203: Symposium: Systemic Inflammatory Disease

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Questions and Answers

What is the specificity of anti-cyclic citrullinated peptide (anti-CCP) antibodies in detecting RA?

  • 80%
  • 50%
  • 70%
  • 98% (correct)

In patients with RA, what is the main target of antibodies directed against CCP?

  • White blood cells
  • Citrullinated self proteins (correct)
  • Erythrocytes
  • Platelets

Which of the following is true about rheumatoid factor (RF) in the context of RA?

  • Not present in seronegative RA patients
  • Found in some healthy individuals (correct)
  • Levels correlate with disease activity
  • Specific for RA only

What is the role of citrullination in rheumatoid arthritis pathogenesis?

<p>Induces antibody response against self proteins (A)</p> Signup and view all the answers

Which of the following statements is true regarding the presence of anti-cyclic citrullinated peptide (anti-CCP) antibodies in healthy individuals?

<p>Rarely found in those who go on to develop RA (D)</p> Signup and view all the answers

How do anti-CCP+ RA patients generally compare in terms of disease course when compared to RF+ RA patients?

<p>More aggressive clinical course (A)</p> Signup and view all the answers

Which cell type is enriched in the RA joint but has a defect in their suppressive function?

<p>T regulatory cells (A)</p> Signup and view all the answers

Which treatment effectively depletes follicular B cells in RA?

<p>Monoclonal anti-CD20 antibodies (D)</p> Signup and view all the answers

Which immune cells are key effectors in RA, responsible for phagocytosis, antigen presentation, and cytokine production?

<p>Macrophages (B)</p> Signup and view all the answers

What contributes to the complex cellular interactions in rheumatoid arthritis according to Smolen et al.?

<p>Genetic and non-genetic risk factors (B)</p> Signup and view all the answers

Which antibody type is usually present before the onset of symptoms in RA?

<p>Cyclic citrullinated peptide (anti-CCP) antibodies (D)</p> Signup and view all the answers

What is reversed by blocking TNF according to the text provided?

<p>Defect in T regulatory cell suppressive function (A)</p> Signup and view all the answers

Which factor has been suggested as one of the initiating causes of Rheumatoid Arthritis (RA)?

<p>Citrullination process triggered by bacterial infections (A)</p> Signup and view all the answers

What is the main effect of anti-CCP antibodies in Rheumatoid Arthritis (RA)?

<p>Promotion of osteoclast differentiation and activation (D)</p> Signup and view all the answers

Which cells undergo a special form of cell death called 'NETosis' in the context of Rheumatoid Arthritis (RA)?

<p>Neutrophils (D)</p> Signup and view all the answers

What is the primary composition of synovial tissue in Rheumatoid Arthritis (RA)?

<p>Macrophages (40%), Fibroblast and endothelial cells (10-15%), T lymphocytes (40%) (B)</p> Signup and view all the answers

Which molecular mechanism leads to joint space narrowing in Rheumatoid Arthritis (RA)?

<p>Enhanced NETosis with release of citrullinated proteins (B)</p> Signup and view all the answers

What effect does citrullinated protein release through NETosis have on Rheumatoid Arthritis (RA)?

<p>'NETosis' leads to biomechanical dysfunction and bone erosion (D)</p> Signup and view all the answers

Which mechanism is proposed to explain the role of anti-CCP immune complexes in enhancing inflammation in mice with mild synovitis?

<p>Activation of inflammatory cells (B)</p> Signup and view all the answers

What is a potential effect of anti-CCP immune complexes in inducing inflammation in the context of rheumatoid arthritis?

<p>Production of NETs by neutrophils (D)</p> Signup and view all the answers

How do anti-CCP immune complexes contribute to the development and severity of inflammation in mice with mild synovitis?

<p>By activating inflammatory cells (C)</p> Signup and view all the answers

What is a potential consequence of anti-CCP immune complexes interacting with inflammatory cells?

<p>Activation of osteoclast differentiation (C)</p> Signup and view all the answers

How do anti-CCP immune complexes contribute to the severity of inflammation in mice with mild synovitis?

<p>By enhancing NET production from neutrophils (A)</p> Signup and view all the answers

Which process is implicated in the ability of anti-CCP immune complexes to exacerbate inflammation in cases where mild synovitis is present?

<p>Inducing citrullination of proteins (C)</p> Signup and view all the answers

What is the primary characteristic of rheumatoid arthritis (RA) compared to healthy inflammation?

<p>Occurrence of joint destruction (D)</p> Signup and view all the answers

Which autoantibodies are often present in individuals with RA?

<p>Rheumatoid factor (RF) (C)</p> Signup and view all the answers

What is the significance of Cyclic citrullinated peptide (anti-CCP) antibodies in RA?

<p>They accelerate joint destruction (C)</p> Signup and view all the answers

How do women differ from men in terms of risk related to autoimmunity in RA?

<p>Women are at a higher risk of developing autoimmunity (D)</p> Signup and view all the answers

What does citrullination refer to in the context of RA?

<p>A process involving the conversion of arginine to citrulline (B)</p> Signup and view all the answers

How does the presence of anti-CCP antibodies impact the diagnosis and management of RA?

<p>It increases the accuracy of diagnosis when combined with other clinical tests (B)</p> Signup and view all the answers

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