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Related Experiment Videos

Autonomic nervous system function in rheumatoid arthritis. A controlled study

S I Bekkelund1, R Jorde, G Husby

  • 1Department of Neurology, University Hospital, Tromsø, Norway.

The Journal of Rheumatology
|October 1, 1996
PubMed
Summary

Patients with rheumatoid arthritis (RA) show higher levels of pancreatic polypeptide (PP) both fasting and after meals compared to healthy individuals. This study found no link between PP levels and RA disease activity.

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Area of Science:

  • Endocrinology
  • Rheumatology
  • Autonomic Neuroscience

Background:

  • Rheumatoid arthritis (RA) is a chronic inflammatory disease.
  • Autonomic nervous system dysfunction is common in RA patients.
  • Pancreatic polypeptide (PP) is a hormone with potential roles in inflammation and metabolism.

Purpose of the Study:

  • To compare cardiovascular autonomic nervous system functions in RA patients versus controls.
  • To investigate fasting and postprandial pancreatic polypeptide (PP) levels in RA.
  • To explore associations between PP levels, autonomic function, and disease activity in RA.

Main Methods:

  • Study included 43 women with RA and 61 healthy controls.
  • Cardiovascular autonomic function was assessed via blood pressure and heart rate variability.

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  • Plasma PP levels were measured using radioimmunoassay before and after a meal.
  • Main Results:

    • No significant differences in cardiovascular reflexes between RA patients and controls.
    • RA patients exhibited significantly higher fasting plasma PP levels (p=0.0006).
    • Significantly elevated postprandial PP levels were observed in RA patients at 30 and 60 minutes after meal intake (p=0.0001).
    • No association was found between PP levels and RA disease activity via regression analysis.

    Conclusions:

    • The elevated basal and postprandial PP levels in RA patients suggest a disease-related link.
    • The underlying mechanisms connecting RA and altered PP levels remain to be elucidated.