Articles producció científica> Medicina i Cirurgia

Patients with systemic lupus erythematosus show an increased arterial stiffness that is predicted by IgM anti-β[2] -Glycoprotein I and small dense high-density lipoprotein particles

  • Dades identificatives

    Identificador: imarina:5133028
    Autors:
    Parra, SLopez-Dupla, MIbarretxe, Dde las Heras, MAmigó, NCatalà, ABenavent, MGarcés, ENavarro, ACastro, A
    Resum:
    Objective To investigate the metabolic and immunologic factors associated with the presence of central arterial stiffness as measured by the augmentation index (AIx). Methods We conducted a cross-sectional study of 69 female patients with systemic lupus erythematosus (SLE) compared with a control group of 34 healthy women. The anthropometrical variables, the vascular studies, and the analytic data were obtained the same day. The AIx was assessed by peripheral arterial tonometry. The analysis of lipoprotein populations was performed using nuclear magnetic resonance (NMR) spectroscopy. Results Arterial stiffness was increased in patients with SLE compared with control subjects (mean +/- SD 20.30 +/- 21.54% versus 10.84 +/- 11.51%; P = 0.0021). Values for the AIx were correlated with the Framingham risk score (r = 0.481, P < 0.001), carotid intima-media thickness (r = 0.503, P < 0.001), systolic blood pressure (r = 0.270, P < 0.001), and age (r = 0.365, P < 0.001). Patients receiving antimalarial drugs had a lower AIx (mean +/- SD 11.74 +/- 11.28% versus 24.97 +/- 20.63%; P = 0.024). The AIx was correlated with the atherogenic lipoproteins analyzed by NMR. The immunologic variables associated with the AIx were C4 (r = 0.259, P = 0.046) and IgM anti-beta(2)-glycoprotein I (IgM anti-beta(2)GPI) (r = 0.284, P = 0.284). In the multivariate analysis, age (beta = 0.347, 95% confidence interval [95% CI] 0.020-0.669, P = 0.035), IgM beta(2)GPI (beta = 0.321, 95% CI 0.024-0.618, P = 0.035) and small dense high-density lipoprotein (HDL) particles (beta = 1.288, 95% CI 0.246-2.329, P = 0.017) predicted the AIx. Conclusion SLE patients had increased arterial stiffness compared with healthy control subjects. Arterial stiffness was decreased in patients treated with antimalarial drugs.
  • Altres:

    Autor segons l'article: Parra, S; Lopez-Dupla, M; Ibarretxe, D; de las Heras, M; Amigó, N; Català, A; Benavent, M; Garcés, E; Navarro, A; Castro, A
    Departament: Medicina i Cirurgia
    Autor/s de la URV: Castro Salomó, Antoni / Ibarretxe Gerediaga, Daiana / López Dupla, Jesús Miguel / Parra Pérez, Sandra
    Paraules clau: Vascular stiffness Risk Recommendations Intima-media thickness Independent predictor Dysfunction Disease-activity Damage Cholesterol Atherosclerosis
    Resum: Objective To investigate the metabolic and immunologic factors associated with the presence of central arterial stiffness as measured by the augmentation index (AIx). Methods We conducted a cross-sectional study of 69 female patients with systemic lupus erythematosus (SLE) compared with a control group of 34 healthy women. The anthropometrical variables, the vascular studies, and the analytic data were obtained the same day. The AIx was assessed by peripheral arterial tonometry. The analysis of lipoprotein populations was performed using nuclear magnetic resonance (NMR) spectroscopy. Results Arterial stiffness was increased in patients with SLE compared with control subjects (mean +/- SD 20.30 +/- 21.54% versus 10.84 +/- 11.51%; P = 0.0021). Values for the AIx were correlated with the Framingham risk score (r = 0.481, P < 0.001), carotid intima-media thickness (r = 0.503, P < 0.001), systolic blood pressure (r = 0.270, P < 0.001), and age (r = 0.365, P < 0.001). Patients receiving antimalarial drugs had a lower AIx (mean +/- SD 11.74 +/- 11.28% versus 24.97 +/- 20.63%; P = 0.024). The AIx was correlated with the atherogenic lipoproteins analyzed by NMR. The immunologic variables associated with the AIx were C4 (r = 0.259, P = 0.046) and IgM anti-beta(2)-glycoprotein I (IgM anti-beta(2)GPI) (r = 0.284, P = 0.284). In the multivariate analysis, age (beta = 0.347, 95% confidence interval [95% CI] 0.020-0.669, P = 0.035), IgM beta(2)GPI (beta = 0.321, 95% CI 0.024-0.618, P = 0.035) and small dense high-density lipoprotein (HDL) particles (beta = 1.288, 95% CI 0.246-2.329, P = 0.017) predicted the AIx. Conclusion SLE patients had increased arterial stiffness compared with healthy control subjects. Arterial stiffness was decreased in patients treated with antimalarial drugs. Age, IgM beta(2)GPI, and the number of small dense HDL particles predicted the AIx.
    Àrees temàtiques: Saúde coletiva Rheumatology Rehabilitation Psicología Medicina iii Medicina ii Medicina i General medicine Farmacia Educação física
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 2151464X
    Adreça de correu electrònic de l'autor: daiana.ibarretxe@urv.cat jesusmiguel.lopez@urv.cat antoni.castro@urv.cat sandra.parra@urv.cat
    Identificador de l'autor: 0000-0002-9141-2523 0000-0001-5441-6333 0000-0001-9363-6574
    Pàgina final: 125
    Data d'alta del registre: 2024-02-10
    Volum de revista: 71
    Versió de l'article dipositat: info:eu-repo/semantics/acceptedVersion
    Referència a l'article segons font original: Arthritis Care & Research. 71 (1): 116-125
    Referència de l'ítem segons les normes APA: Parra, S; Lopez-Dupla, M; Ibarretxe, D; de las Heras, M; Amigó, N; Català, A; Benavent, M; Garcés, E; Navarro, A; Castro, A (2019). Patients with systemic lupus erythematosus show an increased arterial stiffness that is predicted by IgM anti-β[2] -Glycoprotein I and small dense high-density lipoprotein particles. Arthritis Care & Research, 71(1), 116-125. DOI: 10.1002/acr.23594
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    Entitat: Universitat Rovira i Virgili
    Any de publicació de la revista: 2019
    Pàgina inicial: 116
    Tipus de publicació: Journal Publications
  • Paraules clau:

    Rehabilitation,Rheumatology
    Vascular stiffness
    Risk
    Recommendations
    Intima-media thickness
    Independent predictor
    Dysfunction
    Disease-activity
    Damage
    Cholesterol
    Atherosclerosis
    Saúde coletiva
    Rheumatology
    Rehabilitation
    Psicología
    Medicina iii
    Medicina ii
    Medicina i
    General medicine
    Farmacia
    Educação física
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