Use of exploratory factor analysis to ascertain the correlation between the activities of rheumatoid arthritis and infection by human parvovirus B19.
OBJECTIVE
We evaluated a possible correlation between the clinical activities of rheumatoid arthritis (RA) and human parvovirus B19 (B19) infection using exploratory factor analysis (EFA).


METHODS
RA patients were organized into two groups: 100 patients in the main group and 97 in the RA(DAS28) group. Four subgroups were defined from the main group according to the presence or absence of certain infection-specific markers: group I comprised 43 patients who had IgG antibodies against B19; group II, 25 patients with active B19 infection (B19-specific IgM antibodies and/or plasma viremia); group III, 19 patients with latent/persistent B19 infection (virus-specific sequences in peripheral blood leukocytes' DNA with or without B19-specific IgG antibodies), and group IV, 13 patients without infection markers. The RA(DAS28) group was divided into four subgroups similarly to the main group: group I, 35; group II, 31; group III, 19; and group IV, 12 patients. Disease-specific clinical values in both groups were analyzed employing EFA, and the RA(DAS28) group was additionally assessed using Disease Activity Score (DAS)28.


RESULTS
RA activity was higher in patients who had markers of B19 infection. The highest activity of RA in both study groups was in patients with latent/persistent infection. In the RA(DAS28) group, according to DAS28, the highest activity of RA was in patients with active B19 infection.


CONCLUSIONS
Using EFA and DAS28, a correlation between the clinical activity of RA and B19 infection was confirmed. These data suggest that EFA is applicable for medico-biological studies.
Daugavpils Regional Hospital, Daugavpils, Latvia. Electronic address: nkbox@apollo.lv.
Natalja
N
Kakurina
Department of Internal Diseases, Riga Stradins University, Riga, Latvia.
Anda
A
Kadisa
August Kirchenstein Institute of Microbiology and Virology, Riga Stradins University, Riga, Latvia.
Aivars
A
Lejnieks
Department of Internal Diseases, Riga Stradins University, Riga, Latvia.
Helena
H
Mikazane
August Kirchenstein Institute of Microbiology and Virology, Riga Stradins University, Riga, Latvia.
Svetlana
S
Kozireva
August Kirchenstein Institute of Microbiology and Virology, Riga Stradins University, Riga, Latvia.
Modra
M
Murovska
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000914:Antibodies, Viral / Q000097:blood / Q000276:immunology; D001172:Arthritis, Rheumatoid / Q000097:blood / Q000276:immunology* / Q000821:virology; D004279:DNA, Viral / Q000097:blood / Q000276:immunology; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D007074:Immunoglobulin G / Q000097:blood / Q000276:immunology; D007075:Immunoglobulin M / Q000097:blood / Q000276:immunology; D008297:Male; D008875:Middle Aged; D010322:Parvoviridae Infections / Q000097:blood / Q000150:complications / Q000276:immunology*; D016732:Parvovirus B19, Human / Q000276:immunology*; D055815:Young Adult
D000914:Antibodies, Viral; D004279:DNA, Viral; D007074:Immunoglobulin G; D007075:Immunoglobulin M
Exploratory factor analysis; Human parvovirus B19; Rheumatoid arthritis