Rheumatoid arthritis

Circulating Interleukin 17A and Other Inflammatory Proteins May Predict Cardiovascular Disease in Early Rheumatoid Arthritis

J RheumatolPublished Prospective cohort study

Authors' conclusion

Circulating IL-17A at RA diagnosis predicted future CVD, although we cannot exclude the possibility that this finding is due to multiple testing.

Study context

Population
Consecutive patients with early rheumatoid arthritis (RA) recruited 1995–2002data on baseline proteins and cardiovascular disease (CVD)
Participants
163 patients
Outcome
CVD (and CAD) by baseline levels of 92 inflammatory proteins
Methodological detailsconsecutive patients, Cox regression, hypothesis-driven and exploratory analyses, principal component analysis
  • Consecutive patients
  • Cox regression
  • Hypothesis-driven and exploratory analyses
  • Principal component analysis

Main finding

As reported in the abstract

CVD per IL-17A level

IL-17A associated with CVD, HR (adjusted for age, sex, hypertension, diabetes, smoking and ESR)

1.35

95% CI 1.02–1.78

Observational data: associations, not effects.

Further findings

CAD per IL-17A level

Not significantly associated with CAD

Osteoprotegerin (OPG) and CVD/CAD

Significantly associated with both outcomes, but only in crude models

IL-6, TNF, MCP-1, IL-8 and CVD/CAD

No associations observed

MCP-3 and CVD/CAD (exploratory)

Significant associations with both outcomes in crude models
  • Exploratory analysis

Original publication

Circulating Interleukin 17A and Other Inflammatory Proteins May Predict Cardiovascular Disease in Early Rheumatoid Arthritis. J Rheumatol. Published 1 May 2024. doi:10.3899/jrheum.2023-1078

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