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- W4379799711 abstract "Background Hashimoto’s thyroiditis (HT) is an organ-specific autoimmune disease that is not rare in RA. Hypothyroidism caused by HT can affect the prognosis and quality of life in patients with RA [1]. Many studies showed that immune cells play a critical role in HT [2-3]. However, the alterations of lymphocyte subsets in RA patients with HT are unclear. Objectives This study aimed to assess the absolute numbers and proportions of peripheral lymphocyte subsets in RA with HT and investigate the clinical significance. Methods A total of 1636 RA patients and 54 gender- and age-matched healthy controls (HCs) were enrolled in this study. Patients were divided into RA-non-HT and RA-HT groups according to the thyroid peroxidase antibody (TPOAb) and thyroid globulin antibody (TgAb). Peripheral lymphocyte subsets of all participants were assessed by flow cytometry. All clinical and laboratory data were analyzed by SPSS 23.0. Results Among 30 (1.83%) RA-HT patients, there were more female ( P =0.005), suggesting female was more susceptible to developing HT (Figure 1A). In addition, there were higher levels of erythrocyte sedimentation rate (ESR) ( P =0.045) and C-reactive protein (CRP) ( P =0.042) than those in RA-non-HT (Figure 1B-C). Compared with those of HCs and RA-non-HT, the level of circulating Th17 in RA-HT patients was significantly increased ( P <0.05), while those of Tregs decreased ( P <0.05), leading to a higher ratio of Th17/Treg ( P <0.01). Notably, the level of B cells and Th1 cells, as well as the Th1/Th2 ratio, increased in the RA-HT compared with those of the RA-non-HT ( P <0.05) (Figure 1D-F). Conclusion The occurrence of RA-HT is closely related to female patients with high disease activity. Disorders of lymphocyte subsets, especially Th17/Treg imbalance, may contribute to HT in RA, which deserves more clinical attention. References [1]Conigliaro P, D’Antonio A, Pinto S, et al. Autoimmune thyroid disorders and rheumatoid arthritis: A bidirectional interplay. Autoimmun Rev. 2020 Jun;19(6):102529. [2]Weetman AP. An update on the pathogenesis of Hashimoto’s thyroiditis. J Endocrinol Invest. 2021 May;44(5):883-890. [3]Pyzik A, Grywalska E, Matyjaszek-Matuszek B, et al. Immune disorders in Hashimoto’s thyroiditis: what do we know so far? J Immunol Res. 2015;2015:979167. Acknowledgements: NIL. Disclosure of Interests None Declared." @default.
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- W4379799711 date "2023-05-30" @default.
- W4379799711 modified "2023-10-18" @default.
- W4379799711 title "AB0370 DISORDERS OF PERIPHERAL LYMPHOCYTE SUBSETS IN RHEUMATOID ARTHRITIS PATIENTS COMPLICATED WITH HASHIMOTO’S THYROIDITIS" @default.
- W4379799711 doi "https://doi.org/10.1136/annrheumdis-2023-eular.5521" @default.
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