Rheumatoid arthritis

Serum calprotectin correlates stronger with inflammation and disease activity in ACPA positive than ACPA negative rheumatoid arthritis

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

The particularly strong association between circulating calprotectin and inflammation in ACPA positive RA is a new argument for a specific role for polymorphonuclear granulocytes/neutrophils in this RA subset. Measurement of calprotectin in SF does not convey any additional benefit compared with measurement in the circulation in RA patients with knee synovitis.

Study context

Population
RA patients with ongoing knee synovitis
Participants
76 patients
Exposure
Serum vs SF calprotectin as inflammatory biomarker; ACPA positive vs ACPA negative RA
Outcome
Performance of serum and SF calprotectin as inflammatory biomarker (correlation with inflammatory markers and disease activity)

Main finding

As reported in the abstract

SF-calprotectin correlation with SF polymorphonuclear cell counts (Spearman's ρ), P < 0.001

0.72

Observational data: associations, not effects.

Original publication

Serum calprotectin correlates stronger with inflammation and disease activity in ACPA positive than ACPA negative rheumatoid arthritis. Rheumatology (Oxford). Published 4 December 2023. doi:10.1093/rheumatology/kead641

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