Rheumatoid arthritis

Porphyromonas gingivalis associates with the presence of anti-citrullinated protein antibodies, but not with the onset of arthritis: studies in an at-risk population

RMD OpenPublished Prospective cohort study

Authors' conclusion

Antibodies against the oral bacterium Pg are elevated during the RA-risk phase, both in individuals progressing to arthritis and in individuals remaining arthritis-free.

Study context

Population
At-risk individuals positive for anti-CCP2 antibodies with musculoskeletal complaints but no signs of arthritis260 Risk-RA baseline samples
Exposure
Anti-Rgp IgG in anti-CCP2-positive at-risk individuals vs healthy controls; progressors vs arthritis-free
  • Progressorsn = 95
  • Arthritis-freen = 165reference
  • Controlsn = 126reference
Outcome
Association of anti-Rgp IgG with the rheumatoid arthritis (RA)-risk phase and development of arthritis
Methodological detailsat-risk population, follow-up ≥3 years or until arthritis onset, Cox regression
  • At-risk population
  • Follow-up ≥3 years or until arthritis onset
  • Cox regression

Main finding

As reported in the abstract

Anti-Rgp IgG positivity at baseline

P = 0.003

Observational data: associations, not effects.

Further findings

Development of arthritis by baseline anti-Rgp IgG

HR (CI)P value
Anti-Rgp IgG levelsCox regression0.95 (0.80–1.13)P = 0.6
Anti-Rgp IgG positivityCox regression0.82 (0.55–1.23)P = 0.3

Anti-Rgp IgG levels during follow-up

No changes in anti-Rgp IgG levels were observed during follow-up

Original publication

Porphyromonas gingivalis associates with the presence of anti-citrullinated protein antibodies, but not with the onset of arthritis: studies in an at-risk population. RMD Open. Published 31 January 2025. doi:10.1136/rmdopen-2024-005111

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