Spondyloarthritis & psoriatic arthritis

HLA-Cw6 allele and biologic therapy are protective factors against liver fibrosis in psoriatic arthritis patients

Clin Exp RheumatolPublished Retrospective longitudinal study

Main finding · Liver fibrosis (FIB-4), multivariate logistic modelResult — go to the resultOdds ratio 0.210 95% CI 0.062–0.707

Authors' conclusion

In PsA, the HLA-Cw6 allele and bDMARDs behave as protective factors for liver fibrosis, while AHT is an independent risk factor.

Study context

Population
Psoriatic arthritis (PsA) patients with determination of the HLA-Cw6 allele
Participants
209 patients
Exposure
HLA-Cw6 positive vs negative; bDMARD use vs no use
Outcome
Liver fibrosis estimated by FIB-4 score
Methodological detailsmultivariate logistic regression
  • Multivariate logistic regression

Main finding

As reported in the abstract

Liver fibrosis (FIB-4), multivariate logistic model

Odds ratio

0.210

95% CI 0.062–0.707

P = 0.012

HLA-Cw6
OR 0.210 (95% CI 0.062–0.707); P = 0.012
HLA-Cw6 allele more frequent in PsA patients with normal FIB-4 values
P = 0.024

Observational data: associations, not effects.

Further findings

Factors by FIB-4 status (univariate)

HLA-Cw6 more frequent with normal FIB-4
P = 0.024
Arterial hypertension (AHT) more frequent with altered FIB-4
P = 0.002
Acute myocardial infarction (AMI) more frequent with altered FIB-4
P = 0.023
Dyslipidaemia more frequent with altered FIB-4
P = 0.030

Original publication

HLA-Cw6 allele and biologic therapy are protective factors against liver fibrosis in psoriatic arthritis patients. Clin Exp Rheumatol. Published 14 August 2022. doi:10.55563/clinexprheumatol/anuuqb

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