The autonomic nervous system and the immune system in juvenile rheumatoid arthritis
Abstract
This study demonstrates that juvenile rheumatoid arthritis is associated with a dysregulation of the autonomic nervous system as well as with disturbances in the capacity of the immune system to respond to mediators of the autonomic nervous system. In patients with active disease heart rate at rest is higher than in healthy controls. In addition, 3-hydroxy-4-phenoxyphenylglycol levels in urine are higher in all patients than in the control group. Cardiovascular responses to an orthostatic stress test (tilt up) are reduced in patients with active and nonactive disease. Plasma norepinephrine responses to tilt up are reduced in subjects with active juvenile rheumatoid arthritis. In summary, our data show that patients with juvenile rheumatoid arthritis have an altered function of the autonomic nervous system associated with increased central noradrenergic outflow, presumably leading to increased vasoconstriction, resulting in a decreased response to an orthostatic stressor. The altered function of the autonomic nervous system is associated with changes in the response of leukocytes to mediators of the autonomic nervous system via beta2-adrenergic receptors. Leukocytes of patients with active juvenile rheumatoid arthritis have a lower cAMP response to a beta2-adrenergic agonist, presumably due to increased cAMP-phosphodiesterase activity in these cells.
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Some studies have indicated that patients with chronic inflammatory diseases have an increased activity of the sympathetic nervous system.
“Some studies have indicated that patients with chronic inflammatory diseases have an increased activity of the SNS.”
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- Authors
- Kuis, W., de Jong-de Vos van Steenwijk, C. C. E., Sinnema, G., Kavelaars, A., Prakken, B., Helders, P. J. M., & Heijnen, C. J.
- Affiliations
- Utrecht University (NL)
- Venue
- Brain Behavior and Immunity
- Publisher
- Elsevier BV
- Published
- 1996-12
- Volume
- 10
- Issue
- 4
- Pages
- 387-398
- ISSN
- 0889-1591 (ISSN-L)
- OpenAlex
- W2078840603
- Cited by
- 78
- References
- 0
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 1 · 2018: 2 · 2016: 2 · 2015: 4 · 2013: 5 · 2012: 2
- FWCI
- 2.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Brain Behavior and Immunity (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Universiteit Utrecht
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
- Health Sciences › Medicine › Hematology › Autoimmune and Inflammatory Disorders Research
- Keywords
- juvenile idiopathic arthritis, autonomic nervous system, immune system, heart rate, orthostatic test, norepinephrine, beta2-adrenergic receptor, cAMP response, leukocytes, phosphodiesterase, vasoconstriction
- MeSH terms
- Adolescent, Arthritis, Rheumatoid, Autonomic Nervous System, Child, Child, Preschool, Female, Hemodynamics, Humans, Leukocytes, Male
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