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Arthritis Research & Therapy
Published in: Arthritis Research & Therapy 1/2010

01-02-2010 | Review

The use of citrullinated peptides and proteins for the diagnosis of rheumatoid arthritis

Authors: Ger JM Pruijn, Allan Wiik, Walther J van Venrooij

Published in: Arthritis Research & Therapy | Issue 1/2010

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Abstract

The presence or absence of antibodies to citrullinated peptides/proteins (ACPA) is an important parameter that helps a clinician set a diagnosis of early rheumatoid arthritis and, hence, initiate treatment. There are several commercial tests available to measure ACPA levels, although it can be difficult to decide what the best test for a given clinical question is. We analyzed literature data in which the diagnostic and other properties of various ACPA tests are compared. The results show that for diagnostic purposes the CCP2 test has the highest specificity, the highest sensitivity in stratified studies and the highest positive predictive value. For the prediction of future joint destruction the CCP2, MCV, and CCP3 tests may be used. The ability to predict the likelihood of not achieving sustained disease-modifying antirheumatic drug-free remission was highest for the CCP2 test. Finally, the levels of anti-CCP2 and anti-CCP3 (and possibly anti-mutated citrullinated vimentin) in rheumatoid arthritis patients are not significantly influenced by TNFα blocking agents.
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Metadata
Title
The use of citrullinated peptides and proteins for the diagnosis of rheumatoid arthritis
Authors
Ger JM Pruijn
Allan Wiik
Walther J van Venrooij
Publication date
01-02-2010
Publisher
BioMed Central
Published in
Arthritis Research & Therapy / Issue 1/2010
Electronic ISSN: 1478-6362
DOI
https://doi.org/10.1186/ar2903

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