Association between bone mineral density and autoantibodies in patients with rheumatoid arthritis

Objective Autoantibodies, such as anti-citrullinated protein antibodies (ACPAs), have been described as inducing bone loss in rheumatoid arthritis (RA), which can also be reflected by bone mineral density (BMD). We therefore examined the association between osteoporosis and autoantibodies in two independent RA cohorts.Methods Dual x-ray absorptiometry (DXA) of the lumbar spine and left hip was performed in 408 Dutch patients with early RA during 5 years of follow-up and in 198 Swedish patients with early RA during 10 years of follow-up. The longitudinal effect of ACPAs and other autoantibodies on several BMD measures was assessed using generalized estimating equations.Results In the Dutch cohort, significantly lower BMD at baseline was observed in ACPA-positive patients compared to ACPA-negative patients, with an estimated marginal mean BMD in the left hip of 0.92 g/cm(2) (95% confidence interval [95% CI] 0.91-0.93) versus 0.95 g/cm(2) (95% CI 0.93-0.97) (P = 0.01). In line with this, significantly lower Z scores at baseline were noted in the ACPA-positive group compared to the ACPA-negative group (estimated marginal mean Z score in the left hip of 0.18 [95% CI 0.08-0.29] versus 0.48 [95% CI 0.33-0.63]) (P < 0.01). However, despite clear differences at baseline, ACPA positivity was not associated with greater decrease in absolute BMD or Z scores over time. Furthermore, there was no association between BMD and higher levels of ACPAs or other autoantibodies (rheumatoid factor and anti-carbamylated protein antibodies). In the Swedish cohort, ACPA-positive patients tended to have a higher prevalence of osteopenia at baseline (P = 0.04), but again, ACPA positivity was not associated with an increased prevalence of osteopenia or osteoporosis over time.Conclusion The presence of ACPAs is associated with significantly lower BMD at baseline, but not with greater BMD loss over time in treated RA patients. These results suggest that ACPAs alone do not appear to contribute to bone loss after disease onset when disease activity is well-managed.Pathophysiology and treatment of rheumatic disease

CHARACTERIZATION OF MUSCARINIC RECEPTORS IN GUINEA-PIG UTERUS

To characterize the muscarinic receptor present in guinea-pig uterus smooth muscle the affinities of a series of 27 muscarinic receptor antagonists for M1 (rat cortex), M2 (rat heart), M3 (rat submandibular gland), m4 (transfected in CHO cells) and muscarinic binding sites in guinea-pig uterus smooth muscle were determined in radioligand binding studies. In addition, functional experiments were performed to assess pK(B) values of the antagonist for muscarinic receptors in guinea-pig atrium and uterus. The results obtained are consistent with the presence Of M2 receptors in the uterus through which the functional contractile response is mediated. Correlation coefficients of 0.98, 0.91 and 0.91 were calculated for the following linear regressions: pK(i) uterus vs. pK(i) M2, pK(B) uterus vs. pK(i) M2 and pK(B) uterus vs. pK(B) atrium. This study also revealed that the compounds dicyclomine, DAU 5884, DAU 6202 as well as AQ-RA 721 could distinguish m4 from M2 sites and are therefore important tools to characterize muscarinic receptor subtypes. In addition, DAU 5884 and DAU 6202 have been identified as highly potent M1 selective antagonists

Food frocessing: an industrial power housein transition/ Connor

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Evoking imaginaries : Art probing, ethnography and more-than-academic practice

I discuss and argue for combinations of artistic practice and cultural analysis, for meta- disciplinary and serendipitous endeavours that can entangle art and ethnographic research. These combinations can be understood as practices that are more-than-academic. I define the artistic side of this combinatory work as art probing. Art probes have a double function. First, they can instil inspiration and be possible points of departure for research, and, second, they can be used to communicate scientific concepts and arguments beyond the scope of academic worlds. According to this point of view, artistic and scientific output should be seen as provisional renditions oriented towards different audiences and as part of an extended open-ended art of inquiry. When working with this more-than-academic practice, a number of stakeholders are involved, ranging from academic professionals to art institutions, museums and visitors of art exhibitions, and performances. I will discuss how I understand ethnography as part of this process and in relation to practices of art probing