Source:http://linkedlifedata.com/resource/pubmed/id/20378011
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2010-4-9
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pubmed:abstractText |
Rheumatoid arthritis (RA) is associated with an excess cardiovascular morbidity and mortality, related to systemic inflammation with endothelial dysfunction (ED) and impaired flow-mediated vasodilation (FMD). We assessed the FMD response to anti-TNF-alpha treatments in 28 RA patients, aged 49.8+/-15.3 years: an unpaired FMD was found in 66.7 percent of our cases and was restored after 6 weeks of anti-TNF-á treatment (13.5+/-5.3 percent vs 4.6+/-4.1 percent, p less than 0.05). Twenty-five percent of the infliximab patients demonstrated a long term response, compared with 60 percent of etanercept and 100 percent of adalimumab patients, after 2 years (p less than 0.01). Infections (3 cases), myocardial ischemia (1 case) or loss of response (4 cases) were associated with a worsened FMD, restored by shifting to adalimumab. The present study confirms that ED is an RA systemic disease marker, responsive to anti-TNF-alpha treatment and sensitive to clinical events or to a loss of response, underlying the biological coherence between synovial and endothelial inflammation.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Antibodies, Monoclonal,
http://linkedlifedata.com/resource/pubmed/chemical/Antibodies, Monoclonal, Humanized,
http://linkedlifedata.com/resource/pubmed/chemical/Tumor Necrosis Factor-alpha,
http://linkedlifedata.com/resource/pubmed/chemical/adalimumab,
http://linkedlifedata.com/resource/pubmed/chemical/infliximab
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pubmed:status |
MEDLINE
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pubmed:issn |
0394-6320
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
23
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
255-62
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pubmed:dateRevised |
2011-11-17
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pubmed:meshHeading |
pubmed-meshheading:20378011-Adolescent,
pubmed-meshheading:20378011-Adult,
pubmed-meshheading:20378011-Aged,
pubmed-meshheading:20378011-Antibodies, Monoclonal,
pubmed-meshheading:20378011-Antibodies, Monoclonal, Humanized,
pubmed-meshheading:20378011-Arthritis, Rheumatoid,
pubmed-meshheading:20378011-Brachial Artery,
pubmed-meshheading:20378011-Endothelium, Vascular,
pubmed-meshheading:20378011-Female,
pubmed-meshheading:20378011-Humans,
pubmed-meshheading:20378011-Male,
pubmed-meshheading:20378011-Middle Aged,
pubmed-meshheading:20378011-Synovial Membrane,
pubmed-meshheading:20378011-Tumor Necrosis Factor-alpha,
pubmed-meshheading:20378011-Vasodilation
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pubmed:articleTitle |
Long-term anti-TNF-alpha treatments reverse the endothelial dysfunction in rheumatoid arthritis: the biological coherence between synovial and endothelial inflammation.
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pubmed:affiliation |
Department of Internal Medicine, Policlinico Tor Vergata, Tor Vergata University of Rome, Italy. Capria@med.uniroma2.it
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pubmed:publicationType |
Journal Article
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