Abatacept reduces disease activity of rheumatoid arthritis independently of modulating anti-citrullinated peptide antibody production

Abatacept may exert its clinical effect on rheumatoid arthritis (RA) by suppressing anti-cyclic citrullinated peptide (CCP) antibody production. This study was undertaken to test this hypothesis by examining the changes of disease activity of RA and anti-CCP antibody levels over time after starting...

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Main Authors: Hisakata Yamada, Tomomi Tsuru, Takeshi Otsuka, Masayuki Maekawa, Hiroshi Harada, Takaaki Fukuda, Hiroshi Tsukamoto, Akira Maeyama, Shigeru Yoshizawa, Ken Wada, Yasuharu Nakashima, Eisuke Shono, Seiji Yoshizawa, Hiroshi Jojima, Masakazu Kondo
Format: Article
Language:English
Published: Taylor & Francis Group 2020-04-01
Series:Immunological Medicine
Subjects:
Online Access:http://dx.doi.org/10.1080/25785826.2020.1718833
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author Hisakata Yamada
Tomomi Tsuru
Takeshi Otsuka
Masayuki Maekawa
Hiroshi Harada
Takaaki Fukuda
Hiroshi Tsukamoto
Akira Maeyama
Shigeru Yoshizawa
Ken Wada
Yasuharu Nakashima
Eisuke Shono
Seiji Yoshizawa
Hiroshi Jojima
Masakazu Kondo
author_facet Hisakata Yamada
Tomomi Tsuru
Takeshi Otsuka
Masayuki Maekawa
Hiroshi Harada
Takaaki Fukuda
Hiroshi Tsukamoto
Akira Maeyama
Shigeru Yoshizawa
Ken Wada
Yasuharu Nakashima
Eisuke Shono
Seiji Yoshizawa
Hiroshi Jojima
Masakazu Kondo
author_sort Hisakata Yamada
collection DOAJ
description Abatacept may exert its clinical effect on rheumatoid arthritis (RA) by suppressing anti-cyclic citrullinated peptide (CCP) antibody production. This study was undertaken to test this hypothesis by examining the changes of disease activity of RA and anti-CCP antibody levels over time after starting abatacept. Sixty Japanese RA patients who started abatacept were included in this multicenter, prospective observational study. Simple Disease Activity Index (SDAI) and anti-CCP antibody levels were evaluated at 12, 24, and 52 weeks. The mean SDAI score significantly decreased within 12 weeks after starting abatacept and was maintained thereafter. On the contrary, the mean anti-CCP antibody levels did not change until 52 weeks. At the individual level, there were substantial changes of anti-CCP antibody levels, but these were not correlated with the changes of disease activity at any time points. Thus, abatacept reduces the disease activity of RA independently of modulating anti-CCP antibody production.
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spelling doaj.art-1555dbb760624871b88689878032cfb02022-12-22T01:33:41ZengTaylor & Francis GroupImmunological Medicine2578-58262020-04-01432879110.1080/25785826.2020.17188331718833Abatacept reduces disease activity of rheumatoid arthritis independently of modulating anti-citrullinated peptide antibody productionHisakata Yamada0Tomomi Tsuru1Takeshi Otsuka2Masayuki Maekawa3Hiroshi Harada4Takaaki Fukuda5Hiroshi Tsukamoto6Akira Maeyama7Shigeru Yoshizawa8Ken Wada9Yasuharu Nakashima10Eisuke Shono11Seiji Yoshizawa12Hiroshi Jojima13Masakazu Kondo14Kyushu UniversityPS ClinicMunakata Medical Association HospitalMaekawa Clinic of Rheumatology and Orthopedic SurgeryMorooka Orthopedic ClinicKurume University Medical CenterKyushu UniversityFukuoka UniversityNational Hospital Organization Fukuoka HospitalWada Orthopaedic ClinicKyushu UniversityShono Rheumatology ClinicHamanomachi HospitalFukuoka University Chikushi HospitalKondo Clinic of Rheumatology and Orthopaedic SurgeryAbatacept may exert its clinical effect on rheumatoid arthritis (RA) by suppressing anti-cyclic citrullinated peptide (CCP) antibody production. This study was undertaken to test this hypothesis by examining the changes of disease activity of RA and anti-CCP antibody levels over time after starting abatacept. Sixty Japanese RA patients who started abatacept were included in this multicenter, prospective observational study. Simple Disease Activity Index (SDAI) and anti-CCP antibody levels were evaluated at 12, 24, and 52 weeks. The mean SDAI score significantly decreased within 12 weeks after starting abatacept and was maintained thereafter. On the contrary, the mean anti-CCP antibody levels did not change until 52 weeks. At the individual level, there were substantial changes of anti-CCP antibody levels, but these were not correlated with the changes of disease activity at any time points. Thus, abatacept reduces the disease activity of RA independently of modulating anti-CCP antibody production.http://dx.doi.org/10.1080/25785826.2020.1718833rheumatoid arthritisanti-citrullinated protein antibodiescyclic citrullinated peptideabatacept
spellingShingle Hisakata Yamada
Tomomi Tsuru
Takeshi Otsuka
Masayuki Maekawa
Hiroshi Harada
Takaaki Fukuda
Hiroshi Tsukamoto
Akira Maeyama
Shigeru Yoshizawa
Ken Wada
Yasuharu Nakashima
Eisuke Shono
Seiji Yoshizawa
Hiroshi Jojima
Masakazu Kondo
Abatacept reduces disease activity of rheumatoid arthritis independently of modulating anti-citrullinated peptide antibody production
Immunological Medicine
rheumatoid arthritis
anti-citrullinated protein antibodies
cyclic citrullinated peptide
abatacept
title Abatacept reduces disease activity of rheumatoid arthritis independently of modulating anti-citrullinated peptide antibody production
title_full Abatacept reduces disease activity of rheumatoid arthritis independently of modulating anti-citrullinated peptide antibody production
title_fullStr Abatacept reduces disease activity of rheumatoid arthritis independently of modulating anti-citrullinated peptide antibody production
title_full_unstemmed Abatacept reduces disease activity of rheumatoid arthritis independently of modulating anti-citrullinated peptide antibody production
title_short Abatacept reduces disease activity of rheumatoid arthritis independently of modulating anti-citrullinated peptide antibody production
title_sort abatacept reduces disease activity of rheumatoid arthritis independently of modulating anti citrullinated peptide antibody production
topic rheumatoid arthritis
anti-citrullinated protein antibodies
cyclic citrullinated peptide
abatacept
url http://dx.doi.org/10.1080/25785826.2020.1718833
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