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10.1002/art.39814

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suck abstract from ncbi


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pmid27428710
      Arthritis+Rheumatol 2017 ; 69 (1 ): 185-193
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  • Association of Serum Calprotectin (S100A8/A9) Level With Disease Relapse in Proteinase 3-Antineutrophil Cytoplasmic Antibody-Associated Vasculitis #MMPMID27428710
  • Pepper RJ ; Draibe JB ; Caplin B ; Fervenza FC ; Hoffman GS ; Kallenberg CG ; Langford CA ; Monach PA ; Seo P ; Spiera R ; William St Clair E ; Tchao NK ; Stone JH ; Specks U ; Merkel PA ; Salama AD
  • Arthritis Rheumatol 2017[Jan]; 69 (1 ): 185-193 PMID27428710 show ga
  • OBJECTIVE: S100A8/A9 (calprotectin) has shown promise as a biomarker for predicting relapse in antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV). This study was undertaken to investigate serum S100A8/A9 level as a biomarker for predicting future relapse in a large cohort of patients with severe AAV. METHODS: Serum levels of S100A8/A9 were measured at baseline and months 1, 2, and 6 following treatment initiation in 144 patients in the Rituximab in ANCA-Associated Vasculitis trial (cyclophosphamide/azathioprine versus rituximab [RTX] for induction of remission) in whom complete remission was attained. RESULTS: Patients were divided into 4 groups: proteinase 3 (PR3)-ANCA with relapse (n?=?37), PR3-ANCA without relapse (n?=?56), myeloperoxidase (MPO)-ANCA with relapse (n?=?6), and MPO-ANCA without relapse (n?=?45). Serum S100A8/A9 level decreased in all groups during the first 6 months of treatment. The percentage reduction from baseline to month 2 was significantly different between patients who experienced a relapse and those who did not in the PR3-ANCA group (P?=?0.046). A significantly higher risk of relapse was associated with an increase in S100A8/A9 level between baseline and month 2 (P?=?0.0043) and baseline and month 6 (P?=?0.0029). Subgroup analysis demonstrated that patients treated with RTX who had increased levels of S100A8/A9 were at greatest risk of future relapse (P?=?0.028). CONCLUSION: An increase in serum S100A8/A9 level by month 2 or 6 compared to baseline identifies a subgroup of PR3-ANCA patients treated with RTX who are at higher risk of relapse by 18 months. Since RTX is increasingly used for remission induction in PR3-ANCA-positive patients experiencing a relapse, S100A8/A9 level may assist in identifying those patients requiring more intensive or prolonged treatment.
  • |Adolescent [MESH]
  • |Adult [MESH]
  • |Aged [MESH]
  • |Aged, 80 and over [MESH]
  • |Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis/*blood/*drug therapy [MESH]
  • |Antibodies, Antineutrophil Cytoplasmic [MESH]
  • |Biomarkers/blood [MESH]
  • |Double-Blind Method [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Immunologic Factors/*therapeutic use [MESH]
  • |Leukocyte L1 Antigen Complex/*blood [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Myeloblastin [MESH]
  • |Predictive Value of Tests [MESH]
  • |Recurrence [MESH]
  • |Rituximab/*therapeutic use [MESH]
  • |Severity of Illness Index [MESH]


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