Enhanced effect of high-dose leukocytapheresis using a large filter in rheumatoid arthritis.

Abstract:

:To evaluate the efficacy of high-dose leukocytapheresis (LCAP) using a large filter in patients with refractory rheumatoid arthritis (RA), we conducted a multicenter, nonrandomized, open-label clinical study. Thirty patients with highly active RA were treated with high-dose LCAP performed 3-5 sessions at 1-week intervals using a CS-180S filter (CS-180S group); the treatment involves the removal of leukocytes from a higher blood volume per body weight (100;Sml/kg). The clinical response was evaluated at 4 and 8 weeks after a series of LCAP using the 28-joint disease activity score (DAS28). Similar data of 53 patients treated with conventional LCAP (60;Sml/kg) using a standard filter, CS-100, were compared as a control (CS-100 group). The CS-180S filter demonstrated a higher adsorption capacity for leukocytes, particularly lymphocytes. The CS-180S group exhibited significant improvements in each item of DAS28 after treatment although the CS-100 group did not demonstrate such improvements in the CRP level and the ESR. Compared to the CS-100 group, the patients of the CS-180S group exhibited a tendency toward improvement with respect to the CRP level and ESR (P = 0.057 and 0.041, respectively). According to the EULAR improvement criteria based on DAS28, 60% and 45% of the patients from CS-180S and CS-100 groups achieved moderate or more responses, respectively, at 4 weeks after treatment. These results suggest that compared to conventional LCAP, high-dose LCAP may enhance the suppression of RA disease activity.

journal_name

Mod Rheumatol

journal_title

Modern rheumatology

authors

Eguchi K,Saito K,Kondo M,Hidaka T,Ueki Y,Tanaka Y,LCAP Investigators in Kyushu College of Rheumatology (LIKCR).

doi

10.1007/s10165-007-0630-7

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

481-5

issue

6

eissn

1439-7595

issn

1439-7609

journal_volume

17

pub_type

临床试验,杂志文章,多中心研究
  • Increased level of heme oxygenase-1 in rheumatoid arthritis synovial fluid.

    abstract::We investigated the expression and localization of heme oxygenase-1 (HO-1) in synovial fluid and synovial tissue, and examined the stimulation of HO-1 production in rheumatoid synovial fibroblasts (RASFs). Synovial fluid samples were obtained from knee joints of 20 rheumatoid arthritis (RA) and 20 osteoarthritis (OA) ...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-010-0372-9

    authors: Kitamura A,Nishida K,Komiyama T,Doi H,Kadota Y,Yoshida A,Ozaki T

    更新日期:2011-04-01 00:00:00

  • Prevalence and clinical characteristics of overactive bladder in systemic sclerosis.

    abstract::Objectives: Overactive bladder (OAB) is a clinical diagnosis defined with the presence of urinary urgency, usually accompanied by frequency and nocturia, with or without urgency urinary incontinence. Objective was to evaluate the demographic and clinical characteristics of Japanese systemic sclerosis (SSc) patients wi...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2019.1589913

    authors: Motegi SI,Sekiguchi A,Sekine Y,Nakayama H,Suzuki K,Ishikawa O

    更新日期:2020-03-01 00:00:00

  • Elevated cerebrospinal fluid levels of total protein in patients with secondary central nervous system vasculitis and giant cell arteritis.

    abstract::Objectives: Secondary central nervous system vasculitis (SCNSV) is an extremely rare, refractory, and fatal disease in patients with giant cell arteritis (GCA). We compared the characteristics of GCA patients with and without SCNSV.Methods: This retrospective, single-center, observational cohort study included 35 pati...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2019.1679974

    authors: Abe Y,Harada M,Tada K,Yamaji K,Tamura N

    更新日期:2020-11-01 00:00:00

  • Long-term remission in three patients with childhood-onset systemic lupus erythematosus.

    abstract::Abstract Three cases of childhood-onset systemic lupus erythematosus (childhood SLE) with long-term remission are reported. These cases were not complicated with collagen diseases and had no SLE disease activity index scores either 3 or 5 years after onset. We suggest that some patients with childhood SLE may be able ...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/s10165-003-0238-5

    authors: Mori M,Kobayashi Y,Miyamae T,Imagawa T,Katakura S,Mitsuda T,Aihara Y,Yokota S

    更新日期:2003-09-01 00:00:00

  • Renal outcomes in mixed proliferative and membranous lupus nephritis (Class III/IV + V): A long-term observational study.

    abstract:OBJECTIVES:In this study, we aimed to assess the effect of combination of proliferative and membranous lesions (Class III + V or IV + V) on renal outcomes as an independent category distinct from Class III and IV. METHODS:We retrospectively analyzed 103 Japanese patients (14 male and 89 female) with Class III/IV LN, w...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2016.1158896

    authors: Ikeuchi H,Hiromura K,Kayakabe K,Tshilela KA,Uchiyama K,Hamatani H,Sakairi T,Kaneko Y,Maeshima A,Nojima Y

    更新日期:2016-11-01 00:00:00

  • Comparison of the clinical utility of tocilizumab and anti-TNF therapy in AA amyloidosis complicating rheumatic diseases.

    abstract:OBJECTIVES:Anti-cytokine therapy is reportedly useful in amyloid A (AA) amyloidosis complicating rheumatic diseases. However, to date no studies have directly compared the utility of tumour necrosis factor (TNF) inhibition to that of interleukin-6. The aim of our retrospective study was to compare the clinical utility ...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2013.854048

    authors: Okuda Y,Ohnishi M,Matoba K,Jouyama K,Yamada A,Sawada N,Mokuda S,Murata Y,Takasugi K

    更新日期:2014-01-01 00:00:00

  • A case of systemic lupus erythematosus complicated with pneumatosis cystoides intestinalis.

    abstract::Pneumatosis cystoides intestinalis (PCI), which is characterized by the presence of multiple gas-filled mucosal, submucosal, or subserosal cysts located throughout the colon and/or small intestine, is an unusual complication of systemic lupus erythematosus (SLE). We report a case of a 33-year-old woman with a 5-year h...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-005-0437-3

    authors: Yamaguchi Y,Ohno S,Yamazaki S,Ideguchi H,Shirai A,Takeno M,Ishigatsubo Y

    更新日期:2005-01-01 00:00:00

  • Myositis-specific autoantibodies in Japanese patients with juvenile idiopathic inflammatory myopathies.

    abstract:OBJECTIVES:The aim of our study is to clarify the association of myositis-specific autoantibodies (MSAs) with clinical and laboratory features in Japanese patients with juvenile idiopathic inflammatory myopathies (JIIMs). METHODS:We retrospectively analyzed the frequency of MSAs and their association with clinical or ...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2018.1452353

    authors: Ueki M,Kobayashi I,Takezaki S,Tozawa Y,Okura Y,Yamada M,Kuwana M,Ariga T

    更新日期:2019-03-01 00:00:00

  • Influenza virus B-associated hemophagocytic syndrome and recurrent pericarditis in a patient with systemic lupus erythematosus.

    abstract::We report a 24-year-old male with systemic lupus erythematosus (SLE) who developed influenza virus B-associated hemophagocytic syndrome and cardiac tamponade. Although the patient's general condition improved after steroid pulse therapy and pericardiocentesis, pericardial effusion re-accumulated. Colchicine and aspiri...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-009-0241-6

    authors: Horai Y,Miyamura T,Takahama S,Sonomoto K,Nakamura M,Ando H,Minami R,Yamamoto M,Suematsu E

    更新日期:2010-04-01 00:00:00

  • Acceptability and usefulness of mizoribine in the management of rheumatoid arthritis in methotrexate-refractory patients and elderly patients, based on analysis of data from a large-scale observational cohort study.

    abstract::This report documents the results of a study performed to examine clinical use of mizoribine (MZR), using data from a large-scale prospective cohort study, IORRA (Institute of Rheumatology Rheumatoid Arthritis). The number of patients with RA entered in this study from October 2000 through October 2003 was 6238. Three...

    journal_title:Modern rheumatology

    pub_type: 临床试验,杂志文章

    doi:10.1007/s10165-006-0487-1

    authors: Tanaka E,Inoue E,Kawaguchi Y,Tomatsu T,Yamanaka H,Hara M,Kamatani N

    更新日期:2006-01-01 00:00:00

  • Osteoimmunological insight into bone damage in rheumatoid arthritis.

    abstract::Research into the bone destruction associated with rheumatoid arthritis has highlighted the importance of the interplay of the immune and skeletal systems. Arthritic bone destruction is attributable to the defective control of osteoclastogenesis by T cells. We revealed that excessive expression of receptor activator o...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-005-0398-6

    authors: Takayanagi H

    更新日期:2005-01-01 00:00:00

  • Mizoribine for crescentic glomerulonephritis with sarcoidosis: effectiveness not only for urinalysis abnormalities but also for hilar lymph node enlargement.

    abstract::Sarcoidosis is a multisystem disease related to helper T cell responses. We recently experienced the case of a 57-year-old woman with sarcoidosis complicated by crescentic glomerulonephritis with low levels of myeloperoxidase-antineutrophil cytoplasmic antibody. We herein describe the details of her clinical course an...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-012-0614-0

    authors: Kabara M,Nakagawa N,Matsuki M,Chinda J,Fujino T,Hasebe N

    更新日期:2013-01-01 00:00:00

  • Radiologic analysis of the effect of tocilizumab on hands and large joints in children with systemic juvenile idiopathic arthritis.

    abstract:OBJECTIVES:To assess the efficacy of tocilizumab for preventing damage to the joints of systemic juvenile idiopathic arthritis (sJIA) patients, we examined serial radiographs of the hands and large weight-bearing joints of these patients before and after treatment with this agent. METHODS:Nine patients with sJIA recei...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-012-0711-0

    authors: Inaba Y,Ozawa R,Aoki C,Imagawa T,Mori M,Hara R,Miyamae T,Saito T,Yokota S

    更新日期:2013-07-01 00:00:00

  • Elevated level of serum cystatin-C concentration is a useful predictor for myelosuppression induced by methotrexate for treatment of rheumatoid arthritis.

    abstract::Methotrexate (MTX) is indispensable for the treatment of rheumatoid arthritis (RA). However, a small number of patients treated with MTX occasionally encounter some life-threatening events, including myelosuppression. Renal insufficiency, one of risk factors for these events, is difficult to assess because the serum c...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-010-0315-5

    authors: Hayashi T,Ito S,Goto D,Matsumoto I,Sumida T

    更新日期:2010-12-01 00:00:00

  • Relationship between YKL-40 and pulmonary arterial hypertension in systemic sclerosis.

    abstract:OBJECTIVES:Systemic sclerosis (SSc) is an intractable connective tissue disease that causes skin and organ fibrosis. Interstitial lung disease (ILD) and pulmonary arterial hypertension (PAH) affect its prognosis. YKL-40 protein impacts inflammation and tissue remodeling. Therefore, we evaluated the utility of YKL-40 bl...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2018.1480256

    authors: Furukawa T,Matsui K,Kitano M,Yokoyama Y,Sekiguchi M,Azuma N,Imai Y,Hirota S,Yamanishi K,Sano H

    更新日期:2019-05-01 00:00:00

  • A case of eosinophilic orbital myositis associated with CSS.

    abstract::We report a novel case of eosinophilic orbital myositis associated with Churg-Strauss syndrome. A 56-year-old man with a 20-year history of chronic sinusitis and seasonal allergic rhinitis was admitted because of fever, swelling of cheeks and extremities, diplopia, and eosinophilia. With findings from gadolinium-enhan...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-009-0252-3

    authors: Fujii T,Norizuki M,Kobayashi T,Yamamoto M,Kishimoto M

    更新日期:2010-04-01 00:00:00

  • Efficacy and safety of interleukin-1 inhibitors in familial Mediterranean fever patients complicated with amyloidosis.

    abstract:BACKGROUND:Colchicine is the mainstay of the treatment of familial Mediterranean fever (FMF). However, 10% of FMF patients do not respond well to colchicine. Efficacy of interleukin (IL)-1 inhibitors in reducing attacks have been demonstrated in colchicine-resistant FMF (crFMF) patients recently. Colchicine is still th...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2018.1457469

    authors: Varan Ö,Kucuk H,Babaoglu H,Guven SC,Ozturk MA,Haznedaroglu S,Goker B,Tufan A

    更新日期:2019-03-01 00:00:00

  • A novel IKKα inhibitor, noraristeromycin, blocks the chronic inflammation associated with collagen-induced arthritis in mice.

    abstract:OBJECTIVES:To evaluate the therapeutic efficacy of a novel inhibitor for IκB kinase alpha (IKKα), noraristeromycin (NAM), for murine experimental model of rheumatoid arthritis, collagen- induced arthritis (CIA). METHODS:NAM has been chemically synthesized as reported earlier. CIA was induced in DBA/1JNCrlj mice by int...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2013.879416

    authors: Ito M,Hamano T,Komatsu T,Asamitsu K,Yamakawa T,Okamoto T

    更新日期:2014-09-01 00:00:00

  • Analysis of the factors which influence the measurement of synovial power Doppler signals with semi-quantitative and quantitative measures - a pilot multicenter exercise in Japan.

    abstract:OBJECTIVES:This pilot multicenter exercise aimed to evaluate the inter-observer reproducibility of synovial power Doppler (PD) signals in rheumatoid arthritis (RA) patients and to determine the factors influencing the measurements. METHODS:Two representative RA patients were assessed by four independent experienced so...

    journal_title:Modern rheumatology

    pub_type: 杂志文章,多中心研究

    doi:10.3109/14397595.2013.843763

    authors: Ikeda K,Seto Y,Ohno S,Sakamoto F,Henmi M,Fukae J,Narita A,Nakagomi D,Nakajima H,Tanimura K,Koike T

    更新日期:2014-05-01 00:00:00

  • An immunoglobulin G4-related disease mimicking postoperative lung cancer recurrence.

    abstract::A postoperative lung cancer patient presented with lymphadenopathy, pleural thickening, and 18F-fluorodeoxyglucose (FDG) uptake on a positron emission tomography-computed tomography (PET-CT) scan. Lung cancer recurrence was initially suspected, but bilateral submandibular masses with 18F-FDG uptake indicated the possi...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-011-0580-y

    authors: Nakazawa S,Shimizu K,Nakano T,Kakegawa S,Atsumi J,Kamiyoshihara M,Hirato J,Takeyoshi I

    更新日期:2012-09-01 00:00:00

  • ANCA-associated vasculitis with dual ANCA positivity in coexistence with mixed connective tissue disease.

    abstract::We here report a rare case of dual antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) in a 38-year-old Japanese woman previously diagnosed with mixed connective tissue disease. The patient was found to be positive for myeloperoxidase- and proteinase 3-ANCA, and was diagnosed with AAV following admi...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-012-0619-8

    authors: Murakami M,Shimane K,Takahashi H,Tomiyama J,Nagashima M

    更新日期:2013-01-01 00:00:00

  • Decreased percentages of regulatory T cells in peripheral blood of patients with Behcet's disease before ocular attack: a possible predictive marker of ocular attack.

    abstract::The current study investigates the role of regulatory T (Treg) cells in the pathogenesis of ocular attack in patients with Behcet's disease (BD). Nineteen BD patients with ocular complications (BDo), including 11 BD patients with ocular attack (BDa) and eight BD patients with inactive ocular complications (BDi), were ...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-008-0064-x

    authors: Nanke Y,Kotake S,Goto M,Ujihara H,Matsubara M,Kamatani N

    更新日期:2008-01-01 00:00:00

  • Organ system improvements in Japanese patients with systemic lupus erythematosus treated with belimumab: A subgroup analysis from a phase 3 randomized placebo-controlled trial.

    abstract::Objectives: To assess the effects of belimumab on disease activity across multiple organ domains in Japanese patients from the Phase 3 randomized, double-blind, North-East Asia study, BEL113750 (NCT01345253).Methods: Patients, aged ≥18 years, with American College of Rheumatology-defined systemic lupus erythematosus (...

    journal_title:Modern rheumatology

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/14397595.2019.1630897

    authors: Tanaka Y,Bass D,Chu M,Egginton S,Ji B,Roth D

    更新日期:2020-03-01 00:00:00

  • Central sensitization and its relationship with health profile in Behçet's disease.

    abstract::Objectives: In this study, we aimed to evaluate the level of central sensitization (CS) and its relationship with health profile, including neuropathic pain and sleep quality in Behçet's disease (BD).Method: Eighty-eight patients with BD and 60 healthy controls (HCs) were included in the study between May 2018 and Feb...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2020.1780076

    authors: Ayar K,Ökmen BM,Altan L,Öztürk EK

    更新日期:2020-07-06 00:00:00

  • Switching the therapy from etanercept to infliximab in a child with rheumatoid factor positive polyarticular juvenile idiopathic arthritis.

    abstract::Tumor necrosis factor alpha (TNFalpha)-blocking agents have been used increasingly in the treatment of severe refractory juvenile idiopathic arthritis (JIA). However, some patients have been forced to discontinue these agents because of the lack of efficacy or adverse events. In these situations, cases of switching fr...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-007-0634-3

    authors: Nerome Y,Imanaka H,Nonaka Y,Takei S

    更新日期:2007-01-01 00:00:00

  • The effect and possible clinical efficacy of in vivo inhibition of neutrophil extracellular traps by blockade of PI3K-gamma on the pathogenesis of microscopic polyangiitis.

    abstract:OBJECTIVE:Neutrophil extracellular traps (NETs) are peculiar structures composed of the externalized chromatin with intracellular proteins and formed by activated neutrophils in a reactive oxygen species (ROS)-dependent manner. Aberrant NETs are considered to be autoantigens for anti-neutrophil cytoplasmic antibodies (...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2017.1367116

    authors: Kimura H,Matsuyama Y,Araki S,Koizumi A,Kariya Y,Takasuga S,Eguchi S,Nakanishi H,Sasaki J,Sasaki T

    更新日期:2018-05-01 00:00:00

  • Evaluation of the Central Sensitization Inventory Score in elderly adults with musculoskeletal examination.

    abstract:OBJECTIVES:The present study aimed to conduct an epidemiological survey of Central Sensitization Inventory (CSI) scores in an older adult population and to investigate the association between the CSI scores, age, sex, pain intensity, site of pain, and health-related quality of life (QOL). METHODS:Participants were 373...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2020.1822983

    authors: Ide K,Yasuda T,Hasegawa T,Yamato Y,Yoshida G,Banno T,Arima H,Oe S,Mihara Y,Ushirozako H,Yamada T,Watanabe Y,Nakai K,Hoshino H,Matsuyama Y

    更新日期:2020-10-02 00:00:00

  • A case of life-threatening refractory polychondritis successfully treated with combined intensive immunosuppressive therapy with methotrexate.

    abstract::Relapsing polychondritis (RP) is a rare disease of unknown etiology causing systematic inflammation and resulting in destruction of cartilaginous tissues. We describe here an 18-year-old Japanese woman who developed severe airway stenosis as the initial symptom with auricular, nasal, and ocular inflammation. The effec...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-006-0548-5

    authors: Yamaoka K,Saito K,Hanami K,Nakayamada S,Nawata M,Iwata S,Azuma T,Tanaka Y

    更新日期:2007-01-01 00:00:00

  • Certolizumab Pegol treatment in Behcet's disease with different organ involvement: A multicenter retrospective observational study.

    abstract:OBJECTIVES:The purpose of the present study was to describe our experience with the recombinant Fab' antibody fragment against TNF-α Certolizumab Pegol (CZP) in patients with Behçet's disease (BD) refractory to standardized therapies and previous biologic agents. METHODS:Retrieved data including demographic characteri...

    journal_title:Modern rheumatology

    pub_type: 杂志文章,多中心研究

    doi:10.1080/14397595.2017.1285857

    authors: Lopalco G,Emmi G,Gentileschi S,Guerriero S,Vitale A,Silvestri E,Becatti M,Cavallo I,Fabiani C,Frediani B,Iannone F,Cantarini L

    更新日期:2017-11-01 00:00:00

  • Comparison of composite disease activity indices for rheumatoid arthritis.

    abstract::To evaluate the composite disease activity indices for rheumatoid arthritis (RA), we compared disease activities and the changes therein calculated using the Disease Activity Score based on 28 joint counts using erythrocyte sedimentation rate (DAS28-ESR), DAS28-CRP (C-reactive protein), Simplified Disease Activity Ind...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-010-0367-6

    authors: Matsui T,Kuga Y,Nishino J,Kaneko A,Eto Y,Tohma S

    更新日期:2011-04-01 00:00:00