Mucosa-associated lymphoid tissue lymphoma translocation protein 1 in rheumatoid arthritis : Longitudinal change after treatment and correlation with treatment efficacy of tumor necrosis factor inhibitors

© 2022 The Authors. Journal of Clinical Laboratory Analysis published by Wiley Periodicals LLC..

BACKGROUND: Mucosa-associated lymphoid tissue lymphoma translocation protein 1 (MALT1) correlates with treatment outcomes in inflammatory bowel disease and rheumatoid arthritis (RA). This study aimed to further evaluate the MALT1 longitudinal change and its relationship with tumor necrosis factor inhibitors (TNFi) response in RA patients.

METHODS: Seventy-one RA patients receiving TNFi [etanercept (n = 42) or adalimumab (n = 29)] were enrolled. MALT1 was detected by RT-qPCR in peripheral blood samples of RA patients before treatment (W0), at week (W)4, W12, and W24 after treatment. RA patients were divided into response/non-response, remission/non-remission patients according to their treatment outcome at W24. Meanwhile, MALT1 was also detected by RT-qPCR in 30 osteoarthritis patients and 30 healthy controls (HCs).

RESULTS: Mucosa-associated lymphoid tissue lymphoma translocation protein 1 was elevated in RA patients compared with HCs (Z=-6.392, p < 0.001) and osteoarthritis patients (Z = -5.020, p < 0.001). In RA patients, MALT1 was positively correlated with C-reactive protein (rs  = 0.347, p = 0.003), but not other clinical characteristics, treatment history, or current TNFi category. Meanwhile, MALT1 decreased from W0 to W12 in total RA patients (x2  = 86.455, p < 0.001), etanercept subgroup (x2  = 46.636, p < 0.001), and adalimumab subgroup (x2  = 41.291, p < 0.001). Moreover, MALT1 at W24 (p = 0.012) was decreased in response patients compared with non-response patients; MALT1 at W12 (p = 0.027) and W24 (p = 0.010) were reduced in remission patients than non-remission patients. In etanercept subgroup, MALT1 at W24 (p = 0.013) was decreased in response patients compared with non-response patients. In adalimumab subgroup, MALT1 at W24 (p = 0.015) was lower in remission patients than non-remission patients.

CONCLUSION: Mucosa-associated lymphoid tissue lymphoma translocation protein 1 reduction after treatment is associated with response and remission to TNFi in RA patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:36

Enthalten in:

Journal of clinical laboratory analysis - 36(2022), 6 vom: 02. Juni, Seite e24449

Sprache:

Englisch

Beteiligte Personen:

Wang, Feng [VerfasserIn]
Liu, Gaozhan [VerfasserIn]
Xiang, Lei [VerfasserIn]
Yuan, Jie [VerfasserIn]
Tao, Ying [VerfasserIn]
Zhang, Lin [VerfasserIn]
Zhang, Anbing [VerfasserIn]
Chang, Xiuli [VerfasserIn]

Links:

Volltext

Themen:

Adalimumab
Disease characteristics
EC 3.4.22.-
Etanercept
FYS6T7F842
Journal Article
MALT1 protein, human
Mucosa-Associated Lymphoid Tissue Lymphoma Translocation 1 Protein
Mucosa-associated lymphoid tissue lymphoma translocation protein 1
OP401G7OJC
Rheumatoid arthritis
Treatment response and remission
Tumor Necrosis Factor Inhibitors
Tumor Necrosis Factor-alpha
Tumor necrosis factor inhibitors

Anmerkungen:

Date Completed 08.06.2022

Date Revised 16.07.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/jcla.24449

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM340289155