Rheumatoid arthritis

N-terminal pro-brain natriuretic peptide (NT-proBNP) and sRAGE levels in early rheumatoid arthritis

Scand J RheumatolPublished Prospective cohort study

Authors' conclusion

Suppressing inflammation, independently of achieving remission, increases sRAGE levels and decreases NT-proBNP levels significantly.

Study context

Population
Consecutive early rheumatoid arthritis (RA) patients participating in the 'Parelsnoer' cohort
Participants
342 patients
Exposure
Baseline vs 6 months of anti-rheumatic treatment
Outcome
Associations between NT-proBNP and sRAGE levels and markers of inflammation and disease activity, and their changes during anti-rheumatic treatment
Follow-up
6 months
Methodological detailsconsecutive patients
  • Consecutive patients

Main finding

As reported in the abstract

GroupValuesRAGE
Baselinemean 83 pmol/L997 pg/mL
6 months69 pmol/L1125 pg/mL

Value

Baselinemean 83 pmol/L
6 months69 pmol/L

sRAGE

Baseline997 pg/mL
6 months1125 pg/mL
  • 6 months vs Baseline: P < 0.001 — decreased
  • 6 months vs Baseline: P < 0.001 — increased

Observational data: associations, not effects.

Further findings

Association of change in erythrocyte sedimentation rate (ESR)/C-reactive protein (CRP) with change in NT-proBNP and sRAGE · 6 months

Per point decrease in ESR: decrease in NT-proBNP
1.7-point
Per point decrease in ESR: increase in sRAGE
2.2-point
Per point decrease in CRP: NT-proBNP, sRAGE (p < 0.001)
1.7 and 2.7
Larger decrease in ESR or CRP associated with larger changes in NT-proBNP and sRAGE

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

NT-proBNP and sRAGE levels in early rheumatoid arthritis. Scand J Rheumatol. Published 11 March 2022. doi:10.1080/03009742.2022.2042975

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