Clinical Study

Influence of Insulin Resistance and TNF-α on the Inflammatory Process, Oxidative Stress, and Disease Activity in Patients with Rheumatoid Arthritis

Table 3

Oxidative stress markers, disease activity, and inflammatory parameters in patients with rheumatoid arthritis with (IR+) or without (IR−) insulin resistance and using (TNF+) or not using (TNF−) anti-TNF-.

G1 ()G2 ()G3 ()G4 ()

CL-LOOH (cpm)170.7 (150.0–196.7)167.4 (147.2–214.4)165.7 (152.7–204.3)166.2 (151.8–166.2)
AOPP (mol/L of chloramines-T equivalents)124.5 (102.6–170.1)123.2 (99.9–182.8)  (122.4–242.7)  (124.4–222.4)
TRAP (M Trolox/mg UA)175.4 (147.3–210.0)164.7 (131.8–207.7)  (121.0–178.8)159.2 (107.5–176.6)
OSI0.73 (0.57–0.92)0.85 (0.62–1.12)  (0.78–1.79)  (0.69–1.53)
DAS 283.41 (2.23–4.57)3.83 (3.08–4.89)3.75 (2.87–4.80)3.49 (2.78–4.30)
CRP (mg/dL)4.74 (1.26–15.80)2.75 (1.78–6.76)6.63 (7.70–11.9)  (1.42–8.89)
ESR (mm)14.0 (5.0–22.0)14.5 (8.3–23.0)  (8.0–32.5)  (11.0–44.0)

Kruskal-Wallis test with Dunn’s posttest. Data are expressed as median (25–75%). G1, IR− TNF−; G2, IR− TNF+; G3, IR+ TNF−; G4, IR+ TNF+; CL-LOOH, tert-butyl hydroperoxide-initiated chemiluminescence; AOPP, advanced oxidation protein product; TRAP, total radical-trapping antioxidant parameter; OSI, oxidative stress index; DAS 28, Disease Activity Score evaluating 28 joints; CRP, C-reactive protein; and ESR, erythrocyte sedimentation rate.
G1 versus G3, ; #G1 versus G4, ; &G4 versus G2, ; and G4 versus G3.