Nakamura R M
Department of Pathology, Scripps Clinic, La Jolla, California 92037, USA.
J Clin Lab Anal. 2000;14(6):305-13. doi: 10.1002/1098-2825(20001212)14:6<305::aid-jcla10>3.0.co;2-p.
Rheumatoid arthritis (RA) is a chronic systemic inflammatory autoimmune disorder which is predominant in females. The exact etiology remains undefined. Recently, a large number of biochemical and biologic markers, which are useful in the diagnosis, prognosis, and monitoring therapy of RA, have been reported. The new markers include genetic markers, filaggrin, citrulline containing peptides, A2/RA33, cytokines, joint and collagen breakdown products, and bone turnover markers. No laboratory tests in and of themselves are diagnostic of RA. The new markers have been employed in monitoring RA patients during treatment and following the course of the disease. With the development of innovative therapies for RA, many of the biochemical and biologic markers will be useful.
类风湿关节炎(RA)是一种慢性全身性炎症性自身免疫性疾病,女性更为常见。确切病因尚不清楚。最近,大量对RA的诊断、预后及治疗监测有用的生化和生物标志物已被报道。新的标志物包括遗传标志物、丝聚蛋白、含瓜氨酸的肽、A2/RA33、细胞因子、关节和胶原蛋白分解产物以及骨转换标志物。没有任何一项实验室检查本身能够确诊RA。这些新标志物已被用于监测RA患者的治疗过程及病情发展。随着RA创新疗法的发展,许多生化和生物标志物将发挥作用。