362. Addition of aerobic physical activity to resistance exercise for hip osteoarthritis (PHOENIX): a randomised comparative effectiveness trial.
作者: Michelle Hall.;Kim Allison.;Gabrielle Knox.;Fiona McManus.;Rana S Hinman.;Kim L Bennell.;Libby Spiers.;Anurika P De Silva.;David M Klyne.;Melanie L Plinsinga.;Ricardo J S Costa.;Nicholas J Murphy.;Wen Wu.;Fiona L Dobson.
来源: Lancet Rheumatol. 2025年7卷5期e343-e354页
Exercise is recommended for hip osteoarthritis, but the most effective programmes for management of symptoms are unknown. We aimed to investigate whether adding aerobic physical activity to resistance exercise would improve hip pain and function more than resistance exercise alone in individuals with hip osteoarthritis.
364. Refining strategies for biological and targeted synthetic DMARD initiation in rheumatoid arthritis - Authors' reply.
作者: Mark D Russell.;Mark Gibson.;Benjamin Zuckerman.;Kanta Kumar.;Shirish Dubey.;Maryam A Adas.;Edward Alveyn.;Samir Patel.;Zijing Yang.;Katie Bechman.;Elizabeth Price.;Sarah Gallagher.;Andrew P Cope.;Sam Norton.;James B Galloway.
来源: Lancet Rheumatol. 2025年7卷3期e159-e160页 367. Exploring drug utilization patterns, healthcare resource utilization, and epidemiology of rheumatoid arthritis in Colombia: a retrospective claims database study.
作者: Daniel G Fernández-Ávila.;Monica Betancur.;Amira Kronfly.;Edwin Jáuregui.
来源: BMC Rheumatol. 2025年9卷1期13页
In Colombia, there is a lack of recent real- word studies that provide information on the epidemiology and healthcare resource utilization (HCRU) of rheumatoid arthritis (RA) at national level.
368. Antigen-driven T cell responses in rheumatic diseases: insights from T cell receptor repertoire studies.
Advances in T cell receptor (TCR) profiling techniques have substantially improved our ability to investigate T cell responses to antigens that are presented on HLA class I and class II molecules and associations between autoimmune T cells and rheumatic diseases. Early-stage studies in axial spondyloarthritis (axSpA) identified disease-associated T cell clonotypes, benefiting from the relative genetic homogeneity of the disease. However, both the genetic and the T cell immunological landscape are more complex in other rheumatic diseases. The diversity or redundancy in the TCR repertoire, epitope spreading over disease duration, genetic heterogeneity of HLA genes or other loci, and the diversity of epitopes contributing to disease pathogenesis and persistent inflammation are all likely to contribute to this complexity. TCR profiling holds promise for identifying key antigenic drivers and phenotypic T cell states that sustain autoimmunity in rheumatic diseases. Here, we review key findings from TCR repertoire studies in axSpA and other chronic inflammatory rheumatic diseases including psoriatic arthritis, rheumatoid arthritis, systemic lupus erythematosus and Sjögren syndrome. We explore how TCR profiling technologies, if applied to better controlled studies focused on early disease stages and genetically homogeneous subsets, can facilitate disease monitoring and the development of therapeutics targeting autoimmune T cells, their cognate antigens, or their underlying biology.
369. Cerebrovascular accidents in giant cell arteritis: prevalence and predictive factors from the ARTESER registry.
作者: Adrián Martín-Gutiérrez.;Juan Molina-Collada.;Marta Domínguez-Álvaro.;Rafael B Melero-González.;Elisa Fernández-Fernández.;Maite Silva-Díaz.;Jesús Alejandro Valero.;Ismael González.;Julio Sánchez Martín.;Javier Narváez.;Itziar Calvo.;Vicente Aldasoro.;Lydia Abasolo Alcázar.;Javier Loricera.;Alberto Ruíz-Roman.;Santos Castañeda.;Clara Molina-Almela.;María Alcalde Villar.;Antonio Juan Mas.;Ricardo Blanco.; .
来源: Rheumatology (Oxford). 2025年
To determine the prevalence and predictive factors of cerebrovascular accidents (CVA) in giant cell arteritis (GCA).
370. CAPI-detect: machine learning in capillaroscopy reveals new variables influencing diagnosis.
作者: Gema M Lledó-Ibáñez.;Luis Sáez Comet.;Mayka Freire Dapena.;Miguel Mesa Navas.;Miguel Martín Cascón.;Alfredo Guillén Del Castillo.;Carmen Pilar Simeon.;Elena Martinez Robles.;José Todolí Parra.;Diana Cristina Varela.;Génesis Maldonado.;Adela Marín.;Laura Pérez Abad.;Jimena Aramburu.;Laura Vela.;Eduardo Ramos Ibáñez.;Borja Del Carmelo Gracia Tello.
来源: Rheumatology (Oxford). 2025年
Nailfold videocapillaroscopy (NVC) is the gold standard for diagnosing systemic sclerosis (SSc) and differentiating primary from secondary Raynaud's phenomenon. The CAPI-Score algorithm, designed for simplicity, classifies capillaroscopy scleroderma patterns (CSPs) using a limited number of capillary variables. This study aims to develop a more advanced machine learning (ML) model to improve CSP identification by integrating a broader range of statistical variables while minimising examiner-related bias.
371. Comparison of the efficacy and safety of methotrexate injection and methotrexate tablets in active active rheumatoid arthritis.
作者: Lin Qiao.;Jiankang Hu.;Daming Ou.;Mixia Liu.;Xiaofei Shi.;Xiaomei Li.;Rui Wu.;Liyun Zhang.;Yuan Liu.;Changhong Xiao.;Zili Fu.;Jin Lin.;Rongsheng Wang.;Dongmei Zhou.;Jing Yu.;JingChun Jin.;Shulin Song.;Lin Tang.;Hongsheng Sun.;Yuanyuan Yin.;Xiaofeng Zeng.
来源: Rheumatology (Oxford). 2025年
This study aimed to compare the efficacy and safety of subcutaneous methotrexate (SC MTX) and oral MTX (OR MTX) in treating Chinese patients with active rheumatoid arthritis (RA).
372. Anti-fibroblast and anti-endothelial cell autoantibodies in pulmonary arterial hypertension (PAH) in patients with connective tissue diseases (CTD).
作者: Benjamin Thoreau.;Arthur Renaud.;Philippe Chafey.;Guilhem Clary.;Morgane Le Gall.;Cédric Broussard.;Odile Launay.;David Launay.;Eric Hachulla.;Christophe Deligny.;Alban-Elouen Baruteau.;Anaïs Vallet-Pichard.;Benjamin Chaigne.;Azzeddine Yaici.;Olivier Sitbon.;David Montani.;Marc Humbert.;Luc Mouthon.
来源: Rheumatology (Oxford). 2025年
Pulmonary arterial hypertension (PAH) is a rare disease that may be associated with connective tissue diseases (CTD). Anti-fibroblast (AFA) and anti-endothelial cell autoantibodies (AECA) have been identified in idiopathic and systemic sclerosis (SSc)-associated PAH. The aim was to identify autoantibodies discriminating for PAH associated with systemic lupus erythematosus (SLE), mixed connective tissue disease (MCTD) and primary Sjögren's syndrome (SS), and their target antigens.
373. Predictors of response to intravenous immunoglobulin in patients with dermatomyositis: the ProDERM study.
作者: Christina Charles-Schoeman.;Joachim Schessl.;Zsuzsanna Bata-Csörgő.;Mazen M Dimachkie.;Zoltan Griger.;Sergey Moiseev.;Chester V Oddis.;Elena Schiopu.;Jiri Vencovský.;Elisabeth Clodi.;Todd Levine.;Rohit Aggarwal.
来源: Rheumatology (Oxford). 2025年
The phase 3 ProDERM study demonstrated intravenous immunoglobulin (IVIg) was safe and effective in patients with dermatomyositis (DM). This analysis assessed clinical and serological predictors of IVIg response in DM patients from ProDERM.
374. Transarterial periarticular embolization (TAPE) in checkpoint-inhibitor-associated arthritis-a novel treatment strategy.
作者: Alexander Pfeil.;Thoms Stauch.;Carolin Pflug.;Gunter Wolf.;Ulf Teichgräber.;René Aschenbach.
来源: Rheumatology (Oxford). 2025年 376. Survival in patients with rheumatoid arthritis and recently diagnosed early-stage colorectal, lung, or prostate cancer receiving tumour necrosis factor inhibitors: a retrospective cohort study.
作者: Juan I Ruiz.;Xiudong Lei.;Sharon H Giordano.;Hui Zhao.;Suja S Rajan.;Heather Lin.;Maria E Suarez-Almazor.
来源: Lancet Rheumatol. 2025年7卷5期e333-e342页
Tumor necrosis factor (TNF) inhibitors could impair tumoural immunity in patients with rheumatoid arthritis and cancer. We aimed to investigate the association between survival and TNF inhibitor treatment during the first 3 years after a diagnosis of colorectal, lung, or prostate cancer in patients with rheumatoid arthritis.
378. Validation of childhood lupus specific targets: ensuring accurate assessment of disease control in younger, lighter paediatric patients.
作者: Chandni Sarker.;Andrea L Jorgensen.;Kukatharmini Tharmaratnam.;Eslam Al-Abadi.;Kate Armon.;Kathryn Bailey.;Marek Bohm.;Mary Brennan.;Coziana Ciurtin.;Janet Gardner-Medwin.;Daniel P Hawley.;Alison Kinder.;Alice Leahy.;Gulshan Malik.;Zoe McLaren.;Elena Moraitis.;Ellen Mosley.;Athimalaipet V Ramanan.;Satyapal Rangaraj.;Annie Ratcliffe.;Philip Riley.;Heather Rostron.;Ethan S Sen.;Christian M Hedrich.;Michael W Beresford.;Eve Md Smith.
来源: Rheumatology (Oxford). 2025年
To validate novel childhood-onset systemic lupus erythematosus (cSLE) T2T targets including Childhood Lupus Low Disease Activity State (cLLDAS), cSLE Clinical Remission on steroids (cCR), and cSLE Clinical Remission off steroids (cCR-0), as compared with adult-onset SLE (aSLE) targets.
379. Treatment approaches for idiopathic retroperitoneal fibrosis: a systematic review with meta-analysis.
Currently, there is no standard therapy for idiopathic retroperitoneal fibrosis, so a systematic review was undertaken to assess the effectiveness of different treatment approaches.
380. Occupational dust and chemical exposures and the development of autoimmune rheumatic diseases.
作者: Mandana Nikpour.;Kathleen Morrisroe.;Alicia Calderone.;Deborah Yates.;Alan Silman.
来源: Nat Rev Rheumatol. 2025年21卷3期137-156页
Although the association between certain occupational exposures and the development of autoimmune rheumatic disease was first described over a century ago, this association has only become more widely recognized in the past 10 years because of the use of high-silica-content engineered stone in construction and home renovation. There is now a substantial and growing body of evidence that occupational dust and chemical exposure, be it through mining, stonemasonry, building or other trades, increases the risk of various systemic autoimmune rheumatic diseases (SARDs) including rheumatoid arthritis and systemic sclerosis. Although the pathogenic mechanisms of silica-induced autoimmunity are not fully elucidated, it is thought that alveolar macrophage ingestion of silica and the ensuing phagosomal damage is an initiating event that ultimately leads to production of autoantibodies and immune-mediated tissue injury. The purportedly causal association between occupational exposure to chemicals, such as organic solvents, and an increased risk of SARDs is less frequently recognized compared with silica dust, and its immunopathogenesis is less well understood. An appreciation of the importance of occupational dust and chemical exposures in the development of SARDs has implications for workplace health and safety regulations and offers a unique opportunity to better understand autoimmune disease pathogenesis and implement preventative strategies.
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