Low levels of anti-cyclic citrullinated peptide (CCP) 3.1 associated with diseases other than rheumatoid arthritis.


Journal

Medicine
ISSN: 1536-5964
Titre abrégé: Medicine (Baltimore)
Pays: United States
ID NLM: 2985248R

Informations de publication

Date de publication:
23 Apr 2021
Historique:
received: 08 07 2020
accepted: 29 03 2021
entrez: 21 4 2021
pubmed: 22 4 2021
medline: 27 4 2021
Statut: ppublish

Résumé

Our aim was to investigate the newest generation anti-cyclic citrullinated peptide (CCP) antibody 3.1 assay in diagnosing rheumatoid arthritis (RA) compared with other autoimmune and non-autoimmune diseases. We performed a retrospective observational chart review of patients with a positive CCP level over a one-year period at a single academic institution and assessed the associated diagnoses after at least six-months of follow-up. Of the 281 CCP positive patients during that period, 48% had a diagnosis of RA. The positive predictive value of RA in patients with a high CCP 3.1 assay was 0.619 compared to 0.248 with a low positive CCP 3.1 assay (P < .0001). Overall, there was a lower than expected positive predictive value of CCP 3.1 level with an RA diagnosis, though the likelihood of having an RA diagnosis was higher with a higher CCP level.

Identifiants

pubmed: 33879708
doi: 10.1097/MD.0000000000025558
pii: 00005792-202104230-00055
pmc: PMC8078438
doi:

Substances chimiques

Autoantibodies 0
Peptides, Cyclic 0
cyclic citrullinated peptide 0

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

e25558

Informations de copyright

Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.

Déclaration de conflit d'intérêts

No conflicts of interest or funding disclosures to report.

Références

Alamanos Y, Drosos AA. Epidemiology of adult rheumatoid arthritis. Autoimmun Rev 2005;4:130–6.
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Demoruelle MK, Parish MC, Derber LA, et al. Performance of anti-cyclic citrullinated peptide assays differs in subjects at increased risk of rheumatoid arthritis and subjects with established disease. Arthritis Rheum 2013;65:2243–52.
Szekanecz Z, Szabó Z, Zeher M, et al. Superior performance of the CCP3.1 test compared to CCP2 and MCV in the rheumatoid factor-negative RA population. Immunol Res 2013;56:439–43.
Dos Anjos LM, Pereira IA, d ’Orsi E, et al. A comparative study of IgG second- and third-generation anti-cyclic citrullinated peptide (CCP) ELISAs and their combination with IgA third-generation CCP ELISA for the diagnosis of rheumatoid arthritis. Clin Rheumatol 2009;28:153–8.
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Webb T, Lakos G, Swart A, et al. Clinical evaluation of a novel chemiluminescent immunoassay for the detection of anti-citrullinated peptide antibodies. Clin Chim Acta 2014;437:161–7.
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Van Noord C, Hooijkaas H, Dufour-van den Goorbergh BC, et al. Diagnostic value of anti-cyclic citrullinated peptide antibodies to detect rheumatoid arthritis in patients with Sjögren's syndrome. Ann Rheum Dis 2005;64:160–2.
Kokkonen H, Mullazehi M, Berglin E, et al. Antibodies of IgG, IgA and IgM isotypes against cyclic citrullinated peptide precede the development of rheumatoid arthritis. Arthritis Res Ther 2011;13:R13.
Berens HM, Polinski KJ, Mikuls TR, et al. Anti-CCP3.1 and Anti-CCP-IgA are associated with increasing age in individuals without rheumatoid arthritis. J Rheumatol 2019;46:1556–9.

Auteurs

James J Son (JJ)

Department of Internal Medicine.

Mariko Ishimori (M)

Cedars-Sinai Medical Center, Division of Rheumatology, Los Angeles, CA.

James Mirocha (J)

Cedars-Sinai Medical Center, Division of Rheumatology, Los Angeles, CA.

Michael H Weisman (MH)

Cedars-Sinai Medical Center, Division of Rheumatology, Los Angeles, CA.

Lindsy J Forbess (LJ)

Cedars-Sinai Medical Center, Division of Rheumatology, Los Angeles, CA.

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