Ankylosing spondylitis and rheumatoid arthritis: serum levels of TNF-α and Its soluble receptors during the course of therapy with etanercept and infliximab.

Ankylosing spondylitis and rheumatoid arthritis: serum levels of TNF-α and Its soluble receptors during the course of therapy with etanercept and infliximab.
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DOI:
10.1155/2014/675108
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发表时间:
2014
影响因子:
--
通讯作者:
Neeck G
Neeck G
中科院分区:
生物学3区
文献类型:
--
作者:
Schulz M;Dotzlaw H;Neeck G

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在接受任一化合物治疗的强直性脊柱炎(AS)和类风湿性关节炎(RA)患者中,测定了TNF-α阻滞剂英夫利西单抗或依那西普对TNF-α、TNF-受体1(TNF-R1)和TNF-受体2(TNF-R2)水平以及炎症标志物CRP和IL-6水平的影响。发现RA患者治疗前TNF-α水平较健康人和AS患者有升高趋势(P < 0.05)。在治疗过程中,我们在AS和RA依那西普患者组中测得TNF-α水平显著升高,而在英夫利西单抗治疗的患者中,测得的TNF-α水平保持不变。在我们的研究组中,依那西普治疗患者中TNF-α升高似乎不是自发发生进一步自身免疫性疾病的显著风险因素。与健康对照组相比,AS(P < 0.05)和RA(P < 0.001)患者的TNF-R1水平均升高。在AS患者中,TNF-R1水平在英夫利西单抗(P < 0.01)或依那西普(P < 0.001)治疗后显著下降。相比之下,这种受体的水平保持不变,在RA患者与任一化合物治疗。
The effects of the TNF-α blockers infliximab or etanercept on the levels of TNF-α, TNF-receptor 1 (TNF-R1), and TNF-receptor 2 (TNF-R2), as well as the levels of the inflammation markers CRP and IL-6, were measured in ankylosing spondylitis (AS) and rheumatoid arthritis (RA) patients receiving treatment with either compound. We found that RA patients tend to have higher levels of TNF-α than both healthy individuals and AS patients prior to treatment (P < 0.05). We measured greatly increased levels of TNF-α in both the AS and RA etanercept patient groups during the course of treatment, while in the infliximab treated patients, the amount of TNF-α measured remained unchanged. Elevated TNF-α in the etanercept treated patients does not appear to be a significant risk factor for the spontaneous development of further autoimmune diseases in our study group. Increased levels of TNF-R1 were determined in both AS (P < 0.05) and RA (P < 0.001) patients when compared to healthy controls. In AS patients, the levels of TNF-R1 dropped significantly when treated with either infliximab (P < 0.01) or etanercept (P < 0.001). In contrast, the levels of this receptor remained unchanged in RA patients treated with either compound.
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