RT Journal Article
SR Electronic
T1 Presence of Autoantibodies in Erosive Hand Osteoarthritis and Association with Clinical Presentation
JF The Journal of Rheumatology
JO J Rheumatol
FD The Journal of Rheumatology
SP 101
OP 105
DO 10.3899/jrheum.180256
VO 46
IS 1
A1 Myrthe Alexandra Maria van Delft
A1 Sjoerd van Beest
A1 Margreet Kloppenburg
A1 Leendert Adrianus Trouw
A1 Andreea Ioan-Facsinay
YR 2019
UL http://www.jrheum.org/content/46/1/101.abstract
AB Objective. To investigate whether 3 rheumatoid arthritis–associated antibodies [rheumatoid factor (RF) and anticitrullinated protein antibodies (ACPA) or anticarbamylated protein (anti-CarP) antibodies] are present in hand osteoarthritis (HOA) and associate with erosive OA (EOA).Methods. Anti-CarP IgG was measured by ELISA in baseline sera of patients with HOA from 3 cohorts: HOSTAS (n = 510, 27.2% EOA), ECHO (n = 47), and EHOA (n = 23), and in sera of healthy controls (HC; n = 196, mean age 44.1 yrs, 51.0% women). Moreover, ACPA-IgG and RF-IgM were additionally determined in HOSTAS and HC. The prevalence of autoantibodies was compared between HOA and HC and between erosive and nonerosive HOA. In HOSTAS, hand radiographs were scored (Kellgren-Lawrence, Osteoarthritis Research Society International osteophyte and joint space narrowing) and C-reactive protein (CRP) levels, representing inflammation, were assessed. Groups were compared using nonparametric tests.Results. The prevalence of anti-CarP was low and not significantly different between the total HOA group and HC (6.6% vs 3.6%, p = 0.12). In HOSTAS, the prevalence of all tested autoantibodies was low (anti-CarP 7.1%, ACPA 0.8%, RF 6.1%), and there were no significant differences observed between HOA patients and HC or between erosive and nonerosive HOA. Further, radiographic damage and CRP levels were similar in anti-CarP+ and anti-CarP–, and RF+ and RF− HOSTAS patients.Conclusion. The prevalence of autoantibodies is similar in HOA patients and HC, and these autoantibodies are not associated with erosive disease, structural damage, or inflammation in patients with HOA, indicating that another mechanism is driving erosive disease.