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A key characteristic of rheumatoid arthritis (RA), is the occurrence of antibodies against post-translationally modified proteins. Citrullination and anti-citrullinated protein antibodies (ACPAs) have been studied extensively.1 Carbamylation is another type of post-translational modification. During carbamylation, isocyanic acid reacts with the amine group of an amino acid. This mostly results in the conversion of lysine into homocitrulline.2 A subset of patients with RA harbour anticarbamylated protein (anti-CarP) antibodies and the presence of these antibodies is predictive of worse disease progression in ACPA-negative patients.3 Anti-CarP antibodies can be present in patients with arthralgia and their presence predicts the development of RA.4
A cornerstone of biomedical research is the use of animal models to explore basic pathophysiological mechanisms. Therefore, it is important to know whether antibodies against post-translationally modified proteins are present in these models. Although ACPAs were initially reported to be present in collagen-induced arthritis (CIA),5 ,6 this topic is now debated. Little is …
Footnotes
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Contributors JNS performed and designed experiments, analysed data and drafted the article. AF and SH performed and designed experiments. MH, TWJH and GS interpreted data, drafted the article and critically revised the manuscript for important intellectual content. LAT interpreted data, drafted the article, designed experiments and critically revised the manuscript for important intellectual content. REMT designed experiments, analysed and interpreted data and drafted the article. All authors approved the final version of the manuscript.
Funding This work was financially supported by the IMI JU funded project BeTheCure, contract no 115142-2 and Pfizer. REMT is supported by a ZON-MW Vici grant. LAT is supported by a ZON-MW Vidi grant.
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Competing interests None.
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Ethics approval All animal experiments were approved by local regulatory authorities and conform to national guidelines.
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Provenance and peer review Not commissioned; externally peer reviewed.