35 research outputs found

    Expression and diagnostic utility of anti-cyclic citrullinated peptide antibodies in juvenile idiopathic arthritis

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    Background: Juvenile idiopathic arthritis (JIA) is a clinically heterogeneous group of arthritis occurring in children. Anti-cyclic citrullinated peptide (anti-CCP) antibodies have been recently included in the revised diagnostic criteria for adult onset rheumatoid arthritis. Its diagnostic value in JIA is still debatable. Objective: The study is aimed to investigate the expression and diagnostic utility of anti-CCP antibodies in pediatric JIA in relationship to its various clinical phenotypes. Methods: Forty children and adolescents (13 males, 27 females) with JIA as well as 35 healthy children were enrolled in this cross-sectional study. Serum anti-CCP antibodies were determined by enzymatic immunoassay and its expression was statistically correlated to clinical, laboratory, and radiological data of the patients. Results: Anti-CCP antibodies were positive in 8 (20%) patients while not expressed in the control group. Seven out of the 8 positive cases (87.5%) had polyarticular JIA and only one patient (12.5%) had the oligoarticular onset variety. A significant positive correlation was elicited between the anti-CCP antibody levels and the number of tender joints (r= 0.39), swollen joints (0.68) and disease duration (r = 0.59). Radiographic erosive arthritis was found in 8 patients with positive anti-CCP antibodies; 7 of whom (87.5%) suffered the polyarticular subtype and only one patient (12.5%) had the oligoarticular subtype. All the rheumatoid factor (RF) seropositive patients had positive anti-CCP antibody as well as radiographic erosive arthritis. The overall anti-CCP antibody diagnostic value in our series showed a sensitivity and specificity of 20% and 100% respectively and the positive and negative predictive values were 100%, and 52.2%, respectively. Conclusion: Anti-CCP antibodies have a low sensitivity but high specificity in patients with JIA with a significant relationship to clinical and radiologic severity especially in RF seropositive cases. It may thus have a diagnostic and/or prognostic utility in severe polyarticular onset disease.Keywords: Anti-cyclic citrullinated peptide antibodies; Juvenile idiopathic arthritis; children

    Bioavailability of Iron, Zinc, Phytate and Phytase Activity during Soaking and Germination of White Sorghum Varieties

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    The changes in phytate, phytase activity and in vitro bioavailability of iron and zinc during soaking and germination of three white sorghum varieties (Sorghum bicolor L. Moench), named Dorado, Shandweel-6, and Giza-15 were investigated. Sorghum varieties were soaked for 20 h and germinated for 72 h after soaking for 20 h to reduce phytate content and increase iron and zinc in vitro bioavailability. The results revealed that iron and zinc content was significantly reduced from 28.16 to 32.16% and 13.78 to 26.69% for soaking treatment and 38.43 to 39.18% and 21.80 to 31.27% for germination treatments, respectively. Phytate content was significantly reduced from 23.59 to 32.40% for soaking treatment and 24.92 to 35.27% for germination treatments, respectively. Phytase enzymes will be activated during drying in equal form in all varieties. The results proved that the main distinct point is the change of phytase activity as well as specific activity during different treatment which showed no significant differences between the varieties used. The in vitro bioavailability of iron and zinc were significantly improved as a result of soaking and germination treatments
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