MHC class II associations. Further studies are needed in a larger population of patients with PsA and appropriate controls to confirm any true association that may be present.</description><identifier>ISSN: 1462-0324</identifier><identifier>EISSN: 1462-0332</identifier><identifier>DOI: 10.1093/rheumatology/keh686</identifier><identifier>PMID: 15901902</identifier><identifier>CODEN: BJRHDF</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Anti-citrullinated peptide antibodies ; Arthritis, Psoriatic - genetics ; Arthritis, Psoriatic - immunology ; Arthritis, Rheumatoid - immunology ; Autoantibodies - blood ; Biological and medical sciences ; Biomarkers - blood ; Dermatology ; Diseases of the osteoarticular system ; Female ; HLA-DR Antigens - blood ; HLA-DRB1 Chains ; Humans ; Inflammatory joint diseases ; Male ; Medical sciences ; Middle Aged ; Peptides, Cyclic - immunology ; Prospective Studies ; Psoriasis. Parapsoriasis. Lichen ; Psoriatic arthritis ; Rheumatoid Factor - blood ; Severity of Illness Index ; Shared epitope</subject><ispartof>Rheumatology (Oxford, England), 2005-08, Vol.44 (8), p.1056-1060</ispartof><rights>2005 INIST-CNRS</rights><rights>Copyright Oxford University Press(England) Aug 2005</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c540t-cff27edb1140e5d42fab4f410b770d5a805dcdebbea94d47a90fa4f5f39ffb4d3</citedby><cites>FETCH-LOGICAL-c540t-cff27edb1140e5d42fab4f410b770d5a805dcdebbea94d47a90fa4f5f39ffb4d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27928,27929</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=16996332$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15901902$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Korendowych, E.</creatorcontrib><creatorcontrib>Owen, P.</creatorcontrib><creatorcontrib>Ravindran, J.</creatorcontrib><creatorcontrib>Carmichael, C.</creatorcontrib><creatorcontrib>McHugh, N.</creatorcontrib><title>The clinical and genetic associations of anti-cyclic citrullinated peptide antibodies in psoriatic arthritis</title><title>Rheumatology (Oxford, England)</title><addtitle>Rheumatology</addtitle><description>Objectives. Antibodies recognizing a cyclic citrullinated peptide (anti-CCP) are highly specific for rheumatoid arthritis (RA) but their role in psoriatic arthritis (PsA) remains unclear. The aim of this study was therefore to investigate the prevalence of anti-CCP antibodies in PsA and assess their clinical and genetic associations. Methods. One hundred and twenty-six patients with PsA, 40 patients with seropositive RA and 40 controls were tested for the presence of anti-CCP antibodies, rheumatoid factor (RF) and the HLA-DRB1 shared epitope. Clinical and radiological data were collected prospectively on all patients and compared between anti-CCP-positive and -negative patients. Results. Seven (5.6%) patients with PsA were positive for anti-CCP antibodies compared with 0% of controls and 97% of patients with seropositive RA. The presence of anti-CCP antibodies in PsA was significantly associated with the HLA-DRB1 shared epitope (P&lt;0.005), erosive disease (P&lt;0.05), number of swollen joints (P&lt;0.02) and DMARD use (P&lt;0.05). Conclusions. Overall, the increased prevalence of anti-CCP antibodies in this PsA population failed to reach statistical significance. However, when present, they were a marker of disease severity and had RA-linked MHC class II associations. Further studies are needed in a larger population of patients with PsA and appropriate controls to confirm any true association that may be present.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anti-citrullinated peptide antibodies</subject><subject>Arthritis, Psoriatic - genetics</subject><subject>Arthritis, Psoriatic - immunology</subject><subject>Arthritis, Rheumatoid - immunology</subject><subject>Autoantibodies - blood</subject><subject>Biological and medical sciences</subject><subject>Biomarkers - blood</subject><subject>Dermatology</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>HLA-DR Antigens - blood</subject><subject>HLA-DRB1 Chains</subject><subject>Humans</subject><subject>Inflammatory joint diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Peptides, Cyclic - immunology</subject><subject>Prospective Studies</subject><subject>Psoriasis. Parapsoriasis. Lichen</subject><subject>Psoriatic arthritis</subject><subject>Rheumatoid Factor - blood</subject><subject>Severity of Illness Index</subject><subject>Shared epitope</subject><issn>1462-0324</issn><issn>1462-0332</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0V1rFDEUBuAgiq3VXyDIIOjd2HxNMrmUrbXaBW8qiDchk5x0085OpkkG3H9v6i6teONVDpznPRBehF4T_IFgxU7TBpatKXGM17vTW9iIXjxBx4QL2mLG6NOHmfIj9CLnG4xxR1j_HB2RTmGiMD1G49UGGjuGKVgzNmZyzTVMUIJtTM7RBlNCnHITfd2V0NpdtbaxoaRlrClTwDUzzCU4-COG6ALkJkzNnGO6j9dLqWxSKCG_RM-8GTO8Orwn6Pv5p6vVRbv-9vnL6uO6tR3HpbXeUwluIIRj6Byn3gzcc4IHKbHrTI87Zx0MAxjFHZdGYW-47zxT3g_csRP0fn93TvFugVz0NmQL42gmiEvWoseCSU7_CymhVEkpKnz7D7yJS5rqJzRRnZA9Zbwitkc2xZwTeD2nsDVppwnW95XpvyvT-8pq6s3h9DJswT1mDh1V8O4ATK4l-WQmG_KjE0qJ2nd17d6FXODXw96kWy0kk52--PFTry9X-Oz88qs-Y78B8Gi2FQ</recordid><startdate>20050801</startdate><enddate>20050801</enddate><creator>Korendowych, E.</creator><creator>Owen, P.</creator><creator>Ravindran, J.</creator><creator>Carmichael, C.</creator><creator>McHugh, N.</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>20050801</creationdate><title>The clinical and genetic associations of anti-cyclic citrullinated peptide antibodies in psoriatic arthritis</title><author>Korendowych, E. ; Owen, P. ; Ravindran, J. ; Carmichael, C. ; McHugh, N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c540t-cff27edb1140e5d42fab4f410b770d5a805dcdebbea94d47a90fa4f5f39ffb4d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anti-citrullinated peptide antibodies</topic><topic>Arthritis, Psoriatic - genetics</topic><topic>Arthritis, Psoriatic - immunology</topic><topic>Arthritis, Rheumatoid - immunology</topic><topic>Autoantibodies - blood</topic><topic>Biological and medical sciences</topic><topic>Biomarkers - blood</topic><topic>Dermatology</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>HLA-DR Antigens - blood</topic><topic>HLA-DRB1 Chains</topic><topic>Humans</topic><topic>Inflammatory joint diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Peptides, Cyclic - immunology</topic><topic>Prospective Studies</topic><topic>Psoriasis. Parapsoriasis. Lichen</topic><topic>Psoriatic arthritis</topic><topic>Rheumatoid Factor - blood</topic><topic>Severity of Illness Index</topic><topic>Shared epitope</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Korendowych, E.</creatorcontrib><creatorcontrib>Owen, P.</creatorcontrib><creatorcontrib>Ravindran, J.</creatorcontrib><creatorcontrib>Carmichael, C.</creatorcontrib><creatorcontrib>McHugh, N.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Rheumatology (Oxford, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Korendowych, E.</au><au>Owen, P.</au><au>Ravindran, J.</au><au>Carmichael, C.</au><au>McHugh, N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The clinical and genetic associations of anti-cyclic citrullinated peptide antibodies in psoriatic arthritis</atitle><jtitle>Rheumatology (Oxford, England)</jtitle><addtitle>Rheumatology</addtitle><date>2005-08-01</date><risdate>2005</risdate><volume>44</volume><issue>8</issue><spage>1056</spage><epage>1060</epage><pages>1056-1060</pages><issn>1462-0324</issn><eissn>1462-0332</eissn><coden>BJRHDF</coden><abstract>Objectives. Antibodies recognizing a cyclic citrullinated peptide (anti-CCP) are highly specific for rheumatoid arthritis (RA) but their role in psoriatic arthritis (PsA) remains unclear. The aim of this study was therefore to investigate the prevalence of anti-CCP antibodies in PsA and assess their clinical and genetic associations. Methods. One hundred and twenty-six patients with PsA, 40 patients with seropositive RA and 40 controls were tested for the presence of anti-CCP antibodies, rheumatoid factor (RF) and the HLA-DRB1 shared epitope. Clinical and radiological data were collected prospectively on all patients and compared between anti-CCP-positive and -negative patients. Results. Seven (5.6%) patients with PsA were positive for anti-CCP antibodies compared with 0% of controls and 97% of patients with seropositive RA. The presence of anti-CCP antibodies in PsA was significantly associated with the HLA-DRB1 shared epitope (P&lt;0.005), erosive disease (P&lt;0.05), number of swollen joints (P&lt;0.02) and DMARD use (P&lt;0.05). Conclusions. Overall, the increased prevalence of anti-CCP antibodies in this PsA population failed to reach statistical significance. However, when present, they were a marker of disease severity and had RA-linked MHC class II associations. Further studies are needed in a larger population of patients with PsA and appropriate controls to confirm any true association that may be present.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>15901902</pmid><doi>10.1093/rheumatology/keh686</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Anti-citrullinated peptide antibodies
Arthritis, Psoriatic - genetics
Arthritis, Psoriatic - immunology
Arthritis, Rheumatoid - immunology
Autoantibodies - blood
Biological and medical sciences
Biomarkers - blood
Dermatology
Diseases of the osteoarticular system
Female
HLA-DR Antigens - blood
HLA-DRB1 Chains
Humans
Inflammatory joint diseases
Male
Medical sciences
Middle Aged
Peptides, Cyclic - immunology
Prospective Studies
Psoriasis. Parapsoriasis. Lichen
Psoriatic arthritis
Rheumatoid Factor - blood
Severity of Illness Index
Shared epitope
title The clinical and genetic associations of anti-cyclic citrullinated peptide antibodies in psoriatic arthritis
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