Abstract
The aim of this study was to investigate the effect of anti-tumor necrosis factor alpha (anti-TNF) treatment on body composition and serum adiponectin levels of women with rheumatoid arthritis (RA). Nineteen women with RA starting anti-TNF treatment were included in the study. Disease activity, body composition, lumbar spine bone mineral density (BMD) and serum adiponectin concentrations were measured at baseline and after 1 year of follow-up. No important changes on body composition and lumbar spine BMD were observed, while the serum levels of adiponectin levels increased after 1 year of anti-TNF treatment (p = 0.02). Anti-TNF treatment in women with RA does not have any significant effect on body composition; however, it is associated with increase in adiponectin levels which may ameliorate the systemic inflammatory response state associated with RA.
MeSH Terms
Adiponectin/blood
Adult
Aged
Antibodies, Monoclonal/administration & dosage
Antirheumatic Agents/administration & dosage
Arthritis, Rheumatoid/drug therapy,immunology
Body Composition/drug effects
Bone Density/drug effects
Drug Therapy, Combination
Female
Follow-Up Studies
Humans
Infliximab
Methotrexate/administration & dosage
Middle Aged
Steroids/administration & dosage
Tumor Necrosis Factor-alpha/antagonists & inhibitors
Chemicals
ADIPOQ protein, human
Adiponectin
Antibodies, Monoclonal
Antirheumatic Agents
Steroids
Tumor Necrosis Factor-alpha
Infliximab
Methotrexate
Authors & Affiliations
6 authors, click to expand affiliations / ORCID
Serelis John
Department of Internal Medicine, Athens Euroclinic, 7 Athanasiadou Str, Athens 11521, Greece.
Kontogianni Meropi D
Katsiougiannis Stergios
Bletsa Maria
Tektonidou Maria G
Skopouli Fotini N
References (18)
18 references, click to expand
-
Paradoxical decrease of an adipose-specific protein, adiponectin, in obesity.
Biochem Biophys Res Commun. 1999 Apr 2;257(1):79-83
PMID: 10092513
-
Randomized phase 2 trial of anti-tumor necrosis factor therapy for cachexia in patients with early rheumatoid arthritis.
Am J Clin Nutr. 2006 Dec;84(6):1463-72
PMID: 17158431
-
Evaluation of bone mineral density, bone metabolism, osteoprotegerin and receptor activator of the NFkappaB ligand serum levels during treatment with infliximab in patients with rheumatoid arthritis.
Ann Rheum Dis. 2006 Nov;65(11):1495-9
PMID: 16606653
-
Anti-tumor necrosis factor therapy increases serum adiponectin levels with the improvement of endothelial dysfunction in patients with rheumatoid arthritis.
Mod Rheumatol. 2007;17(5):385-90
PMID: 17929130
-
Changes in plasma levels of fat-derived hormones adiponectin, leptin, resistin and visfatin in patients with rheumatoid arthritis.
Ann Rheum Dis. 2006 Sep;65(9):1198-201
PMID: 16414972
-
The potential of adiponectin in driving arthritis.
J Immunol. 2006 Apr 1;176(7):4468-78
PMID: 16547285
-
Prevalence of low body mass in rheumatoid arthritis: association with the acute phase response.
Ann Rheum Dis. 1997 May;56(5):326-9
PMID: 9175935
-
Blood leptin and adiponectin as possible mediators of the relation between fat mass and BMD in perimenopausal women.
J Bone Miner Res. 2004 Apr;19(4):546-51
PMID: 15005840
-
A novel serum protein similar to C1q, produced exclusively in adipocytes.
J Biol Chem. 1995 Nov 10;270(45):26746-9
PMID: 7592907
-
Adipocytokines in synovial fluid.
JAMA. 2003 Oct 1;290(13):1709-10
PMID: 14519703
-
Adiponectin stimulates glucose utilization and fatty-acid oxidation by activating AMP-activated protein kinase.
Nat Med. 2002 Nov;8(11):1288-95
PMID: 12368907
-
TNF-alpha alters visfatin and adiponectin levels in human fat.
Horm Metab Res. 2007 Apr;39(4):250-5
PMID: 17447161
-
No change of serum levels of leptin and adiponectin during anti-tumour necrosis factor antibody treatment with adalimumab in patients with rheumatoid arthritis.
Ann Rheum Dis. 2006 Jul;65(7):970-1
PMID: 16769786
-
Relationship of serum adiponectin level to adverse cardiovascular events in patients who undergo percutaneous coronary intervention.
Circ J. 2007 May;71(5):675-80
PMID: 17456990
-
Body composition in rheumatoid arthritis.
Br J Rheumatol. 1997 Apr;36(4):444-8
PMID: 9159537
-
Rheumatoid cachexia: cytokine-driven hypermetabolism accompanying reduced body cell mass in chronic inflammation.
J Clin Invest. 1994 Jun;93(6):2379-86
PMID: 8200971
-
Validation of rheumatoid arthritis improvement criteria that include simplified joint counts.
Arthritis Rheum. 1998 Oct;41(10):1845-50
PMID: 9778226
-
Increased adiponectin is negatively linked to the local inflammatory process in patients with rheumatoid arthritis.
Cytokine. 2006 Sep;35(5-6):247-52
PMID: 17079158