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台灣僵直性脊椎炎資料庫 Ankylosing Spondylitis Databank Project in Taiwan 魏  正 宗  James Cheng-Chung Wei, M.D., Ph.D.   中山醫學大學附設醫院過敏免疫風濕科主任 Director, Division of Allergy, Immunology & Rheumatology Chung Shan Medical University Hospital, Taichung, Taiwan Chairman, Taiwan AS caring society
AS in Taiwan ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
AS caring society in Taiwan   www.ascare.org.tw
Ankylosing Spondylitis Databank Project in Taiwan   Backgrounds / Aims ,[object Object],[object Object],[object Object]
Methods ,[object Object],[object Object],[object Object],[object Object],[object Object]
Chinese version of Bath indices Reliability of BASDAI 、 BASFI 、 BAS-G James Cheng-Chung Wei , Ruey-Hong Wong,Jun-Huang Huang, Chen-Tung Yu, Chung-Tei Chou, Ming-Shiou Jan, Gregory J. Tsay, Ming-Chih Chou, Hong-Shen Lee.  Clin Rheumatol 2007;26:1685-1691  BASDAI BASFI BAS-G Number of items in Scale 6 10 2 Cronbach’s  coefficient Alpha  0.85 0.94 0.91 ICC Test/Retest 0.93  0.92 0.94
BASDAI 活性量表 Bath Ankylosing Spondylitis Activity Index James Cheng-Chung Wei, Ruey-Hong, Ming-Chih Chou, Hong-Shen Lee. Clin Rheumatol (2007) 26:1685–1691
 
BAS-G 整體量表 Bath Ankylosing Spondylitis Patients’ Global Assessment
Physical examination  ,[object Object],[object Object],[object Object],[object Object],[object Object]
AS Tissue Bank in Taiwan ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Results Taichung CSMUH Cohort Ankylosing Spondylitis Databank Project in Taiwan
Taiwan AS databank ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CSMUH cohort ,[object Object],[object Object],[object Object],[object Object],[object Object],JC Wei. Ankylosing spondylitis databank in Taiwan , PhD thesis, 2007
Bath Indices ,[object Object],[object Object],[object Object],[object Object],[object Object]
Physical examinations Finger to floor distance, > 10 cm (%) (AS, n=820) 499 (60.85) Schober’s test, < 15cm (%) (n=818) 783 (95.72) Chest expansion test, < 5cm (%) (n=815) 532 (65.28) L’t lateral bending test, < 10cm (%) (n=812) 247 (30.42) Occiput to wall distance, > 0 cm (%) (n=814) 143 (17.57) Shoulder pain or limitation of motion (n=779) 197 (25.29)
Clinical manifestations Variables Patient number (%) History of the buttock pains and back, no. (%) 755 (93.44) History of peripheral arthritis, no. (%) 518 (64.43) History of uveitis, no. (%) 195 (24.19) History of psoriasis, no. (%) 112 (13.90) History of hematuria no. (%) 55 (6.86) History of oral ulcer, no. (%) (n=805) 94 (11.68) Onset symptom, no. ( peripheral arthristis  / enteritis / back pain / uveitis) (%) ( 21.55 /2.96/50.56/2.54) HLA-B27 positive 91.2 % Family history of  spondyloarthritis 349 (43.35)
HS-CRP Variable HS-CRP- p value HSCRP-  r BASDAI 0.0005 0.15117 BASFI 0.0002 * 0.16228 BAS-G 0.0001 * 0.22709
HLA-B27 in Taiwan ,[object Object],[object Object],[object Object],2704 2705 2706 2707 Total AS 108 3 0 0 111 Normal 72 4 5 3 84
 
Annals of the Rheumatic Diseases. 2009;68:1781–1786. ,[object Object],[object Object],[object Object]
SNP vs Phenotype study
 
SNP of OPG  in AS JH Huang, JC Wei. Rheumatology 2010
 
Arthritis &rheumatism  2009;60(11),3269–79. (J. Gu and JCC Wei and Yu-Ling Wei contributed equally)
Identification of RGS1 as a Candidate Biomarker for Undifferentiated Spondylarthritis  J. Gu, JCC Wei ,Yu-Ling Wei, D. Yu.  Arthritis & rheumatism 2009;60(11),3269–79.
Future works ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusions  ,[object Object],[object Object],[object Object]
 
Thank you James Cheng-Chung Wei, M.D., Ph.D. [email_address] +886 975 128095 Chung Shan Medical University Hospital Chinese Medicine Clinical Trial Center

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Wei as databank in taiwan 2011

  • 1. 台灣僵直性脊椎炎資料庫 Ankylosing Spondylitis Databank Project in Taiwan 魏 正 宗  James Cheng-Chung Wei, M.D., Ph.D.   中山醫學大學附設醫院過敏免疫風濕科主任 Director, Division of Allergy, Immunology & Rheumatology Chung Shan Medical University Hospital, Taichung, Taiwan Chairman, Taiwan AS caring society
  • 2.
  • 3. AS caring society in Taiwan www.ascare.org.tw
  • 4.
  • 5.
  • 6. Chinese version of Bath indices Reliability of BASDAI 、 BASFI 、 BAS-G James Cheng-Chung Wei , Ruey-Hong Wong,Jun-Huang Huang, Chen-Tung Yu, Chung-Tei Chou, Ming-Shiou Jan, Gregory J. Tsay, Ming-Chih Chou, Hong-Shen Lee. Clin Rheumatol 2007;26:1685-1691 BASDAI BASFI BAS-G Number of items in Scale 6 10 2 Cronbach’s coefficient Alpha 0.85 0.94 0.91 ICC Test/Retest 0.93 0.92 0.94
  • 7. BASDAI 活性量表 Bath Ankylosing Spondylitis Activity Index James Cheng-Chung Wei, Ruey-Hong, Ming-Chih Chou, Hong-Shen Lee. Clin Rheumatol (2007) 26:1685–1691
  • 8.  
  • 9. BAS-G 整體量表 Bath Ankylosing Spondylitis Patients’ Global Assessment
  • 10.
  • 11.
  • 12. Results Taichung CSMUH Cohort Ankylosing Spondylitis Databank Project in Taiwan
  • 13.
  • 14.
  • 15.
  • 16. Physical examinations Finger to floor distance, > 10 cm (%) (AS, n=820) 499 (60.85) Schober’s test, < 15cm (%) (n=818) 783 (95.72) Chest expansion test, < 5cm (%) (n=815) 532 (65.28) L’t lateral bending test, < 10cm (%) (n=812) 247 (30.42) Occiput to wall distance, > 0 cm (%) (n=814) 143 (17.57) Shoulder pain or limitation of motion (n=779) 197 (25.29)
  • 17. Clinical manifestations Variables Patient number (%) History of the buttock pains and back, no. (%) 755 (93.44) History of peripheral arthritis, no. (%) 518 (64.43) History of uveitis, no. (%) 195 (24.19) History of psoriasis, no. (%) 112 (13.90) History of hematuria no. (%) 55 (6.86) History of oral ulcer, no. (%) (n=805) 94 (11.68) Onset symptom, no. ( peripheral arthristis / enteritis / back pain / uveitis) (%) ( 21.55 /2.96/50.56/2.54) HLA-B27 positive 91.2 % Family history of spondyloarthritis 349 (43.35)
  • 18. HS-CRP Variable HS-CRP- p value HSCRP- r BASDAI 0.0005 0.15117 BASFI 0.0002 * 0.16228 BAS-G 0.0001 * 0.22709
  • 19.
  • 20.  
  • 21.
  • 23.  
  • 24. SNP of OPG in AS JH Huang, JC Wei. Rheumatology 2010
  • 25.  
  • 26. Arthritis &rheumatism 2009;60(11),3269–79. (J. Gu and JCC Wei and Yu-Ling Wei contributed equally)
  • 27. Identification of RGS1 as a Candidate Biomarker for Undifferentiated Spondylarthritis J. Gu, JCC Wei ,Yu-Ling Wei, D. Yu. Arthritis & rheumatism 2009;60(11),3269–79.
  • 28.
  • 29.
  • 30.  
  • 31. Thank you James Cheng-Chung Wei, M.D., Ph.D. [email_address] +886 975 128095 Chung Shan Medical University Hospital Chinese Medicine Clinical Trial Center

Editor's Notes

  1. Dr Wei, Tsai and Chou published a highly-citated paper showing that HLA-B60 and B61 are strongly associated with B27-negative AS in Taiwan.
  2. Dr Wei and colleagues in Chung Shan medical university had set up an AS databank to investigate the association of AS genotype and clinical phenotype. They had found that MMP-3/ TIMP alleles correlate to disease activity and functional index of AS.
  3. They also collaborated with Prof Brown in Australia and found that IL1 gene complex was associated with AS in Taiwanese Chinese.
  4. Moreover, investigators from Taiwan, China and Prof David Yu in UCLA had close collaboration to discover candidate biomarker for spondyloarthritis by microarray and rt-PCR.
  5. They had found RGS1 as candidate biomarker for USpA, as well as NR4A2, IL-8…etc.