Methotrexate (MTX) is one of the most effective medications to treat rheumatoid arthritis (RA).Aserum of 60 Iraqi male patients suffering from RA as (G1) was newly diagnosis and the same patient in G1 after taking MTX as G2 and 40 Iraqi male healthy control as G3. Nesfatin-1 (Nf-1) is belong to the adipokine family withpleiotropic effect. Nf-1 has been found in different tissues, including stomach, pancreas, bone cells, cartilage and heart. Retinol binding protein (RBP4) was known as transpoter of retinol from its storage sites in the liver to the extrahepatic tissues. Moreover, RBP4 acts as adipokine and contributes in the pathophsyology of prototypic inflammatory disease, rheumatoid arthritis (RA). The results showed a significant increase in levels of NF-1 in the patients after and before treatment with MTX, while there was a significant decrease in RBP4in RApatients before administration MTX.Also, there was a high significant positive correlation (+ve) between RBP4 and Zn and non-significant negative (-ve) correlation between NF-1 with RBP4 in G1 and G2. © 2020, Connect Journal.
