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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Immunol+Res
2015 ; 2015
(ä): 759610
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Methotrexate, Cyclosporine A, and Biologics Protect against Atherosclerosis in
Rheumatoid Arthritis
#MMPMID26090499
Kisiel B
; Kruszewski R
; Juszkiewicz A
; Raczkiewicz A
; Bachta A
; T?ustochowicz M
; Staniszewska-Varga J
; K?os K
; Duda K
; Bogus?awska-Walecka R
; P?oski R
; T?ustochowicz W
J Immunol Res
2015[]; 2015
(ä): 759610
PMID26090499
show ga
INTRODUCTION: The risk of cardiovascular disease is increased in rheumatoid
arthritis (RA). A meta-analysis showed increased intima media thickness (IMT) in
RA. It has been shown that disease modifying antirheumatic drugs (DMARDs) may
influence the progression of atherosclerosis. However, it was suggested that
biologics may be more efficient than other DMARDs (including methotrexate--MTX)
in protecting against atherosclerosis. OBJECTIVES: The aim of this study was to
assess the influence of different RA characteristics and treatment regimens on
IMT and atherosclerotic plaques. PATIENTS AND METHODS: 317 RA patients and 111
controls were included in the study. IMT was measured in carotid (CIMT) and
femoral (FIMT) arteries. Arteries were screened for the presence of plaques.
RESULTS: CIMT, FIMT, and prevalence of plaques were lower in patients treated
with methotrexate (MTX) ? 20 mg/wk, cyclosporine (CsA), or biologics than in
patients treated with lower doses of MTX and other disease modifying
antirheumatic drugs. No differences in IMT between patients treated with MTX ? 20
mg/wk, biologics, or CsA were found. CONCLUSIONS: We found a beneficial effect of
MTX ? 20 mg/wk, biologics, and CsA on atherosclerosis. We do not confirm a
stronger influence of biologics on IMT compared with therapeutic doses of MTX.