PMID- 33142189 OWN - NLM STAT- MEDLINE DCOM- 20210906 LR - 20210906 IS - 1532-2785 (Electronic) IS - 0143-4179 (Linking) VI - 84 DP - 2020 Dec TI - Increased monocyte chemoattractant protein-1 and nitrotyrosine are associated with increased body weight in patients with rheumatoid arthritis after etanercept therapy. PG - 102100 LID - S0143-4179(20)30118-9 [pii] LID - 10.1016/j.npep.2020.102100 [doi] AB - OBJECTIVES: Etanercept, a tumor necrosis factor inhibitor, is an effective drug for patients with active rheumatoid arthritis (RA). Monocyte chemoattractant protein-1 (MCP-1) and nitrotyrosine (NT) are pro-inflammatory biomolecules associated with satiety and increased body weight. We evaluated whether MCP-1 and NT are associated with decreased inflammation or increased body mass during etanercept therapy in active RA patients. METHODS: RA patients with moderate to high disease activity were enrolled to receive add-on etanercept (25 mg subcutaneous injection, biweekly) for at least one year, combined with sustained treatment with conventional synthetic disease-modifying anti-rheumatic drugs (csDMARDs). RESULTS: Forty patients received add-on etanercept and 15 received DMARDs alone. At the end of one year, etanercept significantly reduced the disease activity score of 28 joints, C-reactive protein, and erythrocyte sedimentation rate. Moreover, etanercept significantly increased the body weight, body mass index (BMI), as well as MCP-1 and NT levels, compared to that in the csDMARD-only group. CONCLUSIONS: Increased serum MCP-1 and NT levels in RA patients with moderate to high disease activity, who underwent one-year etanercept treatment, might be attributed to increase in body weight and BMI rather than induction of more severe autoimmune inflammation. CI - Copyright (c) 2020 Elsevier Ltd. All rights reserved. FAU - Huang, Hsien-Hao AU - Huang HH AD - Department of Emergency Medicine, Taipei Veterans General Hospital, Taipei 11217, Taiwan; Institute of Emergency and Critical Medicine, National Yang-Ming University School of Medicine, Taipei 11221, Taiwan. FAU - Chen, Liang-Yu AU - Chen LY AD - Aging and Health Research Center, National Yang-Ming University School of Medicine, Taipei 11221, Taiwan; Center for Geriatrics and Gerontology, Taipei Veterans General Hospital, Taipei 11217, Taiwan. FAU - Chen, Kuan-Yang AU - Chen KY AD - Division of Digestive Medicine, Taipei City Hospital Ren-Ai Branch, Taipei 10629, Taiwan. FAU - Lee, Yu-Chi AU - Lee YC AD - Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei 11490, Taiwan. FAU - Tsai, Chang-Youh AU - Tsai CY AD - Division of Allergy, Immunology, and Rheumatology, Department of Medicine, Taipei Veterans General Hospital, Taipei 11217, Taiwan. Electronic address: cytsai@vghtpe.gov.tw. FAU - Chen, Chih-Yen AU - Chen CY AD - Division of Gastroenterology and Hepatology, Department of Medicine, Taipei Veterans General Hospital, Taipei 11217, Taiwan; Faculty of Medicine, National Yang-Ming University School of Medicine, Taipei 11221, Taiwan; Chinese Taipei Society for the Study of Obesity, Taipei 11031, Taiwan. Electronic address: chency@vghtpe.gov.tw. LA - eng PT - Journal Article DEP - 20201026 PL - Netherlands TA - Neuropeptides JT - Neuropeptides JID - 8103156 RN - 0 (Antirheumatic Agents) RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 3604-79-3 (3-nitrotyrosine) RN - 42HK56048U (Tyrosine) RN - OP401G7OJC (Etanercept) SB - IM MH - Adult MH - Aged MH - Antirheumatic Agents/*therapeutic use MH - Arthritis, Rheumatoid/*metabolism MH - Chemokine CCL2/blood/metabolism/*therapeutic use MH - Etanercept/*therapeutic use MH - Female MH - Humans MH - Male MH - Middle Aged MH - Severity of Illness Index MH - Tyrosine/analogs & derivatives/pharmacology MH - Weight Gain/physiology OTO - NOTNLM OT - Etanercept OT - Monocyte chemoattractant protein-1 OT - Nitrotyrosine OT - Rheumatoid arthritis EDAT- 2020/11/04 06:00 MHDA- 2021/09/07 06:00 CRDT- 2020/11/03 20:13 PHST- 2020/05/22 00:00 [received] PHST- 2020/10/07 00:00 [revised] PHST- 2020/10/22 00:00 [accepted] PHST- 2020/11/04 06:00 [pubmed] PHST- 2021/09/07 06:00 [medline] PHST- 2020/11/03 20:13 [entrez] AID - S0143-4179(20)30118-9 [pii] AID - 10.1016/j.npep.2020.102100 [doi] PST - ppublish SO - Neuropeptides. 2020 Dec;84:102100. doi: 10.1016/j.npep.2020.102100. Epub 2020 Oct 26.