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The LDL/HDL ratio and atherosclerosis in ankylosing spondylitis
A Kucuk1, A Uğur Uslu2, A Icli3
1Division of Rheumatology, Department of Internal Medicine, Meram School of Medicine, Necmettin Erbakan University, Konya, Turkey. drademk@yahoo.com.
Insights
Ankylosing spondylitis patients show increased atherosclerosis risk markers like carotid intima-media thickness (CIMT), oxidative stress, and ischemic modified albumin. The LDL/HDL ratio is higher but not a reliable predictor of heart disease in AS.
Area of Science:
- Cardiovascular Research
- Rheumatology
- Biochemistry
Background:
- Ankylosing spondylitis (AS) is linked to cardiovascular complications, including atherosclerosis.
- Systemic inflammation, oxidative stress, and dyslipidemia are key risk factors for atherosclerosis in AS patients.
- Carotid intima-media thickness (CIMT) serves as a marker for subclinical atherosclerosis.
Purpose of the Study:
- To investigate the relationship between CIMT, LDL/HDL ratio, total oxidant status (TOS), and ischemic modified albumin (IMA) in AS patients.
- To assess the predictive value of the LDL/HDL ratio for atherosclerotic heart disease in AS.
- To evaluate oxidative stress and ischemic markers in AS patients.
Main Methods:
- Sixty AS patients and 54 age- and gender-matched controls were enrolled.
- Measurements included CIMT, LDL/HDL ratio, TOS, and IMA.
- The Modified New York Criteria were used for AS diagnosis.
Main Results:
- AS patients exhibited significantly higher IMA, TOS, CIMT, and LDL/HDL ratios compared to controls.
- A positive correlation was observed between CIMT and the LDL/HDL ratio in AS patients.
- IMA and TOS were elevated, indicating increased oxidative stress and ischemia.
Conclusions:
- Elevated CIMT, IMA, and TOS suggest a heightened risk of atherosclerotic heart disease in AS patients.
- While the LDL/HDL ratio was higher in AS patients, its correlation with CIMT was weak.
- The LDL/HDL ratio is not a dependable marker for predicting atherosclerotic heart disease in AS patients.
Objectives:
In ankylosing spondylitis (AS) patients, cardiac and vascular involvement may manifest as atherosclerosis and coronary artery disease. Systemic inflammation, oxidative stress, increased low-density lipoprotein (LDL) cholesterol and decreased high-density lipoprotein (HDL) cholesterol constitute a significant risk for atherosclerosis. This study investigated the relationship between carotid intima-media thickness (CIMT), LDL/HDL ratio, total oxidant status (TOS; an indicator of oxidative stress) and ischemic modified albumin (IMA; an ischemic marker in AS patients).
Patients And Methods:
Sixty AS patients were diagnosed using the Modified New York Criteria; 54 age- and gender-matched participants were included as controls. CIMT, LDL/HDL ratio, TOS and IMA were measured using the most appropriate methods.
Results:
IMA was higher in AS patients compared to controls (p < 0.0001). TOS was also increased in AS patients (p = 0.005); as was CIMT (p < 0.0001). The LDL/HDL ratio was also greater in AS patients compared to controls (p = 0.047). A positive correlation was found between CIMT and LDL/HDL ratio among AS patients.
Conclusion:
Elevated CIMT, IMA and TOS levels suggest an increased risk of atherosclerotic heart disease in AS patients. The LDL/HDL ratio was higher in AS patients compared to controls, and there was a correlation between LDL/HDL ratio and CIMT, albeit statistically weak. Therefore, the LDL/HDL ratio is not a reliable marker to predict atherosclerotic heart disease in AS patients.
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