The effect of disease modifying anti-rheumatic drugs (DMARDS) in combination with Prednisolone on TNF-Alfa plasma levels and disease activity in rheumatoid arthritis patients


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نویسندگان: سیروس جلیلی , مهدی تقدسی , بهاره کاردیده , زهرا صمیمی

عنوان کنگره / همایش: چهاردهمین کنگره بین المللی ایمونولوژی و آلرژی , ایران , تهران , 2018

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کد مقاله 11897
عنوان فارسی مقاله
عنوان لاتین مقاله The effect of disease modifying anti-rheumatic drugs (DMARDS) in combination with Prednisolone on TNF-Alfa plasma levels and disease activity in rheumatoid arthritis patients
نوع ارائه سخنرانی
عنوان کنگره / همایش چهاردهمین کنگره بین المللی ایمونولوژی و آلرژی
نوع کنگره / همایش بین المللی
کشور محل برگزاری کنگره/ همایش ایران
شهر محل برگزاری کنگره/ همایش تهران
سال انتشار/ ارائه شمسی 1397
سال انتشار/ارائه میلادی 2018
تاریخ شمسی شروع و خاتمه کنگره/همایش 1397/02/06 الی 1397/02/08
آدرس لینک مقاله/ همایش در شبکه اینترنت http://icia.ir/Page/WelcomeMessages
آدرس علمی (Affiliation) نویسنده متقاضی 4.0000

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نویسنده نفر چندم مقاله
سیروس جلیلیسوم
مهدی تقدسیچهارم
بهاره کاردیدهدوم
زهرا صمیمیاول

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عنوان متن
کلمات کلیدیRheumatoid Arthritis, DMARD, Disease activity score, TNF-α
چکیده
متن مقالهBackground: Rheumatoid Arthritis (RA) is an inflammatory autoimmune disease that leads to destruction of joints and adjacent tissue. Several inflammatory cytokines such as tumor necrosis factor-α (TNF-α) have critical roles in RA pathogenesis. Disease Modifying Anti-Rheumatic Drugs (DMARDs) are the main stay of therapy in treatment of RA. The aim of this study was to assess the plasma levels of TNF-α between three groups untreated, undertreatment patients and healthy subjects and also evaluate the effect of DMARDs on the plasma levels of TNF-α and severity of RA disease. Methods: Peripheral Blood was obtained from three groups including 30 untreated, 30 undertreatment patients and 30 age- and sex-matched healthy subjects. Undertreatment patients were received combinational DMARDs therapy including Methotrexate, Hydroxychloroquine plus Prednisolone. The plasma levels of TNF-α in three groups were measured by ELISA technique. The disease severity was assessed by disease activity score (DAS-28) and patients based on DAS-28 were categorized in four different groups including remission, low, moderate and high disease activity. Results: The plasma levels of TNF-α had no significant difference between three groups (p<0.05) but the DAS-28 was significantly higher In untreated group in comparison with undertreatment group (p<0.01). DAS-28 was significantly correlated with TNF-α level in untreated patients (p=0.01, r=0.549) but we did not see significant correlation between DAS-28 and TNF-α in undertreatment group (p=0.12, r=-0.29).
نتیجه مقالهConclusion: It can be concluded that the plasma leves of TNF-α could be good predictor of disease activity in RA patiens but quantification of its levels in plasma is not a good biomarker for diagnosis of RA. DMARDs therapy dose not effect on the endocrine levels of TNF-α but it may affect local production of TNF-α.

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