Antibodies against cyclic citrullinated peptide don’t decrease after 6 months of infliximab treatment in refractory rheumatoid arthritis

Anti-citrullinated peptide antibodies (ACPA) and the rheumatoid factor (RF) are well-established serological markers for rheumatoid arthritis (RA). ACPA are very useful in the diagnosis of RA, especially at the early stages of the disease when ACPA have a greater diagnostic value than RF. The aim of the study was to assess the influence of infliximab treatment on RF IgM and ACPA serum levels and RA activity during 6 months of treatment. Thirty-two patients with refractory RA were treated with infliximab during a 6-month period. At baseline, 3 and 6 months of treatment the patients were examined for the number swollen and tender joints out of 28 (SJC, TJC) and the visual analogue scale of arthritis activity according to the patient (VAS). Serum samples were tested for erythrocyte sedimentation rate (ESR), C-reactive protein level (CRP), ACPA and RF IgM. The disease activity score (DAS-28) parameter was also calculated at the same time. During the course of our study, we observed statistically significant improvement in ESR, CRP, TJC, SJC, VAS DAS-28, and RF IgM after 3 and 6 months of infliximab treatment when compared to the baseline, whereas the ACPA level remained unchanged after 3 and 6 months of treatment (P = 0.96 and P = 0.85). The changes in the ACPA level are not a factor for evaluation of successful infliximab treatment but the changes in RF IgM are. According to different behavior of these antibodies during infliximab treatment, we suggest that the roles of ACPA and RF in the pathogenesis of RA are different

Effects of Animal Manures and Chemical Fertilizer on Quantitative and Qualitative Characteristics of Milk Thistle Plant (Silybum marianum)

Abstract\ud Milk Thistle (Silybum marianum) is one of the medicinal plants that has many drug properties. In order to evaluate effects of animal manures and chemical fertilizer on yield and yield components of Milk Thistle plant, an experiment was conducted in the Research Farm of Ferdowsi University of Mashhad in year 2008 based on completely randomized block design with three replications and four treatments. The treatments included: control (without any manure or fertilizer), chemical NPK fertilizer, cattle and sheep manures. The characteristics such as number of lateral stem per plant, height of plant, number of inflorescences per plant, inflorescence diameter, number of seeds per capitol, 1000 seed weight, seed yield, biological yield, harvest index, oil percentage, silymarin percentage (active ingredient), silybin percentage, oil yield and silymarin yield were recorded. The results showed that different treatments had no effect on yield components, but had significant effect on oil percentage, silymarin and silybin content of seeds. Cattle manure had more oil (21%) and silybin (21.7%) compared with other treatments. There was no significant difference in oil and silymarin percentage between control and chemical fertilizer treatments. Cattle manure and sheep manure had minimum percentage of silybin (16.4) and maximum percentage of silymarin (3.1) Compared with other treatments. There were positive correlation between height of plant with seed yield (r=0.86**) and inflorescence diameter (r=0.6*), which represents importance of these traits for final yield assessment. There were no positive correlation between seed yield and other yields components.\ud \ud Keywords: Milk Thistle, Quantitative and qualitative characteristics, Animal manures, Medicinal plant

Effects of Salinity and Drought Stresses on Germination Characteristics of Milk Thistle (Silybum marianum)

Abstract In order to study the germination and seedling growth responses of Milk Thistle as a medicinal plant to salinity and drought stresses, two separate experiments were conducted based on completely randomised design with four replications. In the first experiment, the effect of drought potential levels (0, -1, -2, -3, -4, -5, -6, -7, -10, -15 and -20 bars) due to using polyethilenglycol (PEG) 6000 and the second trial evaluated effects of salinity potential (0, 50, 100, 150, 200, 250 and 300 ml/molar) caused by NaCl were studied on germination characteristics and seedling growth. The results indicated that salinity and drought stresses showed significant effects on germination and seedling growth of milk thistle. The seeds were able to germinate in 300 ml/molar salinity potential and -20 bar drought potential conditions. The effect of both stresses on length and dry weight of seedlings were significant and with increasing salinity and drought stresses, the length and dry weight of radicles and plumules decreased. Increasing drought level, led to higher plumule length reduction compared to radicle length reduction, which shows that milk thistle plumule is more sensitive to droughtness than radicle. Dry weight of seedling at -3 bar drought potential was 50% of control plants. Keywords: PEG, Drought stress, Sodium chloride, Milk thistl