A disintegrin and metalloproteinase (ADAM)-10 as a predictive factor for tocilizumab effectiveness in rheumatoid arthritis |
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Authors: | Takeo Isozaki Shinichiro Nishimi Airi Nishimi Mayu Saito Yusuke Miwa Yoichi Toyoshima |
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Affiliation: | 1. Division of Rheumatology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan and;2. Department of Orthopedics, Showa University School of Medicine, Tokyo, Japan |
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Abstract: | Objectives: A disintegrin and metalloproteinase (ADAM)-10 is expressed in rheumatoid arthritis (RA). In this study, we focused on ADAM-10 as a predictive factor for the treatment with biologics in RA.Methods: The levels of ADAM-10 and fractalkine/CX3CL1 in RA and healthy controls serum were measured using enzyme-linked immunosorbent assays. Fifteen patients were treated with adalimumab (ADA), and 20 patients were treated with tocilizumab (TCZ).Results: ADAM-10 positively correlated with fractalkine/CX3CL1 in the sera of RA patients and was presented at a significantly higher level compared to that in normal serum (487?±?80?pg/ml and 85?±?33?pg/ml, respectively, p?0.05). ADAM-10 highly correlates with fractalkine/CX3CL1 in the sera of RA patients. The level of ADAM-10 decreased after the treatment with TCZ but not with ADA. In addition, we found that the level of ADAM-10 in TCZ responders was significantly higher than that of the TCZ nonresponders at 24 weeks (619?±?134?pg/ml and 109?±?25?pg/ml, respectively). Multiple regression analysis showed that ADAM-10 was only identified as independent predictive variable for the improvement of DAS28 (ESR) at 24 weeks.Conclusions: ADAM-10 may be a predictor of the effectiveness of TCZ in treating RA. |
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Keywords: | Adalimumab ADAM-10 Predictive factor Rheumatoid arthritis Tocilizumab |
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