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Clinical significance of soluble programmed death-1(sPD-1) in rheumatoid arthritis patients: Relation to disease activity and functional status

The egyptian rheumatologist • 2015
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Publication Information
Authors Waleed A. Hassan a,*, Eman A. Baraka a, Nehad A. Fouad b
Keywords Not Available
Journal The egyptian rheumatologist
Publisher Not Available
Volume Not Available
Issue Not Available
Pages Not Available
publication.type International
Paper Link Not Available
Supplementary Materials Not Available
Abstract
Background: Programmed cell death-1 (PD-1) is an immunoreceptor that negatively regulates
antigen receptor signaling and plays a critical role in the immunoregulation of autoimmune diseases.
Aim of the work: This study aimed to measure the plasma and synovial fluid levels of soluble programmed
death-1(sPD-1) in rheumatoid arthritis (RA) patients and to correlate them with the clinical
and laboratory characteristics, disease activity, functional status and radiological severity.
Patients and methods: We measured sPD-1 in the plasma (n=60) and synovial fluid (SF) samples
(n=24) from 60 RA patients and in the plasma from healthy control (n=30). In the patients, disease
activity score using 28 joint counts (DAS28) and the health assessment questionnaire (HAQ)
score were assessed; immunoglobulin-M rheumatoid factor (IgM-RF) titer, anti-cyclic citrullinated
peptide (anti-CCP) antibodies titer and C-reactive protein (CRP) levels were measured and total Sharp
score calculated.
Results: In RA patients both plasma and SF sPD-1 levels (1416.9±1037.9 pg/ml and
1503.9±1129.48 pg/ml respectively) were highly significantly increased compared to its plasma level
in the healthy control (165±26.11 pg/mL) (p