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Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1983 Jan;36(1):14–17. doi: 10.1136/jcp.36.1.14

Serum copper: a marker of disease activity in rheumatoid arthritis.

A A Youssef, B Wood, D N Baron
PMCID: PMC498097  PMID: 6822675

Abstract

Serum copper concentrations were measured in patients with rheumatoid arthritis (RA), ankylosing spondylitis (AS), osteoarthritis (OA), and in healthy controls. Median serum copper concentrations were raised significantly in RA and AS, but not in OA. Serum copper in RA correlated significantly with a number of disease activity markers--for example erythrocyte sedimentation rate (ESR), C-reactive protein, haemoglobin concentration, morning stiffness, and grip strength. It also correlated well with the overall disease activity as assessed by a composite index. Raised serum copper was associated with severe RA as manifested by the presence of immunoglobulin M rheumatoid factor, extra-articular features, weak grip and highly active disease. High serum copper might be related to the development of the pathological lesions observed in RA and not just be a secondary response.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bajpayee D. P. Significance of plasma copper and caeruloplasmin concentrations in rheumatoid arthritis. Ann Rheum Dis. 1975 Apr;34(2):162–165. doi: 10.1136/ard.34.2.162. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Brown D. H., Buchanan W. W., el-Ghobarey A. F., Smith W. E., Teape J. Serum copper and its relationship to clinical symptoms in rheumatoid arthritis. Ann Rheum Dis. 1979 Apr;38(2):174–176. doi: 10.1136/ard.38.2.174. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Cranfield L. M., Gollan J. L., White A. G., Dormandy T. L. Serum antioxidant activity in normal and abnormal subjects. Ann Clin Biochem. 1979 Nov;16(6):299–306. doi: 10.1177/000456327901600181. [DOI] [PubMed] [Google Scholar]
  4. DIAGNOSTIC criteria for rheumatoid arthritis: 1958 revision by a committee of the American Rheumatism Association. Ann Rheum Dis. 1959 Mar;18(1):49–53. [PMC free article] [PubMed] [Google Scholar]
  5. Evans G. W., Cornatzer N. F., Cornatzer W. E. Mechanism for hormone-induced alterations in serum ceruloplasmin. Am J Physiol. 1970 Mar;218(3):613–615. doi: 10.1152/ajplegacy.1970.218.3.613. [DOI] [PubMed] [Google Scholar]
  6. Evans G. W., Wiederanders R. E. Blood copper variation among species. Am J Physiol. 1967 Nov;213(5):1183–1185. doi: 10.1152/ajplegacy.1967.213.5.1183. [DOI] [PubMed] [Google Scholar]
  7. Grennan D. M., Knudson J. M., Dunckley J., MacKinnon M. J., Myers D. B., Palmer D. G. Serum copper and zinc in rheumatoid arthritis and osteoarthritis. N Z Med J. 1980 Jan 23;91(652):47–50. [PubMed] [Google Scholar]
  8. HARDWICKE J., SQUIRE J. R. The basis of the erythrocyte sedimentation rate. Clin Sci. 1952 Nov;11(4):333–355. [PubMed] [Google Scholar]
  9. Haase G., Dunkley W. L. Ascorbic acid and copper in linoleate oxidation. II. Ascorbic acid and copper as oxidation catalysts. J Lipid Res. 1969 Sep;10(5):561–567. [PubMed] [Google Scholar]
  10. JOHNSON N. C., KHEIM T., KOUNTZ W. B. Influence of sex hormones on total serum copper. Proc Soc Exp Biol Med. 1959 Oct;102:98–99. doi: 10.3181/00379727-102-25155. [DOI] [PubMed] [Google Scholar]
  11. Jayson M. I., Davis P., Whicher J. T., Walters G. Serum copper and caeruloplasmin in ankylosing spondylitis, systemic sclerosis, and morphea. Ann Rheum Dis. 1975 Oct;35(5):443–445. doi: 10.1136/ard.35.5.443. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Lunec J., Halloran S. P., White A. G., Dormandy T. L. Free-radical oxidation (peroxidation) products in serum and synovial fluid in rheumatoid arthritis. J Rheumatol. 1981 Mar-Apr;8(2):233–245. [PubMed] [Google Scholar]
  13. McConkey B., Crockson R. A., Crockson A. P., Wilkinson A. R. The effects of some anti-inflammatory drugs on the acute-phase proteins in rheumatoid arthritis. Q J Med. 1973 Oct;42(168):785–791. [PubMed] [Google Scholar]
  14. McCord J. M. Free radicals and inflammation: protection of synovial fluid by superoxide dismutase. Science. 1974 Aug 9;185(4150):529–531. doi: 10.1126/science.185.4150.529. [DOI] [PubMed] [Google Scholar]
  15. Mongan E. S., Cass R. M., Jacox R. F., Vaughen J. H. A study of the relation of seronegative and seropositive rheumatoid arthritis to each other and to necrotizing vasculitis. Am J Med. 1969 Jul;47(1):23–35. doi: 10.1016/0002-9343(69)90238-1. [DOI] [PubMed] [Google Scholar]
  16. Mäkisara P., Ruutsalo H. M., Nissilä M., Ruotsi A., Mäkisara G. L. Serum copper in rheumatoid arthritis and ankylosing spondylitis. Ann Med Exp Biol Fenn. 1968;46(2):177–178. [PubMed] [Google Scholar]
  17. Puig-Parellada P., Planas J. M. Synovial fluid degradation induced by free radicals. In vitro action of several free radical scavengers and anti-inflammatory drugs. Biochem Pharmacol. 1978 Feb 15;27(4):535–537. doi: 10.1016/0006-2952(78)90390-8. [DOI] [PubMed] [Google Scholar]
  18. RICE E. W. Evaluation of the role of ceruloplasmin as an acute-phase reactant. Clin Chim Acta. 1961 Sep;6:652–655. doi: 10.1016/0009-8981(61)90110-3. [DOI] [PubMed] [Google Scholar]
  19. Scudder P. R., Al-Timimi D., McMurray W., White A. G., Zoob B. C., Dormandy T. L. Serum copper and related variables in rheumatoid arthritis. Ann Rheum Dis. 1978 Feb;37(1):67–70. doi: 10.1136/ard.37.1.67. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Sorenson J. R. Copper chelates as possible active forms of the antiarthritic agents. J Med Chem. 1976 Jan;19(1):135–148. doi: 10.1021/jm00223a024. [DOI] [PubMed] [Google Scholar]
  21. Sorenson J. R., Hangarter W. Treatment of rheumatoid and degenerative diseases with copper complexes: a review with emphasis on copper-salicylate. Inflammation. 1977 Sep;2(3):217–238. doi: 10.1007/BF00917597. [DOI] [PubMed] [Google Scholar]
  22. Walker W. R., Keats D. M. An investigation of the therapeutic value of the 'copper bracelet'-dermal assimilation of copper in arthritic/rheumatoid conditions. Agents Actions. 1976 Jul;6(4):454–459. [PubMed] [Google Scholar]

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