Does treatment of psoriasis reduce the risk of cardiovascular disease?

Sarah Churton1, Liza Brown, Thuzar M Shin

  • 1Department of Dermatology, Murdough Family Center for Psoriasis, University Hospitals Case Medical Center, 11100 Euclid Ave. Bolwell 3100, Cleveland, OH, 44106, USA, sarah.churton@uhhospitals.org.

Drugs
|January 15, 2014
PubMed

Insights

Psoriasis patients face higher cardiovascular risks. Certain treatments, like methotrexate and TNF-α inhibitors, may improve heart health by reducing inflammation and cardiovascular events.

Area of Science:

  • Dermatology
  • Cardiology
  • Immunology

Background:

  • Psoriasis is an inflammatory condition linked to cardiovascular disease (CVD) and increased mortality.
  • Systemic inflammation may be a common pathway connecting psoriasis and CVD.
  • The impact of psoriasis treatments on cardiovascular outcomes remains unclear.

Purpose of the Study:

  • To review evidence on how psoriasis therapies affect cardiovascular biomarkers and risk.
  • To assess the cardiovascular safety and efficacy of various psoriasis treatments.

Main Methods:

  • Systematic review of 23 original research publications.
  • Analysis of studies examining psoriasis treatments and cardiovascular health indicators.

Main Results:

  • Phototherapy shows potential in reducing inflammatory cytokines but lacks strong evidence for decreased CVD outcomes.
  • Methotrexate and tumor necrosis factor-α inhibitors demonstrate improvements in cardiovascular inflammatory biomarkers and CVD outcomes.
  • Interleukin-12/23 inhibitors have varied short-term data, with no clear increase in cardiovascular events observed.

Conclusions:

  • Some psoriasis treatments may positively influence cardiovascular health.
  • Methotrexate and TNF-α inhibitors appear beneficial for cardiovascular risk in psoriasis patients.
  • Further research is needed to fully elucidate the cardiovascular effects of all psoriasis therapies.

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