Lysophosphatidic Acid / Autotaxin Axis in Rheumatoid Lung Disease

General inclusion criteria

• Subject aged ≥ 18 and ≤ 70 years
• Patient with RA with ACPA in the state phase, meeting ACR / EULAR 2010 criteria

• For female subjects:

  • Likely to procreate: negative pregnancy test at the inclusion visit and use of an effective method of contraception (hormonal contraceptives, intrauterine devices, vasectomized partner, abstinence) started at least 1 month before inclusion and continued during the entire study.
  • Inability to procreate: menopause (absence of a rule for at least 1 year) or hysterectomy or bilateral oophorectomy or tubal ligation.
• Subject having given written consent to participate in the study
• Subject affiliated to the Social Security scheme or benefiting from an equivalent scheme

Additional inclusion criteria for cases (RA patients with PID):

• PID is defined as damage compatible with the thoracic scanner in thin sections according to international criteria with or without associated clinical signs.

Additional inclusion criteria for control patients (RA patients without symptomatology without PID)

• No functional lung complaints

Exclusion Criteria:

General exclusion criteria

• Vulnerable patient within the meaning of current French legislation (deprived of liberty by judicial or administrative decision, under guardianship or curatorship or under the protection of justice)
• Patient not fluent in French
• Woman breastfeeding or planning a pregnancy for the duration of the study
• Patient in exclusion period after participating in another clinical trial or in the process of participating in another clinical trial involving an experimental product
• Patient with occupational exposure to particles known to be responsible for PID (silica, etc.)
• Patient with an autoimmune disease other than RA or an auto-inflammatory disease

Non-inclusion criteria for cases (RA patients with PID):

• Patient with a history of asthma, COPD or any other pulmonary pathology or pulmonary symptom unrelated to PID

Non-inclusion criteria for control patients (RA patients without PID)

• Patient with a history of asthma, COPD, any other pulmonary pathology, any pulmonary symptom or any pulmonary CT abnormality.