Methotrexate-induced changes in the concentration of antibodies to modified citrulnated vimentin in blood serum of patients with rheumatoid arthritis


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Aim. To study effects of methotrexate on the titer of antibodies to mutated citrullinated vimentin (anti-MCV) and ascertain possibility of using this marker for control of treatment results and choice of individual effective dose of the drug.
Material and methods. A 12-month trial included 76 patients with verified rheumatoid arthritis (RA). Methotrexate per os was given in a dose 7.5-10 mg/week to 44(57.9%) patients, 25 patients received no basic therapy. Anti-MCV (IU/ml) were detected with commercial chemicals made in Germany (ORGENTEC).
Results. RA patients given methotrexate doses 7.5 and 10 mg/week and untreated with basic anti-inflammatory drugs showed no significant differences by basic clinical and device parameters, level of anti-MCV at primary examination and 12 months later.
Conclusion. Anti-MCV titer cannot be used for control of efficacy of methotrexate treatment in doses 75 and 10 mg/week, choice of individual effective doses.

作者简介

Natal'ya Shilkina

Email: shilkin39@mail.ru

Mariya Voronina

Email: knopselgula@rambler.ru

Aleksey Vinogradov

Email: vinograd@fromru.com

Ol'ga Borisova

Email: propedevtik@mail.ru

N Shilkina

State Medical Academy, Yaroslavl

State Medical Academy, Yaroslavl

M Voronina

State Medical Academy, Yaroslavl

State Medical Academy, Yaroslavl

A Vinogradov

State Medical Academy, Yaroslavl

State Medical Academy, Yaroslavl

O Borisova

Municipal hospital , Yaroslavl

Municipal hospital , Yaroslavl

参考

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