Higher Serum CCN3 Is Associated with Disease Activity and Inflammatory Markers in Rheumatoid Arthritis

Nephroblastoma overexpressed protein (NOV/CCN3), the early discovered member of the CCN family, has recently been suggested to be involved in a number of inflammatory processes, including wound healing, alveolar epithelial cell inflammation, cancer metastasis, and macrophage foam cell formation. How...

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Main Authors: Yingying Wei, Linan Peng, Yi Li, Na Zhang, Ke Shang, Lihua Duan, Jixin Zhong, Jie Chen
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2020/3891425
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author Yingying Wei
Linan Peng
Yi Li
Na Zhang
Ke Shang
Lihua Duan
Jixin Zhong
Jie Chen
author_facet Yingying Wei
Linan Peng
Yi Li
Na Zhang
Ke Shang
Lihua Duan
Jixin Zhong
Jie Chen
author_sort Yingying Wei
collection DOAJ
description Nephroblastoma overexpressed protein (NOV/CCN3), the early discovered member of the CCN family, has recently been suggested to be involved in a number of inflammatory processes, including wound healing, alveolar epithelial cell inflammation, cancer metastasis, and macrophage foam cell formation. However, the role of CCN3 in rheumatoid arthritis (RA), a classic autoimmune and inflammatory disease, remains elusive. RA is a chronic systemic autoimmune disease that eventually leads to cartilage and bone destruction and joint dysfunction. In this study, we investigated the potential of serum CCN3 as a biomarker for RA. The serum levels of CCN3 were measured by ELISA. The clinical and laboratory parameters were collected from a clinical record system, and disease activity was determined by joint disease activity score 28 (DAS28). Our results showed that the serum levels of CCN3 were significantly increased in RA patients compared to healthy controls. Furthermore, the CCN3 level was positively correlated with DAS28 (CRP), DAS28 (ESR), and the level of anti-CCP Ab, an autoantibody highly specific for RA. Furthermore, CCN3 showed a positive correlation with inflammatory cytokine IL-6, while no significant correlation with TNF-α was observed. These data suggest that CCN3 plays an important role in the development of RA and might be a potential disease activity biomarker for RA.
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spelling doaj-art-b82282d9d0184dc88bd9ad49b9981d8a2025-08-20T03:22:48ZengWileyJournal of Immunology Research2314-88612314-71562020-01-01202010.1155/2020/38914253891425Higher Serum CCN3 Is Associated with Disease Activity and Inflammatory Markers in Rheumatoid ArthritisYingying Wei0Linan Peng1Yi Li2Na Zhang3Ke Shang4Lihua Duan5Jixin Zhong6Jie Chen7Department of Rheumatology and Clinical Immunology, Jiangxi Provincial People’s Hospital, Nanchang University, Nanchang, ChinaSchool of Medicine, Xiamen University, Xiamen, ChinaDepartment of Rheumatology and Clinical Immunology, Jiangxi Provincial People’s Hospital, Nanchang University, Nanchang, ChinaDepartment of Rheumatology and Clinical Immunology, Jiangxi Provincial People’s Hospital, Nanchang University, Nanchang, ChinaDepartment of Rheumatology and Clinical Immunology, Jiangxi Provincial People’s Hospital, Nanchang University, Nanchang, ChinaDepartment of Rheumatology and Clinical Immunology, Jiangxi Provincial People’s Hospital, Nanchang University, Nanchang, ChinaDepartment of Rheumatology and Immunology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDepartment of Scientific Research and Education, Jiangxi Provincial People’s Hospital, Nanchang University, Nanchang, ChinaNephroblastoma overexpressed protein (NOV/CCN3), the early discovered member of the CCN family, has recently been suggested to be involved in a number of inflammatory processes, including wound healing, alveolar epithelial cell inflammation, cancer metastasis, and macrophage foam cell formation. However, the role of CCN3 in rheumatoid arthritis (RA), a classic autoimmune and inflammatory disease, remains elusive. RA is a chronic systemic autoimmune disease that eventually leads to cartilage and bone destruction and joint dysfunction. In this study, we investigated the potential of serum CCN3 as a biomarker for RA. The serum levels of CCN3 were measured by ELISA. The clinical and laboratory parameters were collected from a clinical record system, and disease activity was determined by joint disease activity score 28 (DAS28). Our results showed that the serum levels of CCN3 were significantly increased in RA patients compared to healthy controls. Furthermore, the CCN3 level was positively correlated with DAS28 (CRP), DAS28 (ESR), and the level of anti-CCP Ab, an autoantibody highly specific for RA. Furthermore, CCN3 showed a positive correlation with inflammatory cytokine IL-6, while no significant correlation with TNF-α was observed. These data suggest that CCN3 plays an important role in the development of RA and might be a potential disease activity biomarker for RA.http://dx.doi.org/10.1155/2020/3891425
spellingShingle Yingying Wei
Linan Peng
Yi Li
Na Zhang
Ke Shang
Lihua Duan
Jixin Zhong
Jie Chen
Higher Serum CCN3 Is Associated with Disease Activity and Inflammatory Markers in Rheumatoid Arthritis
Journal of Immunology Research
title Higher Serum CCN3 Is Associated with Disease Activity and Inflammatory Markers in Rheumatoid Arthritis
title_full Higher Serum CCN3 Is Associated with Disease Activity and Inflammatory Markers in Rheumatoid Arthritis
title_fullStr Higher Serum CCN3 Is Associated with Disease Activity and Inflammatory Markers in Rheumatoid Arthritis
title_full_unstemmed Higher Serum CCN3 Is Associated with Disease Activity and Inflammatory Markers in Rheumatoid Arthritis
title_short Higher Serum CCN3 Is Associated with Disease Activity and Inflammatory Markers in Rheumatoid Arthritis
title_sort higher serum ccn3 is associated with disease activity and inflammatory markers in rheumatoid arthritis
url http://dx.doi.org/10.1155/2020/3891425
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