Research Article

Serum Levels of Anticyclic Citrullinated Peptide Antibodies, Interleukin-6, Tumor Necrosis Factor-α, and C-Reactive Protein Are Associated with Increased Carotid Intima-Media Thickness: A Cross-Sectional Analysis of a Cohort of Rheumatoid Arthritis Patients without Cardiovascular Risk Factors

Table 5

Published studies relating CVD risk factors and cIMT in RA.

Reference
(author, year)
Study groups and designCVD risk factors present in studied patientsAnti-CCP/IL-6/TNFConclusions

del Rincón et al. (2003) [16]Cross-sectional 
RA ()  
HC ()
Age ≥40 yrs oldNoESR, CRP, and RF being associated with the increased cIMT in RA patients

Gerli et al. (2005) [22]Cross-sectional 
RA ()  
HC ()
Systemic hypertension, dyslipidemia, type 2 DM, current smokers, and family history of CVDNoSmoking increasing the cIMT in RA patients

Hannawi et al. (2007) [23]Cross-sectional  
RA ()  
HC ()
Current smokersNoHigher cIMT in RA than HC; cIMT correlating with DAS28 and CRP; atherosclerotic plaques being more frequent in RA

Ciftci et al. (2008) [24]Cross-sectional  
RA ()  
HC ()
NoneNoIncreased cIMT in RA versus HC; correlation between cIMT and time of evolution

Stamatelopoulos et al. (2009) [25]Cross-sectional  
RA ()  
HC ()  
Type 2 DM ()
NoneNoIncreased cIMT in RA versus HC

Ristić et al. (2010) [26]Cross-sectional
RA ()
HC ()
Current smokersAnti-CCPHigher cIMT in RA smokers; negative correlation with time on treatment; positive correlation with FR and ESR

Ahmed et al. (2010) [27]Cross-sectional  
Early RA ()
HC ()
NoneNoDAS28, ESR, CRP, disease duration, steroids use, and ox-LDL associated with the presence of plaque

Södergren et al. (2010) [4]Cross-sectional
RA ()  
HC ()
Current smokers, family history of CVDNoHigher cIMT in RA versus HC

El-Barbary et al. (2011) [28]Cross-sectional  
RA ()  
HC ()
NoneIL-6 
TNF
Anti-CCP 
Anti-MCV
Positive correlation between anti-MCV with changes in cIMT, not with anti-CCP

Ajeganova et al. (2012) [29]Prospective cohort  RA NoneNoHigher cIMT associated with CRP

Targońska-Stepniak et al. (2011) [30]Cross-sectional  
RA ()
HC ()
Type 2 DM, Systemic hypertensionAnti-CCPHigher cIMT associated with age, anti-CCP, erosions, and extra-articular manifestations

Akrout et al. (2012) [31]Cross-sectional 
RA () versus 
HC ()
NoneNoHigher cIMT in RA than control; higher AIP in RA and lower HDL

Vázquez-Del Mercado Mónica (Present study) Cross-sectional  
RA () versus
HC ()
NoneAnti-CCP 
IL-6 
TNF
Levels of anti-CCP and CRP associated with the cIMT in RA in multiple linear regression

CVD, cardiovascular disease; DM, diabetes mellitus; RA, rheumatoid arthritis; HC, healthy controls; cIMT, carotid intima-media thickness; ESR, erythrocyte sedimentation rate; RF, rheumatoid factor; CRP, C-reactive protein; TNF, tumor necrosis factor ; IL-6, interleukin-6; anti-CCP, anticyclic citrullinated peptide antibodies; ox-LDL, oxidized low density lipoprotein; anti-MCV, antimutated citrullinated vimentin; DAS28, disease activity score.