The phenotype and genotype of rheumatoid arthritis in the Democratic Republic of Congo

Introduction

Little is known about rheumatoid arthritis in the black, particularly in Congolese, populations. Our objective was to describe the phenotype and genotype of rheumatoid arthritis (RA) in Congolese.

Methods

All consecutive rheumatoid arthritis (RA) patients attending Kinshasa University Hospital in a three-year time period were included. Demographics, clinical features and tobacco consumption were noted. Disease Activity Score (DAS)-28 based on the erythrocyte sedimentation rate (ESR), Health Assessment Questionnaire (HAQ), anti-citrullinated peptide antibodies (CCP) antibodies and rheumatoid factor (RF) were determined. Radiographs were scored according to Sharp-van der Heijde. On a subset of patients and controls HLA-DRB1 typing was performed.

Results

A total of 114 females and 14 males aged 51.2 ± 14.9 were included. Mean duration of symptoms was four years. Moderate tobacco consumption was reported in a minority of patients. DAS-28 at first visit was >5.1 and HAQ ≥0.5 in all patients. X-rays showed joint erosions and/or joint space narrowing, mostly of a moderate grade in 55.8% of patients. Anti-CCP and/or RF were present in 48.6% of patients with available data (n = 72) and in 3.0% of controls (n = 67). Radiographic changes and nodules were more frequent in RF or anti-CCP positive patients. One copy of the shared epitope was found in 13 patients (35.1%) and 3 controls (12.5%). Two copies were found in one patient (2.7%) and in one control (4.2%).

Conclusion

Congolese patients with RA consult long after disease onset. Despite this delay, the majority presents without major damage and is RF, anti-CCP and SE negative. We put forward the hypothesis that besides different environmental factors there is probably also a particular genetic risk profile in Congolese patients, different from the HLA-DRB1 shared epitope.     

Socioeconomic status, marital status and childlessness in men and women: an analysis of census data from six countries

This study compares the effects of two distinct forms of human capital - income and education - on marital status and childlessness separately by sex in six different countries. Nearly 10 million individual records on individuals aged 16 to 50 were used from censuses from Brazil, Mexico, Panama, South Africa, USA and Venezuela dating from 2000 or later, to analyse the relationship between education, income and marital status and childlessness in men and women. Regarding income, the findings for both outcome variables are strongly consistent across all six countries. Highest-income males and lower-income females have the highest proportion of ever-married and the lowest proportion of childlessness (using a proxy for childlessness: own children in the household or not). There is no corresponding consistency of findings as regards education either between the sexes or among the countries. To conclude, a lower percentage of low-income men are selected by females, because for women male status and resources provided by men are important criteria in mate selection. Therefore a higher proportion of low-income men remain unmarried and childless. Thus selection seems to play a role in modern societies.     

“Cars have their own faces”: cross-cultural ratings of car shapes in biological (stereotypical) terms

It was recently shown that Austrians associate car front geometry with traits in a way that could be related to face shape geometry mapping to those same overall suites of traits. Yet, possible confounding effects of familiarity with the car models, media coverage and entertainment could not be ruled out. In order to address this, the current study uses a cross-cultural comparison. Adult subjects in two countries (Austria and Ethiopia, n=129) were asked to rate person characteristics of 46 standardized front views of automobiles on various trait scales. These two countries differ substantially with regard to their experience with car models and brands, as well as car marketing and media coverage. Geometric morphometrics was then used to assess the shape information underlying trait attribution. Car shapes for perceived maturity, maleness and dominance were highly similar in both countries, with patterns comparable to shape changes during facial growth in humans: Relative sizes of the forehead and windshield decrease with age/growth, eyes and headlights both become more slit-like, noses and grilles bigger, lips and air-intakes are wider. Austrian participants further attributed various degrees of some interpersonal attitudes and emotions, whereas neither Austrians nor Ethiopians congruently ascribed personalities. Morphological correlates of personal characteristics are discussed, as are person perception and its overgeneralization to inanimate objects. Cross-cultural similarities and differences are addressed, as well as implications for car styling, follow-up studies on driving and pedestrian behavior, and fundamental dimensions in inference from (human) faces.     

Glycosylation sites and site-specific glycosylation in human Tamm- Horsfall glycoprotein

The N-glycosylation sites of human Tamm-Horsfall glycoprotein from one healthy male donor have been characterized, based on an approach using endoproteinase Glu-C (V-8 protease, Staphylococcus aureus ) digestion and a combination of chromatographic techniques, automated Edman sequencing, and fast atom bombardment mass spectrometry. Seven out of the eight potential N-glycosylation sites, namely, Asn52, Asn56, Asn208, Asn251, Asn298, Asn372, and Asn489, turned out to be glycosylated, and the potential glycosylation site at Asn14, being close to the N-terminus, is not used. The carbohydrate microheterogeneity on three of the glycosylation sites was studied in more detail by high-pH anion-exchange chromatographic profiling and 500 MHz1H-NMR spectroscopy. Glycosylation site Asn489 contains mainly di- and tri-charged oligosaccharides which comprise, among others, the GalNAc4 S (beta1-4)GlcNAc terminal sequence. Only glycosylation site Asn251 bears oligomannose-type carbohydrate chains ranging from Man5GlcNAc2to Man8GlcNAc2, in addition to a small amount of complex- type structures. Profiling of the carbohydrate moieties of Asn208 indicates a large heterogeneity, similar to that established for native human Tamm-Horsfall glycoprotein, namely, multiply charged complex-type carbohydrate structures, terminated by sulfate groups, sialic acid residues, and/or the Sda-determinant.      

Protection against cartilage and bone destruction by systemic interleukin-4 treatment in established murine type II collagen-induced arthritis

Destruction of cartilage and bone are hallmarks of human rheumatoid arthritis (RA), and controlling these erosive processes is the most challenging objective in the treatment of RA. Systemic interleukin-4 treatment of established murine collagen-induced arthritis suppressed disease activity and protected against cartilage and bone destruction. Reduced cartilage pathology was confirmed by both decreased serum cartilage oligomeric matrix protein (COMP) and histological examination. In addition, radiological analysis revealed that bone destruction was also partially prevented. Improved suppression of joint swelling was achieved when interleukin-4 treatment was combined with low-dose prednisolone treatment. Interestingly, synergistic reduction of both serum COMP and inflammatory parameters was noted when low-dose interleukin-4 was combined with prednisolone. Systemic treatment with interleukin-4 appeared to be a protective therapy for cartilage and bone in arthritis, and in combination with prednisolone at low dosages may offer an alternative therapy in RA.