Evidence map›Paper›PMID 41947258›Full record

ArticleAdvances in rheumatology (London, England)2026

Irisin and myostatin serum levels in patients with established rheumatoid arthritis: correlation with radiographic progression and lean body mass.

Jordana Miranda de Souza Silva, Rafaela Cavalheiro do Espírito Santo, Deborah Negrão Gonçalo Dias, Nayara Felicidade Tomaz Braz, Erica Leandro Marciano Vieira, Eduarda Correa Freitas, Rafael Mendonça da Silva Chakr, Adriana Maria Kakehasi, Ricardo Machado Xavier

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Article in Advances in rheumatology (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Jordana Miranda de Souza SilvaLaboratory of Autoimmune Diseases, Rheumatology Department, Clinical Hospital of Porto Alegre, Porto Alegre, Brazil. jo-msouza@hotmail.com.ORCID http://orcid.org/0000-0002-0357-4638
Rafaela Cavalheiro do Espírito SantoHealth Research and Innovation Science Centre - Klaipeda University, Klaipeda, Lithuania.
Deborah Negrão Gonçalo DiasClinical Hospital of Federal University of Paraná, Curitiba, Brazil.
Nayara Felicidade Tomaz BrazInterdisciplinary Medical Research Laboratory of the Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Erica Leandro Marciano VieiraCentre for Addiction and Mental Health - CAMH and Department of Psychiatry University of Toronto, Toronto, Canada.
Eduarda Correa FreitasLaboratory of Autoimmune Diseases, Rheumatology Department, Clinical Hospital of Porto Alegre, Porto Alegre, Brazil.
Rafael Mendonça da Silva ChakrLaboratory of Autoimmune Diseases, Rheumatology Department, Clinical Hospital of Porto Alegre, Porto Alegre, Brazil.
Adriana Maria KakehasiRheumatology Unit, Clinic Hospital, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Ricardo Machado XavierLaboratory of Autoimmune Diseases, Rheumatology Department, Clinical Hospital of Porto Alegre, Porto Alegre, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe myokines irisin and myostatin participate in bone and skeletal muscle homeostasis and may characterize the clinical status of these tissues. The study aimed to evaluate the association of myokines serum levels with one-year radiographic progression and lean mass in individuals with rheumatoid arthritis (RA).

methodsForty female individuals with RA, aged ≥ 18 years who met 2010 American College of Rheumatology criteria, and 30 individuals without RA and any chronical disease, matched by sex and body mass index (BMI) were included. Serum levels of irisin and myostatin were determined by immune assay. RA subjects had their radiographs of hands and feet evaluated by Sharp/van der Heijde score (SHS) at two timepoints, baseline and after one year. At baseline, disease activity was calculated by Disease Activity Score 28-C reactive protein (DAS28-CRP), body composition was evaluated using dual X-ray absorptiometry (DXA), muscle strength was assessed by handgrip test and chair rising test (CRT), and physical function was assessed by Health Assessment Questionnaire-Disability Index (HAQ-DI) and timed up and go (TUG) test.

resultsMean age of individuals was 56 ± 7.8 years, mean DAS28-CRP was 3.3 ± 1.3, mean disease duration was 11.2 ± 9.2 years, and mean BMI was 28.1 ± 5.1 kg/m

conclusionsLong-term RA was related with higher SHS and lower ALMI, and the late disease stage of included individuals possibly masked the association of myokines with one-year radiographic progression or low lean mass. Otherwise, bDMARDs treatment influenced myokines circulating levels, specifically irisin.

Indexed as

Arthritis, RheumatoidFibronectinsMyostatinAbsorptiometry, PhotonAdultAgedBody CompositionBody Mass IndexCase-Control StudiesDisease ProgressionFemaleHand StrengthHumansMiddle AgedMuscle StrengthMyokinesFibronectinsFNDC5 protein, humanMSTN protein, humanMyokinesMyostatinIrisinMyostatinRheumatoid arthritis

Identifiers

PMID41947258
PMCPMC13472113

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