170 results match your criteria: "V.A. Nasonova Research Institute of Rheumatology.[Affiliation]"

Article Synopsis
  • Inflammation from cytokines, especially IL-6, is linked to increased cardiovascular disease (CVD) risk, particularly in rheumatoid arthritis (RA) patients, but the impact of IL-6 inhibitors like tocilizumab on CVD is unclear.
  • A study of 45 RA patients on long-term tocilizumab therapy showed no significant increase in cardiovascular risk or structural changes in carotid arteries, and cholesterol levels remained stable for those not on statins.
  • For patients on statins, there were significant improvements in cholesterol metrics, including a 43% increase in beneficial HDL-C and reductions in total cholesterol and atherogenicity, with associations found between cholesterol changes and inflammation markers.
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  • The study aimed to see if adding oral glucocorticoids to immunosuppressive therapy improves skin conditions and safety in patients with early diffuse cutaneous systemic sclerosis (dcSSc).
  • It compared two groups: one receiving glucocorticoids combined with immunosuppression, and the other receiving only immunosuppression, assessing changes in the modified Rodnan skin score (mRSS) over about a year.
  • Results showed no significant difference in skin score improvement between the groups, indicating that low-dose glucocorticoids didn't provide added benefits for skin fibrosis nor raised the risk of scleroderma renal crisis.
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Article Synopsis
  • - The study aimed to assess the effectiveness and safety of olokizumab (OKZ) in treating rheumatoid arthritis (RA) in a real-world setting, focusing on patient-reported outcomes and central sensitization.
  • - In a non-interventional study with 183 patients, significant improvements were observed after 24 weeks, including reduced RA activity and pain intensity, as well as a notable decrease in the use of NSAIDs and steroids.
  • - The findings concluded that OKZ effectively lowers RA symptoms and chronic pain, with some side effects reported but no major safety concerns observed.
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Article Synopsis
  • T-cell leukemia from large granular lymphocytes (T-LGL leukemia) is a rare type of cancer, with γδT-LGL leukemia making up about 17% of cases and being linked to autoimmune diseases like rheumatoid arthritis (RA).
  • A study analyzed 15 patients with γδT-LGL leukemia and rheumatologic diseases, finding that most had RA, with notable symptoms such as splenomegaly and neutropenia.
  • The research highlighted that mutations were common, particularly in certain genes, and showed unusual characteristics of γδT-LGL leukemia, mainly affecting the spleen and not appearing in peripheral blood, prompting the need for further investigation into the relationship between this leukemia and RA.
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Gut Microbiota and Cytokine Profile in Cirrhosis.

J Clin Transl Hepatol

August 2024

Department of Internal Medicine, Gastroenterology and Hepatology, Sechenov University, Moscow, Russia.

Article Synopsis
  • * Specific cytokines such as IL-1b, IL-6, and TNF-a were associated with both higher levels of harmful gut bacteria and the severity of cirrhosis symptoms like ascites, suggesting a connection between gut health and liver disease progression.
  • * The results indicate that certain gut bacteria populations correlate directly with inflammatory cytokine levels, pointing to a potential link between gut dysbiosis and systemic inflammation in cirrhosis patients.
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Background: Investigation of the inflammatory response of immune cells is a current focus of research on autoimmune disorders. The aim of this study was to evaluate the inflammatory status of monocytes/macrophages in systemic sclerosis (SSc).

Methods: The study included 35 SSc and 25 healthy participants.

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Background:  It has been suggested that the presence of chronic immunoinflammatory rheumatic disease (CIRD) may be a factor that increases the likelihood of developing hypogonadism syndrome, and conversely, the presence of uncompensated testosterone deficiency may predispose to a greater risk of developing or more severe course of ICRD.

Aim:  To study the incidence of hypogonadism in men with rheumatoid arthritis (RA) and evaluate its impact on the course of RA and concomitant diseases.

Materials And Methods:  A one-time continuous study included 170 men with RA who were undergoing inpatient treatment at the Federal State Budgetary Institution NIIR named after.

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Article Synopsis
  • T-cell large granular lymphocyte (T-LGL) leukemia is characterized by increased large granular lymphocytes in the blood, neutropenia, and splenomegaly, but in rare 'aleukemic' cases, LGL levels are low, complicating diagnosis with related conditions like Felty syndrome in rheumatoid arthritis patients.
  • The review discusses the characteristics and variants of aleukemic T-LGL leukemia, particularly the splenic variant, and highlights challenges in distinguishing it from hepatosplenic T-cell lymphoma.
  • It emphasizes the importance of genetic testing for mutations in the STAT3 gene and thorough evaluation methods, including next-generation sequencing, for accurate diagnosis of this condition in RA patients.
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Objective: To investigate the safety and efficacy of subcutaneous tocilizumab (SC-TCZ) treatment in a long-term extension (LTE) of clinical trials in polyarticular or systemic juvenile idiopathic arthritis (pJIA or sJIA).

Methods: Patients with pJIA or sJIA from two open-label, 52-week phase 1b core trials of SC-TCZ who had adequate response per investigator assessment entered the LTE and continued SC-TCZ treatment according to body weight-based dosing regimens until commercial availability or up to 5 years. Pharmacokinetics, pharmacodynamics, and efficacy were assessed for up to 3 years, and safety for up to 5 years in the LTE.

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Gut Microbiota and Biomarkers of Intestinal Barrier Damage in Cirrhosis.

Microorganisms

February 2024

Department of Internal Medicine, Gastroenterology and Hepatology, Sechenov University, Moscow 119991, Russia.

Gut dysbiosis and subclinical intestinal damage are common in cirrhosis. The aim of this study was to examine the association of intestinal damage biomarkers (diamine oxidase [DAO], claudin 3, and intestinal fatty acid binding protein [I-FABP; FABP2]) with the state of the gut microbiota in cirrhosis. The blood levels of DAO were inversely correlated with blood levels of claudin 3, lipopolysaccharide (LPS), presepsin, TNF-α, and the severity of cirrhosis according to Child-Pugh scores.

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The identification of low-frequency antigen-specific CD4 T cells is crucial for effective immunomonitoring across various diseases. However, this task still encounters experimental challenges necessitating the implementation of enrichment procedures. While existing antigen-specific expansion technologies predominantly concentrate on the enrichment of CD8 T cells, advancements in methods targeting CD4 T cells have been limited.

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Systemic sclerosis (SSc) is a rare systemic autoimmune disease of unknown etiology, which is characterized by endothelial dysfunction, pathologic vasculopathy, and increased tissue fibrosis. Traditionally, SSc has been regarded as a prototypical fibrotic disease in the family of systemic autoimmune diseases. Traditionally, emphasis has been placed on the three components of the pathogenesis of SSc: vascular, immune, and mesenchymal.

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Article Synopsis
  • In a clinical trial, patients with rheumatoid arthritis using the Janus kinase inhibitor tofacitinib experienced higher rates of adverse events compared to those on TNF inhibitors like adalimumab or etanercept.
  • A study aimed to analyze treatment discontinuations due to adverse events among JAK inhibitors, TNF inhibitors, and other biological therapies in a real-world setting involving over 46,000 treatment courses.
  • Results indicated that the rate of treatment discontinuation was similar for TNF inhibitors and JAK inhibitors overall, but certain JAK inhibitors showed different patterns, especially with older patients and specific cardiovascular risk factors, warranting cautious interpretation of the findings.
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Introduction: A thorough knowledge of the anatomy and variability of the pterygomandibular space (PMS) is essential to the success of local anesthesia. This study is aimed at determining the volume of the PMS depending on the shape of the skull, face and mandible using the computed tomography (CT).

Materials And Methods: anonymized computed tomograms of 48 adult patients were analyzed, the indicators of the cranial index (CI), facial index (FI) according to Yzard, the high lengthy index of the mandible (HLI), the latitudinal-altitude index of the mandible (LAI), the longitudinal latitude index of the mandible (LLI) were calculated.

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Introduction: Tumor-induced osteomalacia is an acquired rare disease manifested by hypophosphatemic osteomalacia due to excessive secretion of fibroblast growth factor 23 (FGF23). FGF 23 is a non-classical hormone secreted by bone tissue (osteocytes) and regulates phosphorus metabolism.The aim of this work is to present clinical experience in the diagnosis, treatment and rehabilitation of patients with tumor-induced osteomalacia.

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Unlabelled: The prevalence of periodontal diseases is increasing, tends to increase with age and is considered as one of the main causes of tooth loss. To assess the effectiveness of new methods of treatment of periodontal diseases, studies on laboratory animals can be promising.

The Aim Of The Study: to develop a new method of accelerated modeling of experimental periodontitis on laboratory animals.

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The prevalence of obesity in the modern world is increasing. Obesity is an independent risk factor for some rheumatic diseases and also worsens their course. The presence of chronic joint disease can make it difficult for obesity to reduce activity, creating a vicious circle where joint pain makes exercise difficult and being overweight exacerbates joint pain.

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Systemic lupus erythematosus (SLE) is a systemic autoimmune disease of unknown aetiology [...

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Fibrodysplasia ossificans progressive (FOP) is an ultra-rare genetic disorder that is caused by a mutation in the ACVR1 gene and provokes severe heterotopic ossification. Since flares of the disease are associated with inflammation, it is assumed that JAK inhibitors can control active FOP due to blocking multiple signaling pathways.

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Systemic lupus erythematosus (SLE) is a heterogeneous condition making assessment of disease activity challenging. However, thorough assessment is essential to evaluate patients longitudinally, to guide therapeutic decisions, and for clinical trials. Currently, the most popular disease activity index in clinical practice and trials is SLEDAI-2K.

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Musculoskeletal manifestations of systemic lupus erythematosus.

Best Pract Res Clin Rheumatol

December 2023

University of Leeds, Leeds, United Kingdom. Electronic address:

MSK is the most common and impactful symptom of lupus at a population level. It has a variety of different presentations, but joint swelling is often not present despite imaging-proven synovitis. Imaging with US and MRI has been shown to improve detection of inflammation and identify treatment-responsive patients.

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In a long-term (8 months) study, we examined the degree of synchronization of ultradian body temperature oscillations of two isolated groups of mice kept under constant dim illumination. In most cases, the periods of increased activity accompanied by rapid elevation of body temperature coincided in these groups of mice, but in some days, no significant synchronization between the examined parameters was observed. Analysis of the effects of environmental factors on the degree of synchronization of ultradian rhythms in mice revealed association of this parameter with the dynamics of atmospheric pressure (AtmP) and to a lesser extent with the vertical component of interplanetary magnetic field Bz.

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Article Synopsis
  • - Neutropenia is common in Felty syndrome (FS) and T-cell large granular lymphocytic (T-LGL) leukemia associated with rheumatoid arthritis (RA), with TCR gene rearrangements supporting a diagnosis of T-LGL leukemia but not FS.
  • - A study analyzed 100 RA patients with unexplained neutropenia, finding STAT3 mutations in 71% of those with RA-associated T-LGL leukemia versus only 10% in FS, indicating a significant difference (p=4.7×10-8).
  • - The findings suggest that STAT3 mutations are rare in FS but common in T-LGL leukemia; detecting these mutations can help diagnose T-LGL leukemia even without TCR rearrangement
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Background: Hypersensitivity pneumonitis (HP) is an interstitial lung disease (ILD) that occurs in susceptible individuals in response to various inhaled antigens. The fibrotic phenotype of HP is characterized by disease progression and can lead to pulmonary hypertension (PH). The aim of this study was to estimate the prevalence of PH and to identify predictors of PH in patients with chronic HP.

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