Anti-glucose-6-phosphate isomerase, anti-cyclic citrullinated peptide antibodies and HLA-DRB1 genotypes in Japanese patients with early rheumatoid arthritis.

Objective. Our goal was to evaluate the associations of antibodies (Abs) to glucose-6-phosphate isomerase (GPI) with Abs to cyclic citrullinated peptide (CCP) and HLA-DRB 1 genotypes in Japanese patients with early rheumatoid arthritis (RA). Methods. One hundred and eight patients with early RA (85 female, 23 male) who visited our clinic within I year of symptom onset were examined for anti-GPI and anti-CCP Ab levels, and HLA-DRB 1 genotype. Anti-GPI and anti-CCP Ah levels, and HLA-DRB 1 genotypes were also determined in 63 controls and 265 healthy controls, respectively. Results. Of the 108 patients with early RA and the 63 controls, 20 (18.5%) and 3 (4.8%) were anti-GPI Ah-positive, respectively. Of the 20 patients with anti-GPI Abs, 17 (85%) were positive for anti-CCP Abs. HLA-DRB 1*0405 and shared epitope (SE) carrier frequencies were significantly increased not only in anti-GPI Ab-positive patients (p=0.00057, odds ratio [OR] 4.6, 95% CI 1.8-11.8; p=0.0011, OR 5.0, 95% CI 1.7-14.0), but also in anti-GPI Ab-negative patients (p=0.0017, OR 2.2, 95% CI 1.3-3.7;p=0.00011, OR 2.6, 95% CI 1.6-4.3), when compared with controls. In addition, the carrier frequency of HLA-DRB 1* 1201 was significantly increased in anti- GPI Ab-positive patients compared with controls (p =0.0056, OR 4.3, 95% CI 1.4-13.2). Conclusions. The majority of anti-GPI Ab-positive RA patients constitute a subset of HLA-DRB 1 * SE-associated, anti-CCP Ab-positive RA patients.