Serum alarmins and the risk of incident interstitial lung disease in rheumatoid arthritis.
| Autor: | Poole, Jill A, England, Bryant R, Sayles, Harlan, Johnson, Tate M, Duryee, Michael J, Hunter, Carlos D, Baker, Joshua F, Kerr, Gail S, Kunkel, Gary, Cannon, Grant W, Sauer, Brian C, Wysham, Katherine D, Joseph, Amy M, Wallace, Beth I, Thiele, Geoffrey M, Mikuls, Ted R |
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| Předmět: |
RISK assessment
CROSS-sectional method RESEARCH funding HEALTH status indicators RHEUMATOID arthritis CATHELICIDINS LOGISTIC regression analysis SEX distribution SMOKING INTERSTITIAL lung diseases THYMIC stromal lymphopoietin MULTIVARIATE analysis AGE distribution LONGITUDINAL method RESEARCH MEDICAL records ACQUISITION of data CONFIDENCE intervals INTERLEUKINS PROPORTIONAL hazards models BIOMARKERS BLOOD DISEASE risk factors DISEASE complications |
| Zdroj: | Rheumatology; Jul2024, Vol. 63 Issue 7, p1998-2005, 8p |
| Abstrakt: | Objectives To quantify associations of serum alarmins with risk of rheumatoid arthritis-associated interstitial lung disease (RA-ILD). Methods Using serum collected at enrolment, three alarmins (IL-33, thymic stromal lymphopoietin [TSLP] and IL-25) were measured in a multicentre prospective RA cohort. ILD was classified using systematic medical record review. Cross-sectional associations of log-transformed (IL-33, TSLP) or quartile (IL-25) values with RA-ILD at enrolment (prevalent RA-ILD) were examined using logistic regression, while associations with incident RA-ILD developing after enrolment were examined using Cox proportional hazards. Covariates in multivariate models included age, sex, race, smoking status, RA disease activity score and anti-cyclic citrullinated antibody positivity. Results Of 2835 study participants, 115 participants (4.1%) had prevalent RA-ILD at baseline and an additional 146 (5.1%) developed incident ILD. There were no associations between serum alarmin concentrations and prevalent ILD in unadjusted or adjusted logistic regression models. In contrast, there was a significant inverse association between IL-33 concentration and the risk of developing incident RA-ILD in unadjusted (hazard ratio [HR] 0.73 per log-fold increase; 95% CI: 0.57, 0.95; P = 0.018) and adjusted (HR 0.77; 95% CI: 0.59, 1.00; P = 0.047) models. No significant associations of TSLP or IL-25 with incident ILD were observed. Conclusion In this study, we observed a significant inverse association between serum IL-33 concentration and the risk of developing incident RA-ILD, but no associations with prevalent ILD. Additional investigation is required to better understand the mechanisms driving this relationship and how serum alarmin IL-33 assessment might contribute to clinical risk stratification in patients with RA. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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