“…Furthermore, as a multisystem disease, rheumatoid arthritis also affects organs such as liver, heart, brain and vascular tissue. The liver of rats with adjuvant-induced arthritis, for example, presents increased rates of oxygen uptake, inhibition of gluconeogenesis and stimulation of glycolysis, alterations in the urea cycle and modifications in calcium homeostasis (Fedatto-Jr et al, 1999Utsunomiya, Scaliante, Bracht, & Ishii-Iwamoto, 2013;Yassuda-Filho et al, 2003). Substantial oxidative stress and molecular damage has also been demonstrated to occur in the plasma, liver, brain and heart of both arthritic patients (Mateen, Moin, Khan, Zafar, & Fatima, 2016) and experimental animals Comar et al, 2013;Schubert et al, 2016;Wendt et al, 2015).…”