281. Prevalence and clinical significance of anti-neutrophil cytoplasmic antibodies in interstitial lung disease: A retrospective cohort study.
作者: Tingting Wu.;Chao Cao.;Zekai Cen.;Haijun Zhou.;Dan Lv.;Yun Zhang.;Qunli Ding.
来源: Rheumatology (Oxford). 2025年
Antineutrophil cytoplasmic antibodies (ANCAs) are occasionally positive in patients with interstitial lung disease (ILD). The positivity rates of ANCAs in various types of ILD and the role of ANCAs in ILD are still unclear. The purpose of this study was to estimate the prevalence of ANCAs in Chinese people diagnosed with ILD (including idiopathic pulmonary fibrosis) and identify differences in clinical features, radiographic features, and survival between patients with ANCA-positive and ANCA-negative ILD.
282. Treatment guidelines for idiopathic inflammatory myopathies in adults: a comparative review.
作者: Julie J Paik.;Victoria P Werth.;Hector Chinoy.;Karim R Masri.;Amruta Jambekar.;Feza Hasan.;Cecilia E Borlenghi.;David A Gold.
来源: Rheumatology (Oxford). 2025年
Myositis, or idiopathic inflammatory myopathy, encompasses a group of autoimmune diseases with broad-spectrum clinical presentations, with a common presentation of muscle weakness and inflammation. The management of myositis presents significant challenges due to the rarity and variability of the disease and lack of large-scale, randomised controlled trials. Due to limited evidence available from smaller studies as well as variation in treatment practices across geographical regions and disease subtypes, available published treatment recommendations vary significantly. There is a need, therefore, to develop multidisciplinary consensus-driven guidelines which appropriately reflect the diverse and complex nature of the disease. This comparative review presents an in-depth analysis of existing myositis treatment guidelines from diverse organisations, highlighting similarities and key differences in diagnoses, treatment and management recommendations. We propose that there is a need for developing globally unified, consensus-driven standardised set of guidelines for effective myositis management.
283. Patient reported physical function, mental health, and treatment patterns in dermatomyositis: survey results from a cross-sectional study of adult dermatomyositis patients.
作者: Lisa Christopher-Stine.;Julie J Paik.;Alexandra S Goriounova.;Paul N Mudd.
来源: BMC Rheumatol. 2025年9卷1期23页
Dermatomyositis (DM) is a rare and progressive immune-mediated disease with no cure and significant patient burden that encompasses physical, mental, and financial impacts. Patients experience debilitating symptoms that may include muscle weakness, itchy and painful rash, joint pain, and fatigue. Despite the heterogeneity of the disease and the breadth of possible symptoms, the impact of DM on a diverse range of patients' quality of life (QoL) has not been well-characterized in literature. The aim of this study was to describe the experiences of patients living with DM as they relate to physical and mental impacts, productivity, and treatment patterns and satisfaction.
284. The impact of anti-TNF-α therapy on leptin and inflammatory markers in rheumatoid arthritis patients: a case-control study.
作者: Mostafa Kaboli.;Manouchehr Nakhjavani.;Soghra Rabizadeh.;Marsa Gholamzadeh.;Seyed Reza Najafizadeh.
来源: BMC Rheumatol. 2025年9卷1期22页
Rheumatoid arthritis (RA) is a systemic autoimmune disease characterized by synovial inflammation, cartilage, and bone destruction. Several studies have shown that leptin plays an important role in the pathophysiology of RA disease. This study aimed to evaluate serum levels of leptin in RA patients receiving biologic drugs compared to RA patients managed by non-biologic drugs, and healthy individuals.
287. Abatacept and the risk of malignancy: a meta-analysis across disease indications.
作者: Benjamin P Zuckerman.;Mark Gibson.;Ritika Roy.;Mark Hughes.;Daksh Mehta.;Zijing Yang.;Maryam Adas.;Kenrick Ng.;Mark D Russell.;Andrew Cope.;Sam Norton.;James Galloway.
来源: Rheumatology (Oxford). 2025年
To estimate the association between abatacept use and the incidence of malignancy excluding non-melanomatous skin cancers (NMSCs).
289. Avenciguat: a novel soluble guanylate cyclase activator that affects multiple cell types to inhibit IFN-1 signalling and fibrosis.
作者: Julia Kaufman.;Gerald Nabozny.;Cuong Tran-Manh.;Christoph Liebel.;Xiang Zhou.;Lee-Anne Daley.;Chao-Ting Wang.;David L Ebenezer.;Denis Delic.;Christian T Wohnhaas.;Thuong Trinh-Minh.;Jörg H W Distler.
来源: Rheumatology (Oxford). 2025年
The soluble guanylate cyclase (sGC) stimulator riociguat is approved for the treatment of pulmonary arterial hypertension and may have antifibrotic effects. However, in fibrotic tissues, oxidative stress and hypoxia can render sGC insensitive to sGC stimulators. sGC activators overcome this limitation. Here, we characterize the novel sGC activator, avenciguat, in preclinical models of SSc.
290. Treat-to-target in SLE: is serology important? Results from an integrated analysis of five randomised clinical trials of belimumab.
作者: Alvaro Gomez.;Julius Lindblom.;Ioannis Parodis.;George Bertsias.
来源: Rheumatology (Oxford). 2025年
DORIS remission, based on clinical activity, and Lupus Low Disease Activity State (LLDAS), which includes serological markers, are protective targets in SLE. However, it remains unclear whether their prognostic impact is influenced by serum anti-dsDNA and complement levels.
291. Interrelationships of disease activity, central sensitization, psychosocial and lifestyle factors in axial spondyloarthritis.
作者: Stan C Kieskamp.;Yvonne van der Kraan.;Suzanne Arends.;Fréke Wink.;Reinhard Bos.;Roy Stewart.;Davy Paap.;Anneke Spoorenberg.
来源: Rheumatology (Oxford). 2025年
In a substantial portion of patients with axial spondyloarthritis (axSpA), disease activity scores remain high despite anti-inflammatory treatment. This is possibly due to factors beyond active inflammation including different pain mechanisms and psychosocial factors. Therefore, our aim was to build a biopsychosocial model to explore the interrelationships of Axial Spondyloarthritis Disease Activity Score (ASDAS) with central sensitization (CS), psychological and lifestyle factors in patients with axSpA.
292. Effect of gout on 30-day survival in ICU patients: retrospective analysis of a large cohort of critically ill patients.
Gout is a chronic disease caused by the deposition of sodium urate crystals, which is prone to multiple comorbidities, especially cardiovascular and kidney diseases. Patients with gout have higher all-cause and cause-specific mortality. However, it is unclear whether gout affects survival in ICU patients.
294. The effect of ixekizumab treatment on MRI sacroiliac joint structural lesions in patients with radiographic axial spondyloarthritis: post-hoc analysis of a 52-week, randomised, placebo-controlled trial with an active reference arm.
作者: Walter P Maksymowych.;Robert G W Lambert.;Rebecca J Bolce.;Natalia Bello.;Baojin Zhu.;Jeffrey R Lisse.;Mikkel Østergaard.
来源: Lancet Rheumatol. 2025年7卷5期e314-e322页
The effect of biological disease-modifying antirheumatic drugs (DMARDs) on sacroiliac joint lesions over 52 weeks in biological DMARD-naive patients with radiographic axial spondyloarthritis is unknown. This post-hoc analysis evaluated the effect of ixekizumab and adalimumab versus placebo on structural lesions in sacroiliac joints assessed by MRI in patients naive to biological DMARDs with radiographic axial spondyloarthritis from the COAST-V study.
295. Rheumatoid factors revisited in the age of biologic therapy.
作者: Ali Berkant Avci.;Eugen Feist.;Gerd R Burmester.
来源: Rheumatology (Oxford). 2025年64卷Supplement_2期ii15-ii24页
The discovery of RF has been instrumental in diagnosing and classifying RA. Various RF isotypes, including IgM-RF and IgA-RF, have been linked to disease severity and treatment responses. The role of RF in RA pathogenesis, primarily through the formation of immune complexes, also carries the potential to influence the response to different medications. Recent progress in biologic therapies has further elucidated the role of RF in RA management. Treatments such as rituximab, abatacept and tocilizumab have shown differential efficacy based on RF status, with RF-positive patients often exhibiting better responses. Recent research also suggests that TNF inhibitors (TNFi) lacking the IgG1-Fc fragment like certolizumab pegol (CZP) may offer advantages over TNFi with an IgG1-Fc fragment, in RF-positive patients by preventing immune complex formation. Since this early observation is predominantly derived from previous multicentre studies with heterogeneous populations and potentially varying RF measurement methods, prospective randomized studies directly addressing this issue are essential for a more thorough and reliable evaluation. This paper is a narrative review outlining the evolving understanding of RF in the context of biologic therapies, emphasizing the need for personalized treatment approaches based on serological profiles and underlying immune mechanisms.
297. Rural-Urban Disparities in cardiovascular disease hospitalizations and its outcomes in gout: a nationwide U.S. study.
To assess whether patient residence is associated with the risk of myocardial infarction (MI) hospitalizations in people with gout.
300. Evaluation of usability, feasibility and acceptance of the digital training diary Trainingslog for individuals with axSpA: a mixed-method study.
Physical activity (PA), including regular exercise, is essential for the successful management of axial spondyloarthritis (axSpA). To promote a physically active lifestyle, a digital training diary (Trainingslog) was developed in an user-centered approach by the Swiss Ankylosing Spondylitis Association (SVMB). A training diary promotes PA through feedback, goal setting and self-monitoring, which can also be used for PA counselling by physiotherapists (PT). Usability, feasibility and acceptance are essential for the successful implementation of a mobile Health Intervention such as the Trainingslog. The study objective is to evaluate the usability, feasibility and acceptance of the Trainingslog for individuals with axSpA and PTs.
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