Rheumatoid arthritis

Understanding the Role of the Complement System in Insulin Resistance and Metabolic Syndrome in Patients With Rheumatoid Arthritis

J RheumatolPublished Cross-sectional study

Authors' conclusion

There is a positive correlation between the complement system and MetS among nondiabetic patients with RA. This association is independent of traditional IR factors.

Study context

Population
Nondiabetic patients with rheumatoid arthritis (RA)
Participants
339 patients
Outcome
Relationship between a comprehensive evaluation of the complement system (functional assays of the 3 pathways and serum levels of individual components) and IR (homeostatic model assessment) and MetS
Methodological detailsmultivariable linear regression analysis
  • Multivariable linear regression analysis

Main finding

As reported in the abstract

  • Many elements of the upstream and common complement pathways, but not the functional tests of the 3 routes, correlated positively with higher insulin resistance (IR) and β cell function
  • After multivariable adjustment for factors associated with IR, these relationships were lost
  • Metabolic syndrome (MetS) maintained a relationship with higher levels of C1q, C4, C3, properdin and factor I after adjusting for confounders

Observational data: associations, not effects.

Original publication

Understanding the Role of the Complement System in Insulin Resistance and Metabolic Syndrome in Patients With Rheumatoid Arthritis. J Rheumatol. Published 1 August 2024. doi:10.3899/jrheum.2024-0437

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