Summary
Groups of 15 patients with active rheumatoid arthritis were treated for 24 weeks with zinc sulphate, trien, captopril, clozic in two doses or a combination of d-penicillamine and hydroxychloroquine. Serum histidine levels were monitored along with measures of disease activity including C-reactive protein, plasma viscosity, articular index, grip strength and early morning stiffness. Zinc sulphate and trien were found to be ineffective while the other drugs all showed evidence of second-line action. Serum histidine was found to improve during successful therapy. The possible cause of low serum histidine and its response to therapy is discussed.
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Gerber DA (1975) Decreased concentration of free histidine in serum in rheumatoid arthritis, an isolated amino acid abnormality not associated with generalised hypoaminoacidemia. J Rheumatol 2:384–392
Pickup ME, Dixon JS, Lowe JR, Wright V (1980) Serum histidine in rheumatoid arthritis: Changes induced by anti-rheumatic drug therapy. J Rheumatol 7:71–76
Gerber DA (1977) Anti-rheumatic drugs, the ESR, and the hypohistidinemia of rheumatoid arthritis. J Rheumatol 4:40–45
Dixon JS (1982) Biochemical and clinical changes in rheumatoid arthritis: their relation to the action of antirheumatoid drugs. Semin Arthritis Rheum 12:191–207
Simkin PA (1981) Treatment of rheumatoid arthritis with oral zinc sulphate. Agents Actions (Suppl) 8:587–596
Martin MFR, Surrall K, McKenna F, Dixon JS, Bird HA, Wright V (1983) Captopril. A new long term agent for treating rheumatoid arthritis. Heberden Society, London. Ann Rheum Dis 42:231
Sarkar B, Sass-Kortsack A, Clarke R, Laurie SH, Wei P (1977) A comparative study of in vitro and in vivo interaction of d-penicillamine and triethylenetetramine with copper. Proc R Soc Med 70:13–18
Martin M, Sitton N, Dixon J, Hickling P, Golding J, Wright V (1982) Penicillamine failures — what can be done? Heberden Society, Cambridge. Ann Rheum Dis 41:631–632
Gerber DA (1970) Determination of histidine in serum with o-phthaldialdehyde. Anal Biochem 34:500–504
Pickup ME, Dixon JS, Hallett C, Bird HA, Wright V (1981) Plasma viscosity — a new appraisal of its use as an index of disease activity in rheumatoid arthritis. Ann Rheum Dis 40:272–275
Dixon JS, Bird HA, Sitton NG, Pickup ME, Wright V (in press) C-reactive protein in the serial assessment of disease activity in rheumatoid arthritis. Scand J Rheumatol
Pickup ME, Dixon JS, Bird HA (1980) On the effects of antirheumatic drugs on protein sulphydryl reactivity in human serum. J Pharm Pharmacol 32:301–302
Ritchie DM, Boyle JA, McInnes JM, Jasani MK, Dalakos TG, Grieveson P, Buchanan WW (1968) Clinical studies with an articular index for the assessment of joint tenderness in patients with rheumatoid arthritis. J Med 37:393–406
Gerber DA (1981) Possible role of copper complex in the pathogenesis of rheumatoid arthritis. Agents Actions (Suppl) 8:165–184
Gerber DA (1975) Low free serum histidine concentration in rheumatoid arthritis. A measure of disease activity. J Clin Invest 55:1164–1173
Dixon JS, Bird HA, Wright V (1981) A comparison of serum biochemistry in ankylosing spondylitis, seronegative and seropositive rheumatoid arthritis. Ann Rheum Dis 40:404–408
Gerber DA, Gerber MG (1977) Specificity of a low free serum histidine concentration for rheumatoid arthritis. J Chronic Dis 30:115–127
Kirkham J, Lowe J, Bird HA, Wright V (1981) Serum histidine in rheumatoid arthritis: a family study. Ann Rheum Dis 40:501–502
Simkin PA (1976) Oral zinc sulphate in rheumatoid arthritis. Lancet II:539–542
Hallman PS, Perrin DD, Watt AE (1971) The computed distribution of copper (II) and zinc (II) Ions among 17 amino acids present in human blood plasma. Biochem J 121:549–555
Brown DH, Buchanan WW, El-Ghobarey AF, Smith WE, Teape J (1979) Serum copper and its relationship to clinical symptoms in rheumatoid arthritis. Ann Rheum Dis 38:174–176
Bajpayee DP (1975) Significance of plasma copper and caeruloplasmin concentrations in rheumatoid arthritis. Ann Rheum Dis 34:162–165
Koj A (1974) Acute-phase reactants. In: Allison AC (ed) Structure and function of plasma proteins, vol 1. Plenum Press, New York London, pp 73–132
Powanda MC, Cockerell GL, Pekarek RS (1973) Amino acid and zinc movement in relation to protein synthesis early in inflammation. Am J Physiol 225:399–401
Badway JA, Karnovsky ML (1980) Active oxygen species and the functions of phagocytic leukocytes. Annu Rev Biochem 49:695–726
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Dixon, J.S., Sitton, N.G., Surrall, K.E. et al. The effect of drugs on serum histidine levels in rheumatoid arthritis. Rheumatol Int 3, 145–149 (1983). https://doi.org/10.1007/BF00541592
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DOI: https://doi.org/10.1007/BF00541592