CORRELATION STUDY OF DISEASE ACTIVITY SCORE AND SERUM CARTILAGE OLIGOMERIC MATRIX PROTEINLEVELS OF RHEUMATOID ARTHRITIS PATIENTS IN BANDUNG, INDONESIA
DOI:
https://doi.org/10.22159/ajpcr.2017.v10i1.15251Abstract
Objective: This study was designed to determine the correlation between Disease Activity Score (DAS 28) and the serum Cartilage Oligomeric Matrix Protein (COMP) levels in Indonesian Rheumatoid Arthritis (RA) patients.
Methods: The subjects were patients who visit the rheumatology clinic at one governmental hospital in Bandung, Indonesia. DAS was determined by the QxMD Software based on erythrocyte sedimentation rate, and serum COMP levels were determined by enzyme-linked immunosorbent assay. Statistical analysis was conducted with IBM SPSS Statistics 23.
Results: DAS 28 value was 3.36 ± 0.16 which indicates the moderate disease activity. Serum COMP levels were 843.80 ± 35.79 ng/ml in RA patients and 830.00 ± 48.92 ng/ml in normal controls.
Conclusion: There is no correlation between DAS 28 and serum COMP levels in RA patients (p = 0.496 and rho = 0.129).
Keywords: Autoimmune disease, Rheumatoid arthritis monitoring, Cartilage oligomeric matrix protein, Disease activity score 28
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Schett G, Hayer S, Zwerina J, Redlich K, Smolen JS. Mechanisms of disease: The link between RANKL and arthritic bone disease. Nat Clin Pract Rheumatol 2005;1(1):47-54.
Sacks JJ, Luo YH, Helmick CG. Prevalence of specific types of arthritis and other rheumatic conditions in the ambulatory health care system in the United States, 2001-2005. Arthritis Care Res (Hoboken) 2010;62(4):460-4.
Nainggolan O. Prevalensi dan determinan penyakit rematik di Indonesia. Madjalah Kedokt Indones 2009;59(12):588-94.
Vittecoq O, Pouplin S, Krzanowska K, Jouen-Beadem F, Me´nard JF, Gayet A, et al. Rheumatoid factor is the strongest predictor of radiological progression of rheumatoidarthritis in a three-year prospective study in community-recruited patients. Rheumatology 2003;42:939-46.
Tseng S, Reddi AH, Di Cesare PE. Cartilage oligomeric matrix protein (COMP): A biomarker of arthritis. Biomark Insights 2009;4:33-44.
Halász K, Kassner A, Mörgelin M, Heinegård D. COMP acts as a catalyst in collagen fibrillogenesis. J Biol Chem 2007 26;282(43):31166-73.
Kawashiri SY, Kawakami A, Ueki Y, Imazato T, Iwamoto N, Fujikawa K, et al. Decrement of serum cartilage oligomeric matrix protein (COMP) in rheumatoid arthritis (RA) patients achieving remission after 6 months of etanercept treatment: Comparison with CRP, IgM-RF, MMP-3 and anti-CCP Ab. Joint Bone Spine 2010;77(5):418-20.
NRAS. Know your Disease Activity Score and Stay One Step Ahead of Your RA. UK: Roche Product Ltd., Chugai Pharma UK; 2011.
Saptarini NM, Wibowo MS, Gusdinar T. Correlation study of age, disease duration, and erythrocyte sedimentation rate among the indonesian rheumatoid arthritis patients. Int J Pharm Pharm Sci 2015;7(11):274-77.
Aletaha D, Neogi T, Silman AJ, Funovits J, Felson DT, Bingham CO 3rd, et al. 2010 Rheumatoid arthritis classification criteria: An American college of rheumatology/European league against rheumatism collaborative initiative. Arthritis Rheum 2010;62(9):2569-81.
Samanci N, Ozdem S, Akbas H, Mutlu D, Gultekin M, Arman M, et al.
Diagnostic value and clinical significance of anti-CCP in patients with advanced rheumatoid arthritis. J Natl Med Assoc 2005;97(8):1120-6.
Hastono SP. Analisis Data Kesehatan. Depok, Indonesia: Fakultas Kesehatan Masyarakat Universitas Indonesia; 2007.
Culoto M, Wilder R. Different roles for androgens and estrogens in the susceptibility to autoimmune rheumatic diseases. Rheum Dis Clin North Am 2000;26(4):825-39.
Salem ML. Estrogen, a double-edged sword: Modulation of TH1- and TH2-mediated inflammations by differential regulation of TH1/ TH2 cytokine production. Curr Drug Targets Inflamm Allergy 2004;3(1):97-104.
Setiyohadi B, Alwi I, Simadibrata M, Setiati M, editors. Ilmu Penyakit Dalam. Jakarta: Pusat Penerbitan Departemen Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Indonesia; 2006.
Choy E. Understanding the dynamics: Pathways involved in the pathogenesis of rheumatoid arthritis. Rheumatology (Oxford) 2012;51 Suppl 5:v3-11.
Harris E. Clinical features of rheumatoid arthtritis and their clinical significance. Arthritis Res 2002;4 Suppl 2:S1-5.
Lindqvist E, Eberhardt K, Bendtzen K, Heinegård D, Saxne T. Prognostic laboratory markers of joint damage in rheumatoid arthritis. Ann Rheum Dis 2005;64(2):196-201.
Katzung B. Basic and Clinical Pharmacology. 9 ed. United State: McGraw-Hill Comp Inc; 2004.
Schuna AA. Rheumatoid arthritis. In: Dipiro JT, Talbert RL, Yee GC, Matzke GR, Wells BG, Posey LM, editors. Pharmacotherapy: A Pathophysiologic Approach. 7th ed. Singapore: Mc Graw Hill Medical; 2007.
Saptarini NM, Wibowo MS, Gusdinar T. Erythrocyte sedimentation rate as an indicator of compliance of rheumatoid arthritis patients: A case study in West Java, Indonesia. Mahidol Univ J Pharm Sci 2016;43(2):55-62.
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