EARLY AGALACTOSYLATION OF IgG IS ASSOCIATED WITH A MORE PROGRESSIVE DISEASE COURSE IN PATIENTS WITH RHEUMATOID ARTHRITIS: RESULTS OF A FOLLOW-UP STUDY |
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Authors: | VAN ZEBEN, D. ROOK, G. A. W. HAZES, J. M. W. ZWINDERMAN, A. H. ZHANG, Y. GHELANI, S. RADEMACHER, T. W. BREEDVELD, F. C. |
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Affiliation: | *Departments of Rheumatology Leiden, The Netherlands Department of Medical Microbiology, School of Pathology, University College and Middlesex School of Medicine London Departments of Medical Statistics University Hospital Leiden, The Netherlands Glycobiology Unit, Department of Biochemistry, University of Oxford Oxford |
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Abstract: | The clinical significance of the percentage agalactosyl IgGoligosaccharides [%G(O)] was investigated in serum of a well-characterizedcohort of 127 female RA patients who were followed for a meanduration of 6 yr. The %G(O) was determined in the first availableserum sample which was obtained at a mean of 3.4 yr after symptomonset. It could be shown that patients with a %G(O) more than2 S.D. above the mean level of controls (n = 34), had significantlymore erosions, disease activity, and were treated with moresecond-line drugs, than patients without an increased %G(O)(n = 93), both at the time the serum sample was obtained, andduring follow-up. These findings suggest that G(O) may serveas an indicator for the disease course in patients with RA. KEY WORDS: Agalactosyl IgG, Prognosis, Outcome |
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